,,ii #aag? ,,congress #b;d ,session ,s4 #ebib ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,decemb] #ae1 #bjbb,ms4 ,duckwor? introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,agriculture1 ,nutrition1 & ,=e/ry ,a ,,bill ,to protect & exp& access to donor milk1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,access to ,donor ,milk ,act ( #bjbb4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,! t]m donor milk means human milk t is process$ )\t additives4 7#b7 ,! t]m nonpr(it milk bank means a milk bank t-- 7,a7 meets /&>ds e/abli%$ by ! ,food & ,drug ,adm9i/ration = purposes ( ensur+ ! safety ( donor milk & milk banks2 7,b7 collects1 te/s1 processes1 pa/eurizes1 & di/ributes donor milk1 9 compliance ) applicable law2 & 7,c7 is describ$ 9 section #eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf 7#bf ,u4,s4,c4 #eja7;c77#c77 & exempt f tax "u section #eja7;a7 ( su* ,code 7#bf ,u4,s4,c4 #eja7;a774 #c4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,human milk is ! optimal fir/ food = infants4 7#b7 ,m$ically vuln]able infants1 includ+ ^? born prematurely & ^? ) cong5ital or acquir$ conditions1 d]ive significant heal? b5efits f human milk4 7#c7 ,mo!rs ( m$ically vuln]able infants (t5 face unique ob/acles to produc+ en\gh milk4 ,:5 a p>5t's milk is n available1 ! provision ( donor milk improves heal? outcomes = ! infant1 includ+ decreas+ rates ( necrotiz+ ent]ocolitis4 7#d7 ,nonpr(it milk banks provide a critical m$ical s]vice4 7#e7 ,! nonpr(it milk bank+ model ( collect+ donor milk f uncomp5sat$ donors & accr$itation ensures a safe & high-quality product = ! ,nation's mo/ vuln]able infants4 #d4 ,support = donor milk activities ,section #ag ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aghf7 is am5d$-- 7#a7 9 subsection 7b77#d71 by ins]t+ 7includ+ support = donor milk 7z def9$ 9 section #b ( ! ,access to ,donor ,milk ,act ( #bjbb7 activities7 aft] promotion2 & 7#b7 9 subsection 7h77#a77;,c7-- 7,a7 9 clause 7i71 by /rik+ clause 7ii7 & ins]t+ clauses 7ii7 & 7iii72 & 7,b7 by add+ at ! end ! foll[+3 7iii7 ,donor milk ,a ,/ate ag5cy may use am\nts made available "u clause 7i7 =-- 7,i7 collect+ & /or+ donations ( unprocess$ human milk2 7,,ii7 ! transf] ( ! milk describ$ 9 subclause 7,i7 to a nonpr(it milk bank2 & 7,,iii7 mak+ ! milk transf]r$ to a nonpr(it milk bank "u subclause 7,,ii7 available to program p>ticipants at l[ or z]o co/4 4 #e4 ,em]g5cy capacity fund+ = milk banks 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all aw>d competitive grants1 subject to subsection 7f71 to eligible entities = exp&+ em]g5cy capacity ) respect to bank+ donor milk4 7b7 ,application ,an eligible entity seek+ a grant "u ?is section %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7c7 ,use ( funds ,exp&+ em]g5cy capacity pursuant to a grant "u ?is section may include-- 7#a7 publiciz+ ! ne$ = donor milk2 7#b7 provid+ res\rces to pati5ts & provid+ in=mation to cl9icians ab\t donor milk2 7#c7 cov]+ donor milk collection1 /orage1 transf]1 & process+ fees2 7#d7 increas+ /aff+ & supplies ne$$ at nonpr(it milk banks2 & 7#e7 pur*as+ consumable products ne$$ = donor milk process+4 7d7 ,eligible entity ,= purposes ( ?is section1 ! t]m eligible entity means an entity t-- 7#a7 is a nonpr(it milk bank accr$it$ by an accr$it+ body recogniz$ by ! ,food & ,drug ,adm9i/ration2 & 