S. 3529Senate109th Congress (2005-2007)In Committee

MOTHERS Act

Sponsored by Robert MenendezSen. Robert Menendez (D-NJ)+ 1 co-lead
Introduced June 15, 2006

Legislative Activity

Stay on top of the latest movement without scrolling through every action

2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

June 15, 2006

View full timeline
SenateIntro Referral

Introduced in Senate

June 15, 2006

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S5966)

June 15, 2006

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

June 15, 2006

Floor Debate

14 members

What members said about S. 3529 on the floor

8 Republicans6 Democrats
Judd Gregg
Sen. Judd GreggR-NH · Jun 15, 2006

Mr. President, I rise to introduce a bill which is sponsored by myself and 20 other Members of the Senate. The purpose of this bill is to put some control over spending--or at least put procedures…

Hillary Rodham Clinton
Sen. Hillary Rodham ClintonD-NY · Jun 15, 2006

Mr. President, I am pleased today to introduce the Heroes at Home Act of 2006. This legislation would take several important steps toward assisting our brave men and women in uniform in transitioning…

Jeff Bingaman
Sen. Jeff BingamanD-NM · Jun 15, 2006

Mr. President, I am introducing legislation today with Senators Snowe, Cochran, Cantwell, Domenici, Lincoln, Jeffords, Collins, Murray, Harkin, Landrieu, Obama, Salazar, and Sessions entitled the…

Ron Wyden
Sen. Ron WydenD-OR · Jun 15, 2006

Mr. President, I am pleased to be joined today by Senator Gordon Smith, Senator Larry Craig and Senator Patty Murray in introducing the Fisheries Restoration and Irrigation Mitigation Act of 2006--or…

Orrin G. Hatch
Sen. Orrin G. HatchR-UT · Jun 15, 2006

Mr. President, today I rise to introduce the Agriculture Small Business Opportunity and Enhancement Act of 2006. Currently, 28 States, including my home State of Utah, have State meat inspection…

Show 8 more
Robert Menendez
Sen. Robert MenendezD-NJ · Jun 15, 2006

Mr. President, I rise today with my good friend Senator Durbin to introduce the Mom's Opportunity to Access Help, Education, Research, and Support for Postpartum Depression, MOTHERS, Act. Senator…

Robert Menendez
Sen. Robert MenendezD-NJ · Jun 15, 2006

Mr. President, I rise today with my good friend Senator Durbin to introduce the Mom's Opportunity to Access Help, Education, Research, and Support for Postpartum Depression, MOTHERS, Act. Senator…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Jun 15, 2006

Mr. President, I rise to introduce legislation that enhances the innocent spouse equitable relief provision of the Internal Revenue Code. Through only minor legislative modifications, this bill…

Robert F. Bennett
Sen. Robert F. BennettR-UT · Jun 15, 2006

Mr. President, I rise today to introduce legislation to amend the Credit Repair Organizations Act, CROA, to stop abusive class action lawsuits against companies offering legitimate credit file…

John McCain
Sen. John McCainR-AZ · Jun 15, 2006

Mr. President, I am introducing today a bill to amend various provisions of the Indian Land Consolidation Act, ILCA. Some of these amendments are of a technical or clarifying nature; others have the…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Jun 15, 2006

Mr. President, as you know, Turkey invaded the northern area of the Republic of Cyprus in the summer of 1974. At that time, less than 20 percent of the private real property in this area was owned by…

Jon Kyl
Sen. Jon KylR-AZ · Jun 15, 2006

Mr. President, I am pleased to join my colleague from California, Senator Feinstein, in introducing legislation to clarify the jurisdiction of the U.S. Tax Court in cases involving ``equitable…

Herb Kohl
Sen. Herb KohlD-WI · Jun 15, 2006

Mr. President, the manufacturing sector is under siege from cheap imports, unfair trade agreements, and escalating heath care and energy costs. Instead of working to alleviate this burden, the Bush…

Show 2 more
Jeff Sessions
Sen. Jeff SessionsR-AL · Jun 15, 2006

Mr. President, will the Senator yield for a question? First, I wish to say to any Americans listening and all our colleagues, when Chairman Gregg speaks about long-term financial challenges facing…

Mike DeWine
Sen. Mike DeWineR-OH · Jun 15, 2006

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued June 15, 2006

II

109th CONGRESS

2d Session

S. 3529

IN THE SENATE OF THE UNITED STATES

June 15, 2006

Mr. Menendez (for himself and Mr. Durbin) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

A BILL

To ensure that new mothers and their families are educated about postpartum depression, screened for symptoms, and provided with essential services, and to increase research at the National Institutes of Health on postpartum depression.

1.

Short title

This Act may be cited as the Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act or the MOTHERS Act.

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 that usually starts in the first week and resolves without treatment by the end of the second week postpartum.

(4)

The symptoms of postpartum mood and anxiety disorders are as defined in the latest edition of Diagnostic and Statistical Manual of Mental Disorders (DSM), as published by American Psychological Association.

(5)

The symptoms of postpartum psychosis include losing touch with reality, distorted thinking, delusions, auditory hallucinations, paranoia, hyperactivity, and rapid speech or mania.

(6)

Baby blues afflicts up to 80 percent of new mothers, postpartum depression occurs in 10 to 20 percent of new mothers, and postpartum psychosis strikes 1 in 1,000 new mothers.

(7)

The causes of postpartum depression are complex and unknown at this time; however, contributing factors 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 romanticization 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 and cognitive development, child abuse, neglect or death of the infant or other siblings, and the disruption of the family.

(12)

This Act shares the goals of the Melanie Blocker-Stokes Postpartum Depression Research and Care Act and will help new mothers who are battling with postpartum conditions.

I

Delivery of services regarding postpartum depression and psychosis

101.

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:

I

General provisions

;

and

(2)

by adding at the end thereof the following:

II

Delivery of services regarding postpartum depression and psychosis

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 to—

(1)

provide education to women who have recently given birth, and their families, concerning postpartum depression, postpartum mood and anxiety disorders, and postpartum psychosis (referred to in this chapter as postpartum conditions) before such women leave their birthing centers and to screen new mothers for postpartum conditions during their first year of postnatal checkup visits, including the standard 6-week postnatal checkup visit; and

(2)

provide for the delivery of essential services to individuals with postpartum conditions and their families.

(b)

Recipients of grants

A grant under subsection (a) may be made to an entity only if the entity—

(1)

is—

(A)

in the case of a grant to carry out the activities described in subsection (c)(1), a State; and

(B)

in the case of a grant to carry out the activities described in subsection (c)(2), 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, tribal government or territory, or homeless health center; or other appropriate public or nonprofit private entity; and

(2)

submits to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.

(c)

Certain activities

(1)

Education

(A)

In general

To the extent practicable and appropriate, the Secretary shall ensure that projects under subsection (a)(1) develop policies and procedures to ensure that education concerning postpartum conditions is provided to women in accordance with subparagraph (B), that training programs regarding such education are carried out at health facilities within the State, and that screening and referral is provided in accordance with subparagraph (C).

(B)

Requirements

A State that receives a grant or contract under subsection (a)(1) shall ensure that postpartum condition education complies with the following:

(i)

Physicians, certified nurse midwives, certified midwives, nurses, and other licensed health care professionals within the State who provide prenatal and postnatal care to women shall also provide education to women and their families concerning postpartum conditions to promote earlier diagnosis and treatment.

(ii)

All birthing facilities in the State shall provide new mothers and fathers, and other family members as appropriate, with complete information concerning postpartum conditions, including its symptoms, methods of coping with the illness, and treatment resources prior to such mothers leaving the birthing facility after a birth.

(iii)

Physicians, certified nurse midwives, certified midwives, nurses, and other licensed health care professionals within the State who provide prenatal and postnatal care to women shall include fathers and other family members, as appropriate, in both the education and treatment processes to help them better understand the nature and causes of postpartum conditions.

(C)

Screening and referral

A State that receives a grant or contract under subsection (a)(1) shall ensure that new mothers, during visits to a physician, certified nurse midwife, certified midwife, nurse, or licensed healthcare professional who is licensed or certified by the State, within the first year after the birth of their child, are offered screenings for postpartum conditions by using the Edinburgh Postnatal Depression Scale (EPDS), or other appropriate tests. If the results of such screening provide warning signs for postpartum conditions, the new mother shall be referred to an appropriate mental healthcare provider.

(D)

Subgrants

A State that receives a grant or contract under subsection (a)(1) to carry out activities under this paragraph may award subgrants to entities described in subsection (b)(1)(B) to enable such entities to provide education of this type described in subparagraph (B).

(2)

Services

To the extent practicable and appropriate, the Secretary shall ensure that projects under subsection (a)(2) provide services for the diagnosis and management of postpartum conditions. Activities that the Secretary may authorize for such projects may also include the following:

(A)

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.

(B)

Delivering or enhancing inpatient care management services that ensure the well being of the mother and family and the future development of the infant.

(C)

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.

520L.

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.

520M.

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 2007 through 2009.

.

II

Research on postpartum depression and psychosis

201.

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:

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 including the Centers for Disease Control and Prevention, shall organize a series of national meetings that are designed to develop a research plan for postpartum depression and psychosis (referred to in this section as postpartum condition).

(2)

Plan

The Secretary, taking into account the findings of the research conference under paragraph (1), shall develop a research plan relating to postpartum conditions. Such plan shall include—

(A)

basic research concerning the etiology and causes of postpartum conditions;

(B)

epidemiological studies to address the frequency and natural history of postpartum conditions and the differences among racial and ethnic groups with respect to such conditions;

(C)

the development of improved diagnostic techniques relating to postpartum conditions; and

(D)

clinical research for the development and evaluation of new treatments for postpartum conditions, including new biological agents.

(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 conditions 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 conditions at the National Institutes of Health.

.