Melanie Stokes Postpartum Depression Research and Care Act
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Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
February 26, 2003
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Introduced in Senate
February 26, 2003
Sponsor introductory remarks on measure. (CR S2841-2842)
February 26, 2003
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
February 26, 2003
Floor Debate
12 membersWhat members said about S. 450 on the floor




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Floor Debate
12 membersWhat members said about S. 450 on the floor
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Mr. President, I rise today to introduce the Melanie Stokes Postpartum Depression Research and Care Act along with Senator Fitzgerald and Senator Clinton. My legislation is named after a Chicago…
Mr. President, I rise today to introduce the Melanie Stokes Postpartum Depression Research and Care Act along with Senator Fitzgerald and Senator Clinton. My legislation is named after a Chicago…
Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.
Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.
Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.
Bill Text
Latest available legislative text
[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 450 Introduced in Senate (IS)]
108th CONGRESS
1st Session
S. 450
To amend the Public Health Service Act to provide for research on, and
services for individuals with, postpartum depression and psychosis.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
February 26, 2003
Mr. Durbin (for himself, Mr. Fitzgerald, and Mrs. Clinton) introduced
the following bill; which was read twice and referred to the Committee
on Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to provide for research on, and
services for individuals with, postpartum depression and psychosis.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Melanie Stokes Postpartum Depression
Research and Care Act''.
SEC. 2. FINDINGS.
The Congress finds as follows:
(1) Postpartum depression is a devastating mood disorder
which strikes many women during and after pregnancy.
(2) Postpartum mood changes are common and can be broken
into three subgroups: ``baby blues,'' which is an extremely
common and the less severe form of postpartum depression;
postpartum mood and anxiety disorders, which are more severe
than baby blues and can occur during pregnancy and anytime
within the first year of the infant's birth; and postpartum
psychosis, which is the most extreme form of postpartum
depression and can occur during pregnancy and up to twelve
months after delivery.
(3) ``Baby blues'' is characterized by mood swings,
feelings of being overwhelmed, tearfulness, irritability, poor
sleep, mood changes, and a sense of vulnerability.
(4) The symptoms of postpartum mood and anxiety disorders
are the worsening and the continuation of the baby blues beyond
the first days or weeks after delivery.
(5) The symptoms of postpartum psychosis include losing
touch with reality, distorted thinking, delusions, auditory
hallucinations, paranoia, hyperactivity, and rapid speech or
mania.
(6) Each year over 400,000 women suffer from postpartum
mood changes, with baby blues afflicting up to 80 percent of
new mothers; postpartum mood and anxiety disorders impairing
around 10-20 percent of new mothers; and postpartum psychosis
striking 1 in 1,000 new mothers.
(7) The causes of postpartum depression are complex and
unknown at this time; however, theories include a steep and
rapid drop in hormone levels after childbirth; difficulty
during labor or pregnancy; a premature birth; a miscarriage;
feeling overwhelmed, uncertain, frustrated or anxious about
one's new role as a mother; a lack of support from one's
spouse, friends or family; marital strife; stressful events in
life such as death of a loved one, financial problems, or
physical or mental abuse; a family history of depression or
mood disorders; a previous history of major depression or
anxiety; or a prior postpartum depression.
(8) Postpartum depression is a treatable disorder if
promptly diagnosed by a trained provider and attended to with a
personalized regimen of care including social support, therapy,
medication, and when necessary hospitalization.
(9) All too often postpartum depression goes undiagnosed or
untreated due to the social stigma surrounding depression and
mental illness, the myth of motherhood, the new mother's
inability to self-diagnose her condition, the new mother's
shame or embarrassment over discussing her depression so near
to the birth of her child, the lack of understanding in society
and the medical community of the complexity of postpartum
depression, and economic pressures placed on hospitals and
providers.
(10) Untreated, postpartum depression can lead to further
depression, substance abuse, loss of employment, divorce and
further social alienation, self-destructive behavior, or even
suicide.
(11) Untreated, postpartum depression impacts society
through its effect on the infant's physical and psychological
development, child abuse, neglect or death of the infant or
other siblings, and the disruption of the family.
TITLE I--RESEARCH ON POSTPARTUM DEPRESSION AND PSYCHOSIS
SEC. 101. CONSENSUS RESEARCH CONFERENCE AND PLAN CONCERNING POSTPARTUM
DEPRESSION AND PSYCHOSIS.
Part B of title IV of the Public Health Service Act (42 U.S.C. 284
et seq.) is amended by adding at the end the following:
``SEC. 409J. CONSENSUS RESEARCH CONFERENCE AND PLAN CONCERNING
POSTPARTUM DEPRESSION AND PSYCHOSIS.
``(a) Consensus Research Conference and Plan.--
``(1) Conference.--The Secretary, acting through the
Director of NIH, the Administrator of the Substance Abuse and
Mental Health Services Administration, and the heads of other
Federal agencies that administer Federal health programs, shall
organize a series of national meetings that are designed to
develop a research plan for postpartum depression and
psychosis.
