,,ib ,union ,cal5d> ,no4 #dbd #aaf?     
,,congress  #b;d ,session  ,h4 ,r4 #bbga
 ,report ,no4 #aaf-ebd ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,april #aj1       
#bjai,ms4 ,moore 7= h]self1 ,mr4 ,cole1 
,ms4 ,h]r]a ,beutl]1 ,mr4 ,got!im]1 ,ms4
 ,cl>ke ( ,new ,york1 ,mrs4 ,rodg]s (   
,wa%+ton1 ,ms4 ,wass]man ,s*ultz1 ,mr4  
,grijalva1 ,mr4 ,khanna1 ,ms4 ,norton1  
,mr4 ,k+ ( ,new ,york1 ,ms4 ,mc,collum1 
,mr4 ,c>twright1 & ,ms4 ,del,bene7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce      
,septemb] #ba1 #bjbj;,additional        
sponsors3 ,mr4 ,ryan1 ,ms4 ,sewell (    
,alabama1 ,mr4 ,fitzpatrick1 ,ms4       
,de,lauro1 ,mr4 ,heck1 ,mr4 ,wittman1   
,mrs4 ,watson ,coleman1 ,ms4 ,fudge1    
,mr4 ,neguse1 ,mr4 ,lawson ( ,florida1  
,mr4 ,payne1 ,mr4 ,?ompson (            
,mississippi1 ,mr4 ,ri*mond1 ,mr4       
,cleav]1 ,mr4 ,clyburn1 ,mr4 ,gre5 (    
,texas1 ,mrs4 ,dem+s1 ,ms4 ,pressley1   
,ms4 ,kelly ( ,ill9ois1 ,ms4 ,johnson ( 
,texas1 ,ms4 ,bass1 ,ms4 ,wilson (      

,florida1 ,mr4 ,evans1 ,mr4 ,johnson (  
,georgia1 ,mrs4 ,lawr5ce1 ,ms4 ,jackson 
,lee1 ,mr4 ,meeks1 ,mr4 ,k9d1 ,mr4      
,ha/+s1 ,ms4 ,roybal-,all>d1 ,mr4 ,danny
 ,k4 ,davis ( ,ill9ois1 ,mr4 ,rask91    
,ms4 ,blunt ,ro*e/]1 ,mr4 ,k5n$y1 ,mr4  
,case1 ,mr4 ,coh51 ,mr4 ,h>d] (         
,cali=nia1 ,mr4 ,lip9ski1 ,mr4 ,g>ca (  
,ill9ois1 ,mr4 ,mc,govern1 ,mr4 ,lyn*1  
,mr4 ,pet]son1 ,ms4 ,p+ree1 ,mr4 ,mi*ael
 ,f4 ,doyle ( ,p5nsylvania1 ,ms4 ,s*ri]1
 ,ms4 ,%]rill1 ,ms4 ,spanb]g]1 ,mr4     
,coop]1 ,mr4 ,ru%1 ,ms4 ,craig1 ,mr4    
,upton1 ,mr4 ,gu?rie1 ,ms4 ,ku/] ( ,new 
,hamp%ire1 ,mrs4 ,axne1 ,mr4 ,swalwell (
 ,cali=nia1 ,mr4 ,"y1 ,mr4 ,cox (       
,cali=nia1 ,mr4 ,soto1 ,mr4 ,connolly1 &
 ,mr4 ,burgess  ,septemb] #ba1          
#bjbj,report$ ) an am5dm5t1 committ$ to 
! ,committee ( ! ,:ole ,h\se on ! ,/ate 
( ! ,union1 & ord]$ to be printed,strike
 out all aft] ! enact+ clause & ins]t ! 
"p pr9t$ 9 italic,for text ( introduc$  
bill1 see copy ( bill z introduc$ on    
,april #aj1 #bjai  ,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 ! ,sc>lett's ,sun%9e 
on ,sudd5 ,unexpect$ ,dea? ,act4  #b4   
,address+ sudd5 unexpect$ infant dea? & 
sudd5 unexpect$ dea? 9 *ildhood ,"p ,b (
 title ,,xi ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bda et seq47 is    
am5d$-- 7#a7 9 ! "p head+1 by /rik+     
,sudd5 ,infant ,dea? ,syndrome & ins]t+ 
,sudd5 ,unexpect$ ,infant ,dea?1 ,sudd5 
,infant ,dea? ,syndrome1 & ,sudd5       
,unexpect$ ,dea? 9 ,*ildhood2 &  7#b7 by
 ins]t+ be=e section #aabb ! foll[+3    
#aaba4 ,address+ sudd5 unexpect$ infant 
dea? & sudd5 unexpect$ dea? 9 *ildhood  
7a7 ,9 g5]al ,! ,secret>y may develop1  
support1 or ma9ta9 programs or          
activities to address sudd5 unexpect$   
infant dea? & sudd5 unexpect$ dea? 9    
*ildhood1 includ+ by-- 7#a7 cont9u+ to  
support ! ,sudd5 ,unexpect$ ,infant     
,dea? & ,sudd5 ,dea? 9 ! ,"y ,case      

