,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #dhja  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #bc1 #bjai,mr4
 ,ryan 7= himself1 ,ms4 ,und]wood1 ,mr4 
,gonzalez ( ,ohio1 & ,mr4 ,/iv]s7       
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to reau?orize ! ,heal?y    
,/>t program4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,heal?y ,/>t           
,reau?orization ,act ( #bjai4  #b4      
,reau?orization ( heal?y />t program    
,section #ccj;,h ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#h7  
is am5d$--  7#a7 9 subsection 7a7-- 7,a7
 9 p>agraph 7#a71 by /rik+ 1 dur+ fiscal
 ye> #bjja & subsequ5t ye>s12 &  7,b7 9 
p>agraph 7#b71 by ins]t+ or increas+    
above ! national av]age aft] areas )    
high2  7#b7 9 subsection 7b7--  7,a7 9  
p>agraph 7#a71 by /rik+ consum]s (      
project s]vices1 public heal? dep>tm5ts1
 hospitals1 heal? c5t]s "u section #ccj 
& ins]t+ p>ticipants & =m] p>ticipants (

 project s]vices1 public heal?          
dep>tm5ts1 hospitals1 heal? c5t]s "u    
section #ccj1 ,/ate sub/ance abuse      
ag5cies2 &  7,b7 9 p>agraph 7#b7-- 7i7 9
 subp>agraph 7,a71 by /rik+ su* z l[    
bir?weight & ins]t+ includ+ poor bir?   
outcomes 7su* z l[ bir?weight & pret]m  
bir?7 & social det]m9ants ( heal?2  7ii7
 by r$esignat+ subp>agraph 7,b7 z       
subp>agraph 7,c72  7iii7 by ins]t+ aft] 
subp>agraph 7,a71 ! foll[+3  7,b7       
,communities )-- 7i7 high rates ( infant
 mortality or poor p]9atal outcomes2 or 
7ii7 high rates ( infant mortality or   
poor p]9atal outcomes 9 specific        
subpopulations )9 ! community4  2 &     
7iv7 9 subp>agraph 7,c7 7z s            
r$esignat$7-- 7,i7 by r$esignat+ clauses
 7i7 & 7ii7 z clauses 7ii7 & 7iii71     
respectively2  7,,ii7 by ins]t+ be=e    
clause 7ii7 7z s r$esignat$7 ! foll[+3  
7i7 collaboration ) ! local community 9 
! developm5t ( ! project2  2  7,,iii7 9 
clause 7ii7 7z s r$esignat$71 by /rik+ &
 at ! end2  7,,iv7 9 clause 7iii7 7z s  

r$esignat$71 by /rik+ ! p]iod & ins]t+ 2
 &2 &  7,v7 by add+ at ! end ! foll[+3  
7iv7 ! use & collection ( data          
demon/rat+ ! effectiv5ess ( su* program 
9 decreas+ infant mortality rates &     
improv+ p]9atal outcomes1 z applicable1 
or ! process by :i* new applicants plan 
to collect ?is data4  2  7#c7 9         
subsection 7c7-- 7,a7 by /rik+          
,recipi5ts ( grants & ins]t+ ! foll[+3  
7#a7 ,9 g5]al ,recipi5ts ( grants  2 &  
7,b7 by add+ at ! end ! foll[+3  7#b7   
,o!r programs ,! ,secret>y %all ensure  
coord9ation ( ! program c>ri$ out       
pursuant to ?is section ) o!r programs &
 activities relat$ to ! r$uction ( !    
rate ( infant mortality & improv$       
p]9atal & infant heal? outcomes support$
 by ! ,dep>tm5t4  2  7#d7 9 subsection  
7e7-- 7,a7 9 p>agraph 7#a71 by /rik+    
appropriat$-- & all t foll[s ?r\gh ! end
 & ins]t+ appropriat$ #ace1jjj1jjj = ea*
 ( fiscal ye>s #bjbj ?r\gh #bjbd42 &    
7,b7 9 p>agraph 7#b77;,b71 by add+ at ! 
end ! foll[+3 8,evaluations may also    

include1 to ! ext5t practicable1        
in=mation relat$ to--  7i7 progress t[>d
 a*iev+ any grant metrics or outcomes   
relat$ to r$uc+ infant mortality rates1 
improv+ p]9atal outcomes1 or r$uc+ !    
disp>ity 9 heal? /atus2  7ii7           
recomm5dations on pot5tial improvem5ts t
 may assi/ ) address+ gaps1 z applicable
 & appropriate2 &  7iii7 ! ext5t to :i* 
! grantee coord9at$ ) ! community 9 :i* 
! grantee is locat$ 9 ! developm5t ( !  
project & deliv]y ( s]vices1 includ+ )  
respect to te*nical assi/ance & m5tor%ip
 programs4  2 &  7#e7 by add+ at ! end !
 foll[+3  7f7 ,,gao report  7#a7 ,9     
g5]al ,n lat] ?an #d ye>s aft] ! date ( 
! enactm5t ( ?is subsection1 !          
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all conduct an indep5d5t evaluation1 & 
submit to ! appropriate ,committees (   
,congress a report1 conc]n+ ! ,heal?y   
,/>t program "u ?is section4  7#b7      
,evaluation ,9 conduct+ ! evaluation "u 
p>agraph 7#a71 ! ,comptroll] ,g5]al %all
 consid]1 z applicable & appropriate1   

in=mation f ! evaluations "u subsection 
7e77#b77;,b74  7#c7 ,report ,! report   
describ$ 9 p>agraph 7#a7 %all review1   
assess1 & provide recomm5dations1 z     
appropriate1 on ! foll[+3  7,a7 ,!      
allocation ( ,heal?y ,/>t program grants
 by ! ,heal? ,res\rces & ,s]vices       
,adm9i/ration1 includ+ consid]ations    
made by su* ,adm9i/ration reg>d+        
disp>ities 9 infant mortality or p]9atal
 outcomes among urban & rural areas 9   
mak+ su* aw>ds4  7,b7 ,tr5ds 9 !        
progress made t[>d meet+ ! evaluation   
crit]ia pursuant to subsection          
7e77#b77;,c71 includ+ programs :i*      
decrease infant mortality rates &       
improve p]9atal outcomes1 programs t h n
 decreas$ infant mortality rates or     
improv$ p]9atal outcomes1 & programs t h
 made an impact on disp>ities 9 infant  
mortality or p]9atal outcomes4  7,c7 ,! 
ability ( grantees to improve heal?     
outcomes = project p>ticipants1 promote 
! aw>5ess ( ! ,heal?y ,/>t program      
s]vices1 incorporate & promote family   

p>ticipation1 facilitate coord9ation ) !
 community 9 :i* ! grantee is locat$1 & 
increase grantee acc\ntability ?r\gh    
quality improvem5t1 p]=mance monitor+1  
evaluation1 & ! effect su* metrics may h
 t[>d decreas+ ! rate ( infant mortality
 & improve p]9atal outcomes4  7,d7 ,!   
ext5t to :i* su* ,f$]al programs are    
coord9at$ across ag5cies & !            
id5tification ( opportunities = improv$ 
coord9ation 9 su* ,f$]al programs &     
activities4  4