,i #aai? ,,congress #b;d ,session ,h4 ,r4 #ijfe ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #bi1 #bjbf,mr4 ,mc,dowell 7= himself & ,mrs4 ,bice7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to provide rese>* on1 & s]vices =1 individuals ) cl9ical m5tal heal? complications foll[+ a pregnancy loss1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,pregnancy ,loss ,m5tal ,heal? ,rese>* ,act ( #bjbf4 ,i ,rese>* on ,cl9ical ,m5tal ,heal? ,complications ,foll[+ a ,pregnancy ,loss #aja4 ,expansion & int5sification ( activities ( ,national ,in/itute ( ,m5tal ,heal? 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,national ,in/itutes ( ,heal? & ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? 79 ?is section ref]r$ to z ! ,in/itute71 %all exp& & int5sify rese>* & relat$ activities ( ! ,in/itute ) respect to cl9ical m5tal heal? complications1 includ+ p]si/5t complex b]eavem5t disord]1 foll[+ a pregnancy loss 7includ+ a misc>riage1 /illbir?1 or abortion74 7b7 ,coord9ation ) o!r in/itutes ,! ,director ( ! ,in/itute %all coord9ate ! activities ( ! ,director "u subsection 7a7 ) simil> activities conduct$ by ! o!r national rese>* in/itutes & ag5cies ( ! ,national ,in/itutes ( ,heal? to ! ext5t t su* ,in/itutes & ag5cies h responsibilities t are relat$ to cl9ical m5tal heal? complications foll[+ a pregnancy loss 7includ+ a misc>riage1 /illbir?1 or abortion74 7c7 ,programs = pregnancy loss conditions ,9 c>ry+ out subsection 7a71 ! ,director ( ! ,in/itute %all conduct or support rese>* to exp& ! und]/&+ ( ! causes (1 & to id5tify treatm5t =1 m5tal heal? conditions foll[+ a pregnancy loss1 includ+ ! foll[+3 7#a7 ,basic rese>* conc]n+ ! etiology & causes ( ! conditions4 7#b7 ,! developm5t ( improv$ scre5+ & diagno/ic te*niques4 7#c7 ,cl9ical rese>* = ! developm5t & evaluation ( new treatm5ts1 includ+ new biological ag5ts4 7#d7 ,in=mation & education programs = heal? c>e pr(essionals & ! public4 7d7 ,longitud9al /udy 7#a7 ,9 g5]al ,! ,director ( ! ,in/itute %all conduct a national longitud9al /udy to det]m9e ! preval5ce ( m5tal heal? complications foll[+ a pregnancy loss1 & ! symptoms1 sev]ity1 & duration ( su* cases1 t[>d ! goal ( m fully id5tify+ ! *>act]i/ics ( su* cases & develop+ diagno/ic te*niques4 7#b7 ,report ,beg9n+ n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 & p]iodically !reaft] = ! duration ( ! /udy "u p>agraph 7#a71 ! ,director ( ! ,in/itute %all prep>e & submit to ! ,congress a report on ! f9d+s ( ! /udy1 any progress ) respect to ! /udy1 & me?odologies us$ to conduct ! /udy4 #ajb4 ,au?orization ( appropriations 7a7 ,9 g5]al ,= ! purpose ( c>ry+ out ?is title1 !re is au?oriz$ to be appropriat$ #d1ejj1jjj = ea* ( ! fiscal ye>s #bjbg ?r\gh #bjbh4 7b7 ,limitation ,any am\nts appropriat$ "u ?is title are subject to ! requirem5ts & limitations "u sections #ejf & #ejg ( division ,h ( ! ,consolidat$ ,appropriations ,act1 #bjba 7,public ,law #aaf-bfj7 9 ! same mann] & to ! same ext5t z if su* am\nts = ea* ye> 7 appropriat$ "u su* division4 ,,ii ,deliv]y ( s]vices ) respect to m5tal heal? complications foll[+ a pregnancy loss #bja4 ,grant program = cl9ical m5tal heal? conditions foll[+ a pregnancy loss 7a7 ,grants ,section #cag,l-#a7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7a77 is am5d$ by /rik+ pregnant1 or h giv5 bir? )9 ! prec$+ #ab mon?s1 & ins]t+ are pregnant1 h giv5 bir? )9 ! prec$+ #ab mon?s1 or h exp]i5c$ a pregnancy loss4 7b7 ,use ( funds ,p>agraphs 7#a77;,c7 & 7#b77;,c7 ( section #cag,l-#a7;d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7d77 are am5d$ by ins]t+ & wom5 :o h exp]i5c$ a pregnancy loss aft] pregnant & po/p>tum wom54 7c7 ,dissem9ation ( be/ practices ,section #cag,l-#a7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7f77 is am5d$ by ins]t+ & = wom5 :o h exp]i5c$ a pregnancy loss be=e ! p]iod at ! end4 7d7 ,special rules ,section #cag,l-#a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is am5d$-- 7#a7 by r$esignat+ subsection 7h7 z subsection 7i72 & 7#b7 by ins]t+ aft] subsection 7g7 ! foll[+3 7h7 ,assi/ance ,to address cl9ical m5tal heal? conditions foll[+ a pregnancy loss 7#a7 ,9 g5]al ,9 addition to ! activities describ$ 9 subsection 7d71 grant funds receiv$ by an entity "u subsection 7a7 may be us$ = projects = ! e/abli%m5t1 op]ation1 & coord9ation ( effective & co/-effici5t sy/ems = ! deliv]y ( m5tal heal? s]vices to individuals /ruggl+ ) cl9ical m5tal heal? conditions foll[+ a pregnancy loss4 7#b7 ,c]ta9 activities ,projects ref]r$ to 9 p>agraph 7#a7 may include provid+ s]vices = ! scre5+1 diagnosis1 & managem5t ( m5tal heal? conditions1 includ+ p]si/5t complex b]eavem5t disord]s1 foll[+ a pregnancy loss1 includ+-- 7,a7 deliv]+ or enhanc+ outpati5t & home-bas$ heal? & support s]vices 7includ+ case managem5t1 scre5+1 & m5tal heal? treatm5t s]vices7 = individuals )1 or :o are at risk ( develop+1 m5tal heal? complications foll[+ a pregnancy loss1 & deliv]+ or enhanc+ support s]vices = ! families ( su* individuals2 7,b7 deliv]+ or enhanc+ inpati5t c>e managem5t s]vices t ensure ! well-be+ ( ! "m & family2 & 7,c7 improv+ ! quality1 availability1 & organization ( heal? c>e & support s]vices 7includ+ transportation s]vices1 att5dant c>e1 homemak] s]vices1 day or respite c>e1 & provid+ c\nsel+ on f9ancial assi/ance & insurance7 = individuals ) m5tal heal? conditions foll[+ a pregnancy loss4 7#c7 ,subgrant recipi5ts ,an entity receiv+ a grant "u subsection 7a7 may c>ry out projects describ$ 9 p>agraph 7#a7 by mak+ subgrants to an entity 7o!r ?an a prohibit$ entity7 t-- 7,a7 is a public or nonpr(it private entity1 :i* may include-- 7i7 a ,/ate1 ,tribal1 or local gov]nm5tal entity2 7ii7 a public or nonpr(it private hospital1 community-bas$ organization1 community heal? c5t]1 migrant heal? c5t]1 or homeless heal? c5t]2 or 7iii7 o!r appropriate public or nonpr(it private entity2 & 7,b7 has exp]i5ce 9 provid+ s]vices = projects describ$ 9 p>agraph 7#a74 7#d7 ,prohibit$ entities 7,a7 ,9 g5]al ,= purposes ( p>agraph 7#c71 ! t]m prohibit$ entity means an entity1 includ+ its affiliates1 subsidi>ies1 successors1 & cl9ics1 t p]=ms1 or provides any funds to any o!r entity t p]=ms1 abortions1 o!r ?an-- 7i7 9 ! case ( a pregnancy t is ! result ( an act ( rape or ince/2 or 7ii7 9 ! case :]e a woman suff]s f a physical disord]1 physical injury1 or physical illness t w\ld1 z c]tifi$ by a physician1 place ! woman 9 dang] ( dea? unless an abortion is p]=m$1 includ+ a life endang]+ physical condition caus$ by1 or aris+ f1 ! pregnancy itself4 7,b7 ,end ( prohibition ,! def9ition 9 subp>agraph 7,a7 %all cease to apply to an entity if su* entity c]tifies t ! entity1 includ+ its affiliates1 subsidi>ies1 successors1 & cl9ics1 w n p]=m1 & w n provide any funds to any o!r entity t p]=ms1 an abortion describ$ 9 subp>agraph 7,a74 7,c7 ,repaym5t by prohibit$ entity ,! ,secret>y %all seek repaym5t ( any ,f$]al assi/ance receiv$ by any entity t makes a c]tification describ$ 9 subp>agraph 7,b7 & subsequ5tly violates ! t]ms ( su* c]tification4 7#e7 ,t]ms & conditions ,an entity receiv+ a grant "u subsection 7a7 to c>ry out projects describ$ 9 p>agraph 7#a7 %all be subject to ! foll[+ t]ms & conditions3 7,a7 ,n m ?an #e p]c5t ( ! grant w be us$ = adm9i/ration1 acc\nt+1 report+1 & program ov]sight functions4 7,b7 ,! grant w be us$ to supplem5t & n supplant funds f o!r s\rces relat$ to ! treatm5t ( cl9ical m5tal heal? conditions foll[+ a pregnancy loss4 7,c7 ,! applicant w abide by any limitations deem$ appropriate by ! ,secret>y on any *>ges to individuals receiv+ s]vices pursuant to ! grant4 ,z det]m9$ appropriate by ! ,secret>y1 su* limitations on *>ges may v>y bas$ on ! f9ancial circum/ances ( ! individual receiv+ s]vices4 7,d7 ,! grant w n be exp5d$ to make paym5t = s]vices to ! ext5t t paym5t has be5 made1 or c reasonably be expect$ to be made1 ) respect to su* s]vices-- 7i7 "u any ,/ate comp5sation program1 "u an insurance policy1 or "u any ,f$]al or ,/ate heal? b5efits program2 or 7ii7 by an entity t provides heal? s]vices on a prepaid basis4 4