H.R. 5487House117th Congress (2021-2023)Passed House

SHINE for Autumn Act of 2021

Introduced October 5, 2021

AI-Generated Summary

Updated February 8, 2026 at 7:10 AM UTC

The SHINE for Autumn Act of 2021 aims to boost research, data collection, and education about stillbirths. It provides federal grants to states for stillbirth surveillance and risk‑factor studies, creates guidelines and public awareness materials, and establishes a perinatal pathology fellowship program. The law also requires the Health and Human Services Secretary to report on the guidelines and fellowship program after five years. It primarily affects state health departments, health‑care providers, researchers, and families who have experienced stillbirths.

Key Provisions

  • Authorize up to $5 million per fiscal year (2022‑2026) for state grants to conduct stillbirth surveillance, build public‑health capacity, and collect risk‑factor data
  • Authorize up to $1 million per fiscal year (2022‑2026) for the Secretary to issue data‑collection guidelines, share data with federal agencies, and develop publicly available educational materials on stillbirths
  • Define “vital statistics unit” as the entity maintaining a state’s vital records, including fetal deaths
  • Establish a Perinatal Pathology Fellowship (or post‑doctoral) program to train in perinatal autopsy, improve stillbirth data, and address related research and education, with $3 million authorized each year (2022‑2026)
  • Require the HHS Secretary to publish an educational guidelines report and a progress report on the fellowship program on a public website and to Congress within five years of enactment

Legislative Activity

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17 earlier actions
SenateIntro Referral Latest Action

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

December 9, 2021

View full timeline
HouseIntro Referral

Introduced in House

October 5, 2021

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

October 5, 2021

HouseCommittee

Referred to the Subcommittee on Health.

October 6, 2021

HouseCommittee

Subcommittee Consideration and Mark-up Session Held.

November 4, 2021

HouseCommittee

Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .

November 4, 2021

HouseCommittee

Committee Consideration and Mark-up Session Held.

November 17, 2021

HouseCommittee

Ordered to be Reported (Amended) by Voice Vote.

November 17, 2021

HouseCommittee

Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 117-210.

December 8, 2021

HouseCalendars

Placed on the Union Calendar, Calendar No. 151.

December 8, 2021

HouseFloor

Mr. Pallone moved to suspend the rules and pass the bill, as amended.

December 8, 2021 • 3:24 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H7514-7515)

December 8, 2021 • 3:25 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 5487.

December 8, 2021 • 3:25 PM

HouseFloor

At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.

December 8, 2021 • 3:36 PM

HouseFloor

Considered as unfinished business. (consideration: CR H7536)

December 8, 2021 • 7:17 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 408 - 18 (Roll no. 416).(text: CR H7514)

December 8, 2021 • 7:25 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 408 - 18 (Roll no. 416). (text: CR H7514)

December 8, 2021 • 7:25 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

December 8, 2021 • 7:25 PM

SenateIntro Referral

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

December 9, 2021

Floor Debate

22 members

What members said about H.R. 5487 on the floor

10 Republicans12 Democrats
Bruce Westerman
Rep. Bruce WestermanR-AR-4 · Feb 25, 2021

Mr. Speaker, I yield myself such time as I may consume. I rise today in opposition to H.R. 803, the Protecting America's Wilderness and Public Lands Act. Contrary to the name, this bill will damage…

Joe Neguse
Rep. Joe NeguseD-CO-2 · Feb 25, 2021

Madam Speaker, pursuant to House Resolution 147, I call up the bill (H.R. 803) to designate certain lands in the State of Colorado as components of the National Wilderness Preservation System, and…

Adam Smith
Rep. Adam SmithD-WA-9 · Sep 21, 2021

Madam Speaker, pursuant to House Resolution 667, I call up the bill (H.R. 4350) to authorize appropriations for fiscal year 2022 for military activities of the Department of Defense and for military…

Ed Perlmutter
Rep. Ed PerlmutterD-CO-7 · Sep 21, 2021

Madam Speaker, I have an amendment at the desk. Madam Speaker, I yield myself 1\1/2\ minutes. Madam Speaker, I offer this amendment, which is identical to the SAFE Banking Act the House passed by a…

Doug Lamborn
Rep. Doug LambornR-CO-5 · Sep 21, 2021

Madam Speaker, I thank the gentleman for yielding. Madam Speaker, I rise today in support of H.R. 4350. We have maintained the bipartisan tradition of the Armed Services Committee. Now, while this…

Show 8 more
Thomas P. Tiffany
Rep. Thomas P. TiffanyR-WI-7 · Sep 21, 2021

Madam Speaker, I rise in opposition to the amendment. Madam Speaker, I yield myself such time as I may consume. Madam Speaker, extending visa waiver privileges in the U.S. Virgin Islands for…

Mike Rogers
Rep. Mike RogersR-AL-3 · Sep 21, 2021

Madam Speaker, I yield myself such time as I may consume. Madam Speaker, I, too, rise in strong support of H.R. 4350, the fiscal year National Defense Authorization Act. H.R. 4350 represents a truly…

Warren Davidson
Rep. Warren DavidsonR-OH-8 · Sep 21, 2021

Madam Speaker, I think the reason it was ruled germane by the Parliamentarian is the cartels control the drug trade in the United States. While most States have made some legal form for marijuana,…

Madeleine Dean
Rep. Madeleine DeanD-PA-4 · Sep 21, 2021

Madam Speaker, I have an amendment at the desk. Madam Speaker, I rise today in support of my amendment, which would require private student lenders to discharge private student loan debt for people…

