,i  #aagth ,,congress  #ast ,session    
,h4 ,r4 #edhg  ,,in ,,the ,,house ,,of  
,,representatives  ,october #e1         
#bjba,ms4 ,herrera ,beutler 7for        
herself1 ,ms4 ,roybal-,allard1 ,ms4     
,castor of ,florida1 and ,mr4 ,mullin7  
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to improve   
research and data collection on         
stillbirths1 and for other purposes4    
#a4 ,short title ,this ,act may be cited
 as the ,stillbirth ,health ,improvement
 and ,education for ,autumn ,act of     
#bjba or the ,,shine for ,autumn ,act of
 #bjba4  #b4 ,stillbirth research and   
data collection improvements ,title     
,,iii of the ,public ,health ,service   
,act is amended by inserting after      
section #cag,l-#a of such ,act 7#db     
,u4,s4,c4 #bdg;b-#ac;a7 the following3  
#cag,l-#b4 ,stillbirth research and data
 collection improvements  7a7           
,stillbirth surveillance and risk factor
 studies  7#a7 ,in general ,the         

,secretary may award grants to ,states  
for purposes of-- 7,a7 conducting       
surveillance and collecting data with   
respect to stillbirths2 and  7,b7       
collecting and reporting data on        
stillbirth risk factors1 including any  
quantifiable outcomes with respect to   
such risk factors4  7#b7 ,authorization 
of appropriations ,to carry out this    
subsection1 there is authorized to be   
appropriated #e1jjj1jjj for each of     
fiscal years #bjbb through #bjbf4  7b7  
,guidelines and educational awareness   
materials  7#a7 ,in general ,the        
,secretary shall-- 7,a7 issue guidelines
 to ,state departments of health and    
,state and local vital statistics units 
on-- 7i7 collecting data on stillbirth  
from health care providers1 and with the
 consent of the family involved1        
including any such data with respect to 
the clinical history1 postmortem        
examination1 and placental pathology2   
and  7ii7 sharing such data with        
,federal agencies determined appropriate

 by the ,director of the ,centers for   
,disease ,control and ,prevention2 and  
7,b7 develop1 and make publicly         
available1 educational awareness        
materials on stillbirths4  7#b7         
,consultation ,in carrying out paragraph
 7#a71 the ,secretary shall consult     
with-- 7,a7 national health care        
professional associations2  7,b7        
obstetricians and gynecologists2  7,c7  
pediatricians2  7,d7 maternal-fetal     
medicine specialists2  7,e7 midwives2   
7,f7 mental health professionals2  7,g7 
statisticians2  7,h7 individuals who    
have experienced a stillbirth2 and  7,i7
 advocacy organizations representing    
such individuals4  7#c7 ,authorization  
of appropriations ,to carry out this    
subsection1 there is authorized to be   
appropriated #a1jjj1jjj for each of     
fiscal years #bjbb through #bjbf4  7c7  
,definitions ,in this section3 7#a7     
,stillbirth ,the term stillbirth means  
the death or loss of a baby before or   
during delivery1 occurring at or after  

#bj weeks of pregnancy4  7#b7 ,vital    
statistics unit ,the term vital         
statistics unit means the entity that is
 responsible for maintaining vital      
records for a ,state1 or a political    
subdivision of such ,state1 including   
official records of live births1 deaths1
 fetal deaths1 marriages1 divorces1 and 
annulments4  4  #c4 ,perinatal pathology
 fellowships ,the ,public ,health       
,service ,act is amended by inserting   
after section #aabb of such ,act 7#db   
,u4,s4,c4 #cjj;c-#ab7 the following3    
#aabc4 ,improving perinatal pathology   
7a7 ,in general ,the ,secretary shall   
establish and implement a ,perinatal    
,pathology ,fellowship ,program to--    
7#a7 provide postgraduate training in   
perinatal autopsy pathology2  7#b7      
conduct research on1 and improve data   
collection with respect to1 fetal       
autopsies2 and  7#c7 address challenges 
in stillbirth education1 research1 and  
data collection4  7b7 ,authorization of 
appropriations ,there are authorized to 

be appropriated to carry out this       
section #c1jjj1jjj for each of fiscal   
years #bjbb through #bjbf4  4  #d4      
,reports  7a7 ,report by ,surgeon       
,general  7#a7 ,in general ,not later   
than five years after the date of       
enactment of this ,act1 the ,surgeon    
,general of the ,public ,health ,service
 shall publish on a public website of   
the ,department of ,health and ,human   
,services a report with educational     
guidelines on stillbirth and stillbirth 
risk factors4  7#b7 ,contents ,such     
report shall include1 to the extent     
practicable and appropriate1 the        
guidelines issued and educational       
awareness materials developed under     
section #cag,l-#b of the ,public ,health
 ,service ,act1 as added by section #b  
of this ,act4  7b7 ,report by ,secretary
 of ,health and ,human ,services ,not   
later than five years after the date of 
enactment of this ,act1 the ,secretary  
of ,health and ,human ,services shall   
submit to the ,congress a comprehensive 

report on the progress and effectiveness
 of the ,perinatal ,pathology           
,fellowship ,program established under  
section #aabc of the ,public ,health    
,service ,act1 as added by section #c of
 this ,act4