,,ii  #aagth ,,congress  #b;d ,session  
,s4 #cigb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #ca1    
#bjbb,mr4 ,booker 7for himself and ,mr4 
,rubio7 introduced the following bill2  
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,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     
#bjbb or the ,,shine for ,autumn ,act of
 #bjbb4  #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  7,b7 building  
,state and local public health capacity 
to assess stillbirth data2 and  7,c7    
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 #bjbc through #bjbg4  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   
7ii7 sharing such data with ,federal    

agencies determined appropriate by the  
,director of the ,centers for ,disease  
,control and ,prevention2 and  7iii7    
improving processes and training related
 to stillbirth data collection and      
reporting to ensure standardization and 
completeness of data2 and  7,b7 develop1
 and make publicly available1           
educational awareness materials on      
stillbirths4  7#b7 ,consultation ,in    
carrying out paragraph 7#a71 the        
,secretary may consult with-- 7,a7      
national health care professional       
associations2  7,b7 national            
associations representing ,state and    
local public health officials2  7,c7    
organizations that assist families with 
burial support and bereavement services2
  7,d7 nurses and nurse practitioners2  
7,e7 obstetricians and gynecologists2   
7,f7 pediatricians2  7,g7 maternal-fetal
 medicine specialists2  7,h7 midwives2  
7,i7 mental health professionals2  7,j7 
statisticians2  7,k7 individuals who    
have experienced a stillbirth2 and  7,l7

 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 #bjbc through #bjbg4  7c7  
,vital statistics unit defined ,in this 
section1 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     
implement1 or incorporate into an       
existing training program1 a ,perinatal 
,pathology ,fellowship ,program or a    
,postdoctoral ,research ,fellowship on  

,factors ,associated with ,stillbirth   
,program to-- 7#a7 provide training in  
perinatal autopsy pathology2  7#b7      
conduct research on1 and improve data   
collection through fetal autopsies with 
respect to1 stillbirth2 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 #bjbc through #bjbg4  4  #d4      
,reports  7a7 ,educational guidelines   
report  7#a7 ,in general ,not later than
 five years after the date of enactment 
of this ,act1 the ,secretary of ,health 
and ,human ,services 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       
,progress report ,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