``(2) Plan.--The Secretary, taking into account the
findings of the research conference under paragraph (1), shall
develop a research plan relating to postpartum depression and
psychosis. Such plan shall include--
``(A) basic research concerning the etiology and
causes of postpartum depression and psychosis;
``(B) epidemiological studies to address the
frequency and natural history of postpartum depression
and psychosis and the differences among racial and
ethnic groups with respect to such conditions;
``(C) the development of improved diagnostic
techniques relating to postpartum depression and
psychosis;
``(D) clinical research for the development and
evaluation of new treatments for postpartum depression
and psychosis, including new biological agents;
``(E) development of information and education
programs for health care professionals and the public
relating to postpartum depression and psychosis; and
``(F) a plan to disseminate information and
education on postpartum depression and psychosis to
health care professionals and the public.
``(3) Report.--Not later than 2 years after the date of
enactment of this section, the Secretary shall prepare and
submit to the appropriate committees of Congress a report
concerning the research plan under paragraph (2).
``(b) Activity Relating to Research Plan.--
``(1) In general.--After the development of the research
plan under subsection (a)(1), the Secretary, acting through the
Director of NIH shall expand and intensify research and related
activities of the Institutes relating to postpartum depression
and postpartum psychosis in a manner appropriate to carry out
such plan, and in particular shall direct research efforts to
carry out such plan.
``(2) Report.--Not later than 1 year after the development
of the research plan under subsection (a)(1), and annually
thereafter, the Secretary shall prepare and submit to the
appropriate committees of Congress a report on the progress
made with respect to such plan and the status of ongoing
activities regarding postpartum depression and psychosis at the
National Institutes of Health.''.
TITLE II--DELIVERY OF SERVICES REGARDING POSTPARTUM DEPRESSION AND
PSYCHOSIS
SEC. 201. DELIVERY OF SERVICES REGARDING POSTPARTUM DEPRESSION AND
PSYCHOSIS.
Subpart 3 of part B of title V of the Public Health Service Act (42
U.S.C. 290bb-31 et seq.) is amended--
(1) by inserting after the subpart heading the following:
``Chapter I--General Provisions'';
and
(2) by adding at the end thereof the following:
``Chapter II--Delivery of Services Regarding Postpartum Depression and
Psychosis
``SEC. 520K. ESTABLISHMENT OF PROGRAM OF GRANTS.
``(a) In General.--The Secretary shall in accordance with this
chapter make grants to provide for projects for the establishment,
operation, and coordination of effective and cost-efficient systems for
the delivery of essential services to individuals with postpartum
depression or postpartum psychosis (referred to in this section as a
`postpartum condition') and their families.
``(b) Recipients of Grants.--A grant under subsection (a) may be
made to an entity only if the entity is a public or nonprofit private
entity, which may include a State or local government; a public or
nonprofit private hospital, community-based organization, hospice,
ambulatory care facility, community health center, migrant health
center, or homeless health center; or other appropriate public or
nonprofit private entity.
``(c) Certain Activities.--To the extent practicable and
appropriate, the Secretary shall ensure that projects under subsection
(a) provide services for the diagnosis and management of postpartum
conditions. Activities that the Secretary may authorize for such
projects may also include the following:
``(1) Delivering or enhancing outpatient and home-based
health and support services, including case management,
screening and comprehensive treatment services for individuals
with or at risk for postpartum conditions; and delivering or
enhancing support services for their families.
``(2) Delivering or enhancing inpatient care management
services that ensure the well being of the mother and family
and the future development of the infant.
``(3) Improving the quality, availability, and organization
of health care and support services (including transportation
services, attendant care, homemaker services, day or respite
care, and providing counseling on financial assistance and
insurance) for individuals with postpartum conditions and
support services for their families.
``(d) Integration With Other Programs.--To the extent practicable
and appropriate, the Secretary shall integrate the program under this
title with other grant programs carried out by the Secretary, including
the program under section 330.
``SEC. 520L. CERTAIN REQUIREMENTS.
``A grant may be made under section 520K only if the applicant
involved makes the following agreements:
``(1) Not more than 5 percent of the grant will be used for
administration, accounting, reporting, and program oversight
functions.
``(2) The grant will be used to supplement and not supplant
funds from other sources related to the treatment of postpartum
conditions.
``(3) The applicant will abide by any limitations deemed
appropriate by the Secretary on any charges to individuals
receiving services pursuant to the grant. As deemed appropriate
by the Secretary, such limitations on charges may vary based on
the financial circumstances of the individual receiving
services.
``(4) The grant will not be expended to make payment for
services authorized under section 520K(a) to the extent that
payment has been made, or can reasonably be expected to be
made, with respect to such services--
``(A) under any State compensation program, under
an insurance policy, or under any Federal or State
health benefits program; or
``(B) by an entity that provides health services on
a prepaid basis.
``(5) The applicant will, at each site at which the
applicant provides services under section 520K(a), post a
conspicuous notice informing individuals who receive the
services of any Federal policies that apply to the applicant
with respect to the imposition of charges on such individuals.
``SEC. 520M. TECHNICAL ASSISTANCE.
``The Secretary may provide technical assistance to assist entities
in complying with the requirements of this chapter in order to make
such entities eligible to receive grants under section 520K.
``SEC. 520N. AUTHORIZATION OF APPROPRIATIONS.
``For the purpose of carrying out this chapter, there are
authorized to be appropriated such sums as may be necessary for each of
the fiscal years 2004 through 2006.''.
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