Stacey E. Plaskett
Rep. Stacey E. PlaskettD-VI · Sep 21, 2021

Madam Speaker, I have an amendment at the desk. Madam Speaker, I rise in support of this amendment, and I yield myself 3 minutes. Madam Speaker, I first want to give a little bit of a history lesson…

Earl L. "Buddy" Carter
Rep. Earl L. "Buddy" CarterR-GA-1 · Sep 21, 2021

Madam Speaker, I rise in opposition to the amendment. Madam Speaker, I yield myself such time as I may consume. Madam Speaker, I rise in opposition to the en bloc amendment offered by Representative…

Joe Neguse
Rep. Joe NeguseD-CO-2 · Sep 21, 2021

Madam Speaker, I seek recognition to make a statement in support of my amendment offered by myself and Chairman Grijalva. Madam Speaker, I yield myself such time as I may consume. Madam Speaker, I…

David N. Cicilline
Rep. David N. CicillineD-RI-1 · Sep 21, 2021

Madam Speaker, I have an amendment at the desk. Madam Speaker, I yield myself 3 minutes. Madam Speaker, I rise in support of my amendment, which makes clear that the statutory rights of…

Show 11 more
Rashida Tlaib
Rep. Rashida TlaibD-MI-13 · Sep 21, 2021

Madam Speaker, I have an amendment at the desk. Madam Speaker, I rise in support of amendment No. 11 which would provide critical needed consumer protection to our servicemembers who hold medical…

Diana DeGette
Rep. Diana DeGetteD-CO-1 · Feb 25, 2021

Mr. Speaker, I am so proud to rise in support of H.R. 803, and I am so proud to be the primary sponsor of this beautiful legislation, Protecting America's Wilderness and Public Lands Act. The bill…

Robert J. Wittman
Rep. Robert J. WittmanR-VA-1 · Sep 21, 2021

Madam Speaker, I thank the ranking member for yielding. I want to preface by saying that I do not agree with everything in this bill, but the committee-passed bill is worthy of support. I want to…

Lauren Boebert
Rep. Lauren BoebertR-CO-3 · Sep 21, 2021

Madam Speaker, on that I demand the yeas and nays. The SPEAKER pro tempore. Pursuant to section 3(s) of House Resolution 8, the yeas and nays are ordered. Pursuant to clause 8 of rule XX, further…

Diana DeGette
Rep. Diana DeGetteD-CO-1 · Sep 21, 2021

Madam Speaker, I have an amendment at the desk. Madam Speaker, I rise today in support of my amendment to add the first six titles of the Protecting America's Wilderness in Public Lands Act to this…

Derek Kilmer
Rep. Derek KilmerD-WA-6 · Feb 25, 2021

Mr. Speaker, I thank the gentleman for yielding. Mr. Speaker, I was born and raised on the Olympic Peninsula of Washington State, and I know firsthand how special our region is and how our public…

Tom O'Halleran
Rep. Tom O'HalleranD-AZ-1 · Feb 25, 2021

Mr. Speaker, I thank the gentleman from Colorado for yielding me the time. Mr. Speaker, I rise today to speak in favor of H.R. 803, an important package of public interest land protections. Within…

Mike Bost
Rep. Mike BostR-IL-12 · Sep 21, 2021

Madam Speaker, I rise in opposition to the amendment. Madam Speaker, the NDAA is one of the most important bills Congress passes annually. In fact, the past decade, the NDAA has been enacted every…

Al Green
Rep. Al GreenD-TX-9 · Sep 21, 2021

Madam Speaker, I have an amendment at the desk. Madam Speaker, and still I rise. Tonight, I rise to express my gratitude to many persons who have caused us to have this opportunity. I thank Chairman…

Jared Huffman
Rep. Jared HuffmanD-CA-2 · Feb 25, 2021

Mr. Speaker, I am excited to be one of the sponsors of this great legislation, and I am grateful that it includes, as title II, my bill, the Northwest California Wilderness, Recreation, and Working…

Tom McClintock
Rep. Tom McClintockR-CA-4 · Feb 25, 2021

Mr. Speaker, everything we touch in our daily lives, everything that makes our existence possible, everything that makes us more comfortable and more prosperous, everything we see in this Chamber…

Bill Text

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Referred in SenateIssued December 9, 2021

IIB

117th CONGRESS

1st Session

H. R. 5487

IN THE SENATE OF THE UNITED STATES

December 9, 2021

Received; read twice and referred to the Committee on Health, Education, Labor, and Pensions

AN ACT

To improve research and data collection on stillbirths, and for other purposes.

1.

Short title

This Act may be cited as the Stillbirth Health Improvement and Education for Autumn Act of 2021 or the SHINE for Autumn Act of 2021.

2.

Stillbirth research and data collection improvements

Title III of the Public Health Service Act is amended by inserting after section 317L–1 of such Act (42 U.S.C. 247b–13a) the following:

317L–2.

Stillbirth research and data collection improvements

(a)

Stillbirth surveillance and risk factor studies

(1)

In general

The Secretary may award grants to States for purposes of—

(A)

conducting surveillance and collecting data with respect to stillbirths;

(B)

building State and local public health capacity to assess stillbirth data; and

(C)

collecting and reporting data on stillbirth risk factors, including any quantifiable outcomes with respect to such risk factors.

(2)

Authorization of appropriations

To carry out this subsection, there is authorized to be appropriated $5,000,000 for each of fiscal years 2022 through 2026.

(b)

Guidelines and educational awareness materials

(1)

In general

The Secretary shall—

(A)

issