,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #ijfe  ,,in ,,the ,,house ,,of  
,,representatives  ,may #bi1 #bjbf,mr4  
,mc,dowell 7for himself and ,mrs4 ,bice7
 introduced the following bill2 which   
was referred to the ,committee on       
,energy and ,commerce  ,a ,,bill  ,to   
provide research on1 and services for1  
individuals with clinical mental health 
complications following a pregnancy     
loss1 and for other purposes4  #a4      
,short title ,this ,act may be cited as 
the ,pregnancy ,loss ,mental ,health    
,research ,act of #bjbf4  ,i ,research  
on ,clinical ,mental ,health            
,complications ,following a ,pregnancy  
,loss  #aja4 ,expansion and             
intensification of activities of        
,national ,institute of ,mental ,health 
7a7 ,in general ,the ,secretary of      
,health and ,human ,services1 acting    
through the ,director of the ,national  
,institutes of ,health and the ,director
 of the ,national ,institute of ,mental 
,health 7in this section referred to as 

the ,institute71 shall expand and       
intensify research and related          
activities of the ,institute with       
respect to clinical mental health       
complications1 including persistent     
complex bereavement disorder1 following 
a pregnancy loss 7including a           
miscarriage1 stillbirth1 or abortion74  
7b7 ,coordination with other institutes 
,the ,director of the ,institute shall  
coordinate the activities of the        
,director under subsection 7a7 with     
similar activities conducted by the     
other national research institutes and  
agencies of the ,national ,institutes of
 ,health to the extent that such        
,institutes and agencies have           
responsibilities that are related to    
clinical mental health complications    
following a pregnancy loss 7including a 
miscarriage1 stillbirth1 or abortion74  
7c7 ,programs for pregnancy loss        
conditions ,in carrying out subsection  
7a71 the ,director of the ,institute    
shall conduct or support research to    

expand the understanding of the causes  
of1 and to identify treatment for1      
mental health conditions following a    
pregnancy loss1 including the following3
  7#a7 ,basic research concerning the   
etiology and causes of the conditions4  
7#b7 ,the development of improved       
screening and diagnostic techniques4    
7#c7 ,clinical research for the         
development and evaluation of new       
treatments1 including new biological    
agents4  7#d7 ,information and education
 programs for health care professionals 
and the public4  7d7 ,longitudinal study
  7#a7 ,in general ,the ,director of the
 ,institute shall conduct a national    
longitudinal study to determine the     
prevalence of mental health             
complications following a pregnancy     
loss1 and the symptoms1 severity1 and   
duration of such cases1 toward the goal 
of more fully identifying the           
characteristics of such cases and       
developing diagnostic techniques4  7#b7 
,report ,beginning not later than #c    

years after the date of enactment of    
this ,act1 and periodically thereafter  
for the duration of the study under     
paragraph 7#a71 the ,director of the    
,institute shall prepare and submit to  
the ,congress a report on the findings  
of the study1 any progress with respect 
to the study1 and methodologies used to 
conduct the study4  #ajb4 ,authorization
 of appropriations  7a7 ,in general ,for
 the purpose of carrying out this title1
 there is authorized to be appropriated 
#d1ejj1jjj for each of the fiscal years 
#bjbg through #bjbh4  7b7 ,limitation   
,any amounts appropriated under this    
title are subject to the requirements   
and limitations under sections #ejf and 
#ejg of division ,h of the ,consolidated
 ,appropriations ,act1 #bjba 7,public   
,law #aaf-bfj7 in the same manner and to
 the same extent as if such amounts for 
each year were appropriated under such  
division4  ,,ii ,delivery of services   
with respect to mental health           
complications following a pregnancy loss

  #bja4 ,grant program for clinical     
mental health conditions following a    
pregnancy loss  7a7 ,grants ,section    
#cag,l-#a7;a7 of the ,public ,health    
,service ,act 7#db ,u4,s4,c4            
#bdg;b-#ac;a7a77 is amended by striking 
pregnant1 or have given birth within the
 preceding #ab months1 and inserting are
 pregnant1 have given birth within the  
preceding #ab months1 or have           
experienced a pregnancy loss4  7b7 ,use 
of funds ,paragraphs 7#a77;,c7 and      
7#b77;,c7 of section #cag,l-#a7;d7 of   
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #bdg;b-#ac;a7d77 are amended  
by inserting and women who have         
experienced a pregnancy loss after      
pregnant and postpartum women4  7c7     
,dissemination of best practices        
,section #cag,l-#a7;f7 of the ,public   
,health ,service ,act 7#db ,u4,s4,c4    
#bdg;b-#ac;a7f77 is amended by inserting
 and for women who have experienced a   
pregnancy loss before the period at the 
end4  7d7 ,special rules ,section       