,regi/ry ( ! ,c5t]s = ,disease ,control 
& ,prev5tion & o!r fatality case report+
 sy/ems t include data p]ta9+ to sudd5  
unexpect$ infant dea? & sudd5 unexpect$ 
dea? 9 *ildhood1 z appropriate1 includ+ 
su* sy/ems support$ by ! ,heal?         
,res\rces & ,s]vices ,adm9i/ration1 9   
ord] to-- 7,a7 increase ! numb] ( ,/ates
 & jurisdictions p>ticipat+ 9 su*       
sy/ems2 or  7,b7 improve ! utility ( su*
 sy/ems1 :i* may include-- 7i7 mak+     
summ>y data available to ! public 9 a   
timely mann] on ! int]net website ( !   
,dep>tm5t ( ,heal? & ,human ,s]vices1 9 
a mann] t1 at a m9imum1 protects p]sonal
 privacy to ! ext5t requir$ by          
applicable ,f$]al & ,/ate law2 &  7ii7  
mak+ ! data submitt$ to su* sy/ems      
available to rese>*]s1 9 a mann] t1 at a
 m9imum1 protects p]sonal privacy to !  
ext5t requir$ by applicable ,f$]al &    
,/ate law2 &  7#b7 aw>d+ grants or      
coop]ative agreem5ts to ,/ates1 ,indian 
,tribes1 & ,tribal organizations =      
purposes (-- 7,a7 support+ fetal &      

infant mortality & *ild dea? review     
programs = sudd5 unexpect$ infant dea? &
 sudd5 unexpect$ dea? 9 *ildhood1       
includ+ by e/abli%+ su* programs at !   
local level2  7,b7 improv+ data         
collection relat$ to sudd5 unexpect$    
infant dea? & sudd5 unexpect$ dea? 9    
*ildhood1 includ+ by-- 7i7 improv+ !    
completion ( dea? sc5e inve/igations &  
compreh5sive autopsies t include a      
review ( cl9ical hi/ory & circum/ances (
 dea? ) appropriate ancill>y te/+2 &    
7ii7 tra9+ m$ical exam9]s1 coron]s1 dea?
 sc5e inve/igators1 law en=cem5t        
p]sonnel1 em]g5cy m$ical te*nicians1    
p>am$ics1 em]g5cy dep>tm5t p]sonnel1 &  
o!rs :o p]=m dea? sc5e inve/igations )  
respect to ! dea?s ( infants & *ildr51 z
 appropriate2  7,c7 id5tify+1 develop+1 
& implem5t+ be/ practices to r$uce or   
prev5t sudd5 unexpect$ infant dea? &    
sudd5 unexpect$ dea? 9 *ildhood1 includ+
 practices to r$uce sleep-relat$ infant 
dea?s2  7,d7 increas+ ! volunt>y        
inclusion1 9 fatality case report+      