7#b7 9 ! application submitt$ "u subsection 7b71 demon/rates1 ) respect to su* entity-- 7,a7 a rapid increase 9 dem& = donor milk2 or 7,b7 a %ortage ( supplies ne$$ to op]ate a nonpr(it milk bank4 7e7 ,au?orization ( appropriations ,= ! purposes ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #c1jjj1jjj = fiscal ye> #bjbc1 & su* sums z may be necess>y = ea* fiscal ye> !reaft]4 7f7 ,crit]ia ,! ,secret>y may aw>d grants "u subsection 7a7 only 9 ! ev5t ( any ( ! foll[+3 7#a7 ,! ,secret>y det]m9es t exp&$ capacity is necess>y to respond to any major disa/] decl>$ by ! ,presid5t "u section #dja ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act 7#db ,u4,s4,c4 #eagj74 7#b7 ,! ,secret>y det]m9es t ,f$]al assi/ance is ne$$ to supplem5t ,/ate & local ef=ts & capabilities to save lives & to protect prop]ty & public heal? & safety1 or to less5 or av]t ! ?reat ( a cata/rophe 9 any "p ( ! ,unit$ ,/ates4 7#c7 ,! ,secret>y det]m9es em]g5cy capacity is ne$$ to ensure adequate supply is available to meet ! dem& = donor milk f a nonpr(it donor milk bank4 #f4 ,donor milk aw>5ess program 7a7 ,*ild nutrition ,! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #agga et seq47 is am5d$ by add+ at ! end ! foll[+3 #bd4 ,donor milk aw>5ess program 7a7 ,def9ition ( donor milk ,9 ?is section1 ! t]m donor milk has ! mean+ giv5 ! t]m 9 section #b ( ! ,access to ,donor ,milk ,act ( #bjbb4 7b7 ,e/abli%m5t ,! ,secret>y %all e/abli% a donor milk aw>5ess program 7ref]r$ to 9 ?is section z ! program7-- 7#a7 to educate ! public on donor milk & nonpr(it milk banks2 & 7#b7 to publicize ! ne$ = donor milk to be provid$ to nonpr(it milk banks4 7c7 ,conduct ( program ,9 c>ry+ out ! program1 ! ,secret>y may-- 7#a7 develop1 or assi/ o!r entities to develop1 appropriate educational mat]ials1 includ+ public s]vice ann\ncem5ts1 promotional publications1 & press kits1 = ! program2 7#b7 publi% in=mation ab\t ! program on ! website ( ! ,dep>tm5t ( ,agriculture2 & 7#c7 di/ribute1 or assi/ o!r entities to di/ribute1 su* mat]ials1 z appropriate1 to public & private individuals & entities4 7d7 ,coop]ative agreem5ts ,! ,secret>y may ent] into coop]ative agreem5ts ) ,f$]al ag5cies1 ,/ate & local gov]nm5ts1 & o!r entities to c>ry out ! program4 7e7 ,au?orization ( appropriations ,= purposes ( c>ry+ out ! program1 !re is au?oriz$ to be appropriat$ #a1jjj1jjj = fiscal ye> #bjbc4 4 7b7 ,,hhs public aw>5ess campaign ) respect to donor milk f nonpr(it milk banks 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all develop a public aw>5ess campaign ) respect to donor milk f nonpr(it milk banks4 7#b7 ,di/ribution ( educational mat]ials ,! public aw>5ess campaign "u p>agraph 7#a7 %all include ! di/ribution ( educational mat]ials to-- 7,a7 cl9icians1 su* z p$iatric speciali/s1 p$iatricians1 ob/etricians1 p$iatric nutritioni/s1 midwives1 & lactation consultants2 7,b7 expectant & new p>5ts2 & 7,c7 community-bas$ organizations4 #g4 ,cl>ify+ ! regulatory /atus ( donor milk 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance to cl>ify ! regulatory /atus 7& any associat$ categorization7 ( donor milk provid$ by a nonpr(it milk bank4 7b7 ,report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ,congress a report reg>d+ ! issuance ( guidance on ! categorization ( donor milk provid$ by a nonpr(it milk bank "u ! rule issu$ "u subsection 7a74