#cag,l-#a of the ,public ,health        
,service ,act 7#db ,u4,s4,c4            
#bdg;b-#ac;a7 is amended--  7#a7 by     
redesignating subsection 7h7 as         
subsection 7i72 and  7#b7 by inserting  
after subsection 7g7 the following3  7h7
  ,assistance ,to address clinical      
mental health conditions following a    
pregnancy loss  7#a7  ,in general  ,in  
addition to the activities described in 
subsection 7d71 grant funds received by 
an entity under subsection 7a7 may be   
used for projects for the establishment1
 operation1 and coordination of         
effective and cost-efficient systems for
 the delivery of mental health services 
to individuals struggling with clinical 
mental health conditions following a    
pregnancy loss4  7#b7  ,certain         
activities  ,projects referred to in    
paragraph 7#a7 may include providing    
services for the screening1 diagnosis1  
and management of mental health         
conditions1 including persistent complex
 bereavement disorders1 following a     

pregnancy loss1 including--  7,a7       
delivering or enhancing outpatient and  
home-based health and support services  
7including case management1 screening1  
and mental health treatment services7   
for individuals with1 or who are at risk
 of developing1 mental health           
complications following a pregnancy     
loss1 and delivering or enhancing       
support services for the families of    
such individuals2  7,b7 delivering or   
enhancing inpatient care management     
services that ensure the well-being of  
the mother and family2 and  7,c7        
improving the quality1 availability1 and
 organization of health care and support
 services 7including transportation     
services1 attendant care1 homemaker     
services1 day or respite care1 and      
providing counseling on financial       
assistance and insurance7 for           
individuals with mental health          
conditions following a pregnancy loss4  
7#c7  ,subgrant recipients  ,an entity  
receiving a grant under subsection 7a7  

may carry out projects described in     
paragraph 7#a7 by making subgrants to an
 entity 7other than a prohibited entity7
 that--  7,a7 is a public or nonprofit  
private entity1 which may include--  7i7
 a ,state1 ,tribal1 or local            
governmental entity2  7ii7 a public or  
nonprofit private hospital1             
community-based organization1 community 
health center1 migrant health center1 or
 homeless health center2 or  7iii7 other
 appropriate public or nonprofit private
 entity2 and  7,b7 has experience in    
providing services for projects         
described in paragraph 7#a74  7#d7      
,prohibited entities  7,a7  ,in general 
,for purposes of paragraph 7#c71 the    
term prohibited entity means an entity1 
including its affiliates1 subsidiaries1 
successors1 and clinics1 that performs1 
or provides any funds to any other      
entity that performs1 abortions1 other  
than--  7i7 in the case of a pregnancy  
that is the result of an act of rape or 
incest2 or  7ii7 in the case where a    

woman suffers from a physical disorder1 
physical injury1 or physical illness    
that would1 as certified by a physician1
 place the woman in danger of death     
unless an abortion is performed1        
including a life endangering physical   
condition caused by1 or arising from1   
the pregnancy itself4  7,b7  ,end of    
prohibition  ,the definition in         
subparagraph 7,a7 shall cease to apply  
to an entity if such entity certifies   
that the entity1 including its          
affiliates1 subsidiaries1 successors1   
and clinics1 will not perform1 and will 
not provide any funds to any other      
entity that performs1 an abortion       
described in subparagraph 7,a74  7,c7   
,repayment by prohibited entity  ,the   
,secretary shall seek repayment of any  
,federal assistance received by any     
entity that makes a certification       
described in subparagraph 7,b7 and      
subsequently violates the terms of such 
certification4  7#e7  ,terms and        
conditions  ,an entity receiving a grant

 under subsection 7a7 to carry out      
projects described in paragraph 7#a7    
shall be subject to the following terms 
and conditions3  7,a7 ,not more than #e 
percent of the grant will be used for   
administration1 accounting1 reporting1  
and program oversight functions4  7,b7  
,the grant will be used to supplement   
and not supplant funds from other       
sources related to the treatment of     
clinical mental health conditions       
following a pregnancy loss4  7,c7 ,the  
applicant will abide by any limitations 
deemed appropriate by the ,secretary on 
any charges to individuals receiving    
services pursuant to the grant4 ,as     
determined appropriate by the           
,secretary1 such limitations on charges 
may vary based on the financial         
circumstances of the individual         
receiving services4  7,d7 ,the grant    
will not be expended to make payment for
 services to the extent that payment has
 been made1 or can reasonably be        
expected to be made1 with respect to    

such services--  7i7 under any ,state   
compensation program1 under an insurance
 policy1 or under any ,federal or ,state
 health benefits program2 or  7ii7 by an
 entity that provides health services on
 a prepaid basis4  4