sy/ems e/abli%$ = ! purpose ( conduct+  
rese>* on sudd5 unexpect$ infant dea? & 
sudd5 unexpect$ dea? 9 *ildhood1 (      
samples ( tissues or g5etic mat]ials f  
autopsies t h be5 collect$ pursuant to  
,f$]al or ,/ate law2 or  7,e7 dissem9at+
 in=mation & mat]ials to heal? c>e      
pr(essionals & ! public on risk factors 
t contribute to sudd5 unexpect$ infant  
dea? & sudd5 unexpect$ dea? 9 *ildhood1 
:i* may include in=mation on risk       
factors t contribute to sleep-relat$    
sudd5 unexpect$ infant dea? or sudd5    
unexpect$ dea? 9 *ildhood4  7b7         
,application ,to be eligible to receive 
a grant or coop]ative agreem5t "u       
subsection 7a77#b71 a ,/ate1 ,indian    
,tribe1 or ,tribal organization %all    
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require1    
includ+ in=mation on h[ su* ,/ate w     
ensure activities conduct$ "u ?is       
section are coord9at$ ) o!r             
f$]ally-fund$ programs to r$uce infant  

mortality1 z appropriate4  7c7 ,te*nical
 assi/ance ,! ,secret>y %all provide    
te*nical assi/ance to ,/ates1 ,tribes1 &
 ,tribal organizations receiv+ a grant  
or coop]ative agreem5t "u subsection    
7a77#b7 = purposes ( c>ry+ out          
activities fund$ ?r\gh ! grant or       
coop]ative agreem5t4  7d7 ,report+ =ms  
7#a7 ,9 g5]al ,! ,secret>y %all1 z      
appropriate1 enc\rage ! use ( sudd5     
unexpect$ infant dea? & sudd5 unexpect$ 
dea? 9 *ildhood report+ =ms develop$ 9  
collaboration ) ! ,c5t]s = ,disease     
,control & ,prev5tion to improve !      
quality ( data submitt$ to ! ,sudd5     
,unexpect$ ,infant ,dea? & ,sudd5 ,dea? 
9 ! ,"y ,case ,regi/ry1 & o!r fatality  
case report+ sy/ems t include data      
p]ta9+ to sudd5 unexpect$ infant dea? & 
sudd5 unexpect$ dea? 9 *ildhood4  7#b7  
,update ( =ms ,! ,secret>y %all assess  
:e!r updates are ne$$ to ! sudd5        
unexpect$ infant dea? inve/igation      
report+ =m us$ by ! ,c5t]s = ,disease   
,control & ,prev5tion 9 ord] to improve 

! use ( su* =m ) o!r fatality case      
report+ sy/ems support$ by ! ,dep>tm5t (
 ,heal? & ,human ,s]vices1 & %all make  
su* updates z appropriate4  7e7 ,support
 s]vices  7#a7 ,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 
= ! provision ( support s]vices to      
families :o h _h a *ild die ( sudd5     
unexpect$ infant dea? or sudd5 unexpect$
 dea? 9 *ildhood4  7#b7 ,application ,to
 be eligible to receive a grant "u      
subsection 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$-- 7,a7 to   
provide grief c\nsel+1 education1 home  
visits1 #bd-;h\r hotl9es1 or in=mation1 
res\rces1 & ref]rals2  7,b7 to ensure   
access to grief & b]eavem5t s]vices2    
7,c7 to build capacity 9 pr(essionals   

work+ ) families :o exp]i5ce a sudd5    
dea?2 or  7,d7 to support pe]-to-pe]    
gr\ps = families :o h lo/ a *ild to     
sudd5 unexpect$ infant dea? or sudd5    
unexpect$ dea? 9 *ildhood4  7#d7        
,pref]5ce ,9 aw>d+ grants "u p>agraph   
7#a71 ! ,secret>y %all give pref]5ce to 
applicants t-- 7,a7 h a prov5 hi/ory (  
effective direct support s]vices &      
int]v5tions = sudd5 unexpect$ infant    
dea? & sudd5 unexpla9$ dea? 9 *ildhood2 
&  7,b7 demon/rate exp]i5ce ?r\gh       
collaborations & p>tn]%ips = deliv]+    
s]vices describ$ 9 p>agraph 7#c74  7f7  
,def9itions ,9 ?is section3 7#a7 ,sudd5 
unexpect$ infant dea? ,! t]m sudd5      
unexpect$ infant dea?-- 7,a7 means !    
sudd5 dea? ( an infant "u #a ye> ( age t
 :5 fir/ discov]$ did n h an obvi\s     
cause2 &  7,b7 includes-- 7i7 su* dea?s 
t are expla9$2 &  7ii7 su* dea?s t rema9
 unexpla9$ 7:i* are kn[n z sudd5 infant 
dea? syndrome74  7#b7 ,sudd5 unexpect$  
dea? 9 *ildhood ,! t]m sudd5 unexpect$  
dea? 9 *ildhood-- 7,a7 means ! sudd5    

