PREEMIE Reauthorization Act of 2023

II Calendar No. 223 118TH CONGRESS 1ST SESSION S. 1573 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. IN THE SENATE OF THE UNITED STATES MAY 11, 2023 Mr. BENNET (for himself, Mr. BOOZMAN, Ms. STABENOW, Mrs. HYDE-SMITH, Ms. KLOBUCHAR, Mrs. GILLIBRAND, Ms. SMITH, Mr. YOUNG, Mr. CASEY, Mr. BRAUN, Ms. SINEMA, Mrs. CAPITO, Mr. DAINES, and Mr. SCOTT of Florida) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions OCTOBER 4, 2023 Reported by Mr. SANDERS, with an amendment [Strike out all after the enacting clause and insert the part printed in italic] A BILL To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘PREEMIE Reauthor- 4 ization Act of 2023’’. 5 VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6401 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •S 1573 RS SEC. 2. RESEARCH RELATING TO PRETERM LABOR AND DE- 1 LIVERY AND THE CARE, TREATMENT, AND 2 OUTCOMES OF PRETERM AND LOW BIRTH- 3 WEIGHT INFANTS. 4 (a) IN GENERAL.—Section 3(e) of the Prematurity 5 Research Expansion and Education for Mothers who de- 6 liver Infants Early Act (42 U.S.C. 247b–4f(e)) is amended 7 by striking ‘‘fiscal years 2019 through 2023’’ and insert- 8 ing ‘‘fiscal years 2024 through 2028’’. 9 (b) TECHNICAL CORRECTION.—Effective as if in- 10 cluded in the enactment of the PREEMIE Reauthoriza- 11 tion Act of 2018 (Public Law 115–328; 132 Stat. 4471), 12 section 2 of such Act is amended, in the matter preceding 13 paragraph (1), by striking ‘‘Section 2’’ and inserting ‘‘Sec- 14 tion 3’’. 15 SEC. 3. PUBLIC AND HEALTH CARE PROVIDER EDUCATION 16 AND SUPPORT SERVICES. 17 Section 399Q of the Public Health Service Act (42 18 U.S.C. 280g–5) is amended— 19 (1) in subsection (b)(1)(D)— 20 (A) by redesignating clauses (vi) and (vii) 21 as clauses (vii) and (viii), respectively; and 22 (B) by inserting after clause (v) the fol- 23 lowing: 24 ‘‘(vi) screening for and treatment of 25 chronic conditions;’’; and 26 VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6401 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •S 1573 RS (2) in subsection (c), by striking ‘‘fiscal years 1 2014 through 2018’’ and inserting ‘‘fiscal years 2 2024 through 2028’’. 3 SEC. 4. INTERAGENCY WORKING GROUP. 4 Section 5(a) of the PREEMIE Reauthorization Act 5 of 2018 (Public Law 115–328; 132 Stat. 4473) is amend- 6 ed by striking ‘‘The Secretary of Health and Human Serv- 7 ices, in collaboration with other departments, as appro- 8 priate, may establish’’ and inserting ‘‘Not later than 18 9 months after the date of the enactment of the PREEMIE 10 Reauthorization Act of 2023, the Secretary of Health and 11 Human Services, in collaboration with other departments, 12 as appropriate, shall establish’’. 13 SEC. 5. STUDY ON PRETERM BIRTHS. 14 (a) IN GENERAL.—The Secretary of Health and 15 Human Services shall enter into appropriate arrange- 16 ments with the National Academies of Sciences, Engineer- 17 ing, and Medicine under which the National Academies 18 shall— 19 (1) not later than 30 days after the date of en- 20 actment of this Act, convene a committee of experts 21 in maternal health to study premature births in the 22 United States; and 23 (2) upon completion of the study under para- 24 graph (1)— 25 VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6401 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 •S 1573 RS (A) approve by consensus a report on the 1 results of such study; 2 (B) include in such report— 3 (i) an assessment of each of the topics 4 listed in subsection (b); 5 (ii) the analysis required by sub- 6 section (c); and 7 (iii) the raw data used to develop such 8 report; and 9 (C) not later than 24 months after the 10 date of enactment of this Act, transmit such re- 11 port to— 12 (i) the Secretary of Health and 13 Human Services; 14 (ii) the Committee on Energy and 15 Commerce of the House of Representa- 16 tives; and 17 (iii) the Committee on Finance and 18 the Committee on Health, Education, 19 Labor, and Pensions of the Senate. 20 (b) ASSESSMENT TOPICS.—The topics listed in this 21 subsection are of each of the following: 22 (1) The financial costs of premature birth to so- 23 ciety, including— 24 VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6401 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 •S 1573 RS (A) an analysis of stays in neonatal inten- 1 sive care units and the cost of such stays; 2 (B) long-term costs of stays in such units 3 to society and the family involved post-dis- 4 charge; and 5 (C) health care costs for families post-dis- 6 charge from such units (such as medications, 7 therapeutic services, co-pays visits and specialty 8 equipment). 9 (2) The factors that impact pre-term birth 10 rates. 11 (3) Gaps in public health programs that have 12 caused increases in premature birth, including— 13 (A) gaps in the detection of premature 14 birth risk factors; 15 (B) gaps in information from States on 16 pre-term birth; and 17 (C) gaps in support and resources for par- 18 ents provided in-hospital, in non-hospital set- 19 tings, and post-discharge. 20 (c) ANALYSIS.—The analysis required by this sub- 21 section is an analysis of— 22 (1) targeted research strategies to develop effec- 23 tive drugs, treatments, or interventions to bring at- 24 risk pregnancies to term; 25 VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6401 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB 6 •S 1573 RS (2) State and other programs’ best practices 1 with respect to reducing premature birth rates; 2 (3) opportunities to address developmental ori- 3 gins of health with respect to premature birth rates; 4 and 5 (4) precision medicine and preventative care ap- 6 proaches starting early in the life course (including 7 during pregnancy) with a focus on behavioral and bi- 8 ological influences on premature birth, child health, 9 and the trajectory of such approaches into adult- 10 hood. 11 SECTION 1. SHORT TITLE. 12 This Act may be cited as the ‘‘PREEMIE Reauthoriza- 13 tion Act of 2023’’. 14 SEC. 2. RESEARCH RELATING TO PRETERM LABOR AND DE- 15 LIVERY AND THE CARE, TREATMENT, AND 16 OUTCOMES OF PRETERM AND LOW BIRTH- 17 WEIGHT INFANTS. 18 (a) IN GENERAL.—Section 3(e) of the Prematurity Re- 19 search Expansion and Education for Mothers who deliver 20 Infants Early Act (42 U.S.C. 247b–4f(e)) is amended by 21 striking ‘‘fiscal years 2019 through 2023’’ and inserting 22 ‘‘fiscal years 2024 through 2028’’. 23 (b) TECHNICAL CORRECTION.—Effective as if included 24 in the enactment of the PREEMIE Reauthorization Act of 25 VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6203 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB 7 •S 1573 RS 2018 (Public Law 115–328), section 2 of such Act is amend- 1 ed, in the matter preceding paragraph (1), by striking ‘‘Sec- 2 tion 2’’ and inserting ‘‘Section 3’’. 3 SEC. 3. INTERAGENCY WORKING GROUP. 4 Section 5(a) of the PREEMIE Reauthorization Act of 5 2018 (Public Law 115–328) is amended by striking ‘‘The 6 Secretary of Health and Human Services, in collaboration 7 with other departments, as appropriate, may establish’’ and 8 inserting ‘‘Not later than 18 months after the date of the 9 enactment of the PREEMIE Reauthorization Act of 2023, 10 the Secretary of Health and Human Services, in collabora- 11 tion with other departments, as appropriate, shall estab- 12 lish’’. 13 SEC. 4. STUDY ON PRETERM BIRTHS. 14 (a) IN GENERAL.—The Secretary of Health and 15 Human Services shall enter into appropriate arrangements 16 with the National Academies of Sciences, Engineering, and 17 Medicine under which the National Academies shall— 18 (1) not later than 30 days after the date of en- 19 actment of this Act, convene a committee of experts in 20 maternal health to study premature births in the 21 United States; and 22 (2) upon completion of the study under para- 23 graph (1)— 24 VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6203 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB 8 •S 1573 RS (A) approve by consensus a report on the 1 results of such study; 2 (B) include in such report— 3 (i) an assessment of each of the topics 4 listed in subsection (b); 5 (ii) the analysis required by subsection 6 (c); and 7 (iii) the raw data used to develop such 8 report; and 9 (C) not later than 24 months after the date 10 of enactment of this Act, transmit such report 11 to— 12 (i) the Secretary of Health and 13 Human Services; 14 (ii) the Committee on Energy and 15 Commerce of the House of Representatives; 16 and 17 (iii) the Committee on Finance and the 18 Committee on Health, Education, Labor, 19 and Pensions of the Senate. 20 (b) ASSESSMENT TOPICS.—The topics listed in this 21 subsection are each of the following: 22 (1) The financial costs of premature birth to so- 23 ciety, including— 24 VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6203 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB 9 •S 1573 RS (A) an analysis of stays in neonatal inten- 1 sive care units and the cost of such stays; 2 (B) long-term costs of stays in such units to 3 society and the family involved post-discharge; 4 and 5 (C) health care costs for families post-dis- 6 charge from such units (such as medications, 7 therapeutic services, co-payments for visits, and 8 specialty equipment). 9 (2) The factors that impact preterm birth rates. 10 (3) Opportunities for earlier detection of pre- 11 mature birth risk factors, including— 12 (A) opportunities to improve maternal and 13 infant health; and 14 (B) opportunities for public health pro- 15 grams to provide support and resources for par- 16 ents in-hospital, in non-hospital settings, and 17 post-discharge. 18 (c) ANALYSIS.—The analysis required by this sub- 19 section is an analysis of— 20 (1) targeted research strategies to develop effec- 21 tive drugs, treatments, or interventions to bring at- 22 risk pregnancies to term; 23 (2) State and other programs’ best practices with 24 respect to reducing premature birth rates; and 25 VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6203 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB 10 •S 1573 RS (3) precision medicine and preventative care ap- 1 proaches starting early in the life course (including 2 during pregnancy) with a focus on behavioral and bi- 3 ological influences on premature birth, child health, 4 and the trajectory of such approaches into adulthood. 5 VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6203 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6203 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB Calendar No. 223 118TH CONGRESS 1ST SESSION S. 1573 A BILL To reauthorize the Prematurity Research Expan- sion and Education for Mothers who deliver In- fants Early Act. OCTOBER 4, 2023 Reported with an amendment VerDate Sep 11 2014 01:09 Oct 05, 2023 Jkt 049200 PO 00000 Frm 00012 Fmt 6651 Sfmt 6651 E:\BILLS\S1573.RS S1573 kjohnson on DSK7ZCZBW3PROD with $$_JOB