dea? ( a *ild :o is at lea/ #a ye> ( age
 b n m ?an #ag ye>s ( age t1 :5 fir/    
discov]$1 did n h an obvi\s cause2 &    
7,b7 includes-- 7i7 su* dea?s t are     
expla9$2 &  7ii7 su* dea?s t rema9      
unexpla9$ 7:i* are kn[n z sudd5         
unexpla9$ dea? 9 *ildhood74  7#c7 ,sudd5
 unexpla9$ dea? 9 *ildhood ,! t]m sudd5 
unexpla9$ dea? 9 *ildhood means a sudd5 
unexpect$ dea? 9 *ildhood t rema9s      
unexpla9$ aft] a ?or\gh case            
inve/igation4  7g7 ,au?orization (      
appropriations ,= ! purpose ( c>ry+ out 
?is section1 !re is au?oriz$ to be      
appropriat$ #cc1jjj1jjj = ea* ( fiscal  
ye>s #bjba ?r\gh #bjbd4  4  #c4 ,report 
to ,congress  7a7 ,9 g5]al ,n lat] ?an  
#b ye>s aft] ! date ( enactm5t ( ?is    
,act1 & bi5nially !reaft]1 ! ,secret>y (
 ,heal? & ,human ,s]vices %all submit to
 ! ,committee on ,en]gy & ,comm]ce ( !  
,h\se ( ,repres5tatives & ! ,committee  
on ,heal?1 ,education1 ,labor1 &        
,p5sions ( ! ,s5ate a report t conta9s1 
) respect to ! report+ p]iod-- 7#a7     

in=mation reg>d+ ! incid5ce & numb] (   
sudd5 unexpect$ infant dea?s & sudd5    
unexpect$ dea?s 9 *ildhood 7includ+ !   
numb] ( su* infant & *ild dea?s t rema9 
unexpla9$ aft] inve/igation71 includ+1  
to ! ext5t practicable-- 7,a7 a summ>y (
 su* in=mation by racial & e?nic gr\p1 &
 by ,/ate2  7,b7 aggregate in=mation    
obta9$ f dea? sc5e inve/igations &      
autopsies2 &  7,c7 recomm5dations =     
r$uc+ ! incid5ce ( sudd5 unexpect$      
infant dea? & sudd5 unexpect$ dea? 9    
*ildhood2  7#b7 an assessm5t ( ! ext5t  
to :i* v>i\s approa*es ( r$uc+ & prev5t+
 sudd5 unexpect$ infant dea? & sudd5    
unexpect$ dea? 9 *ildhood h be5         
effective2 &  7#c7 a description ( !    
activities c>ri$ out "u section #aaba ( 
! ,public ,heal? ,s]vice ,act 7z add$ by
 section #b74  7b7 ,def9itions ,9 ?is   
section1 ! t]ms sudd5 unexpect$ infant  
dea? & sudd5 unexpect$ dea? 9 *ildhood h
 ! mean+s giv5 su* t]ms 9 section #aaba 
( ! ,public ,heal? ,s]vice ,act 7z add$ 
by section #b74  ,septemb] #ba1         

#bjbj,report$ ) an am5dm5t1 committ$ to 
! ,committee ( ! ,:ole ,h\se on ! ,/ate 
( ! ,union1 & ord]$ to be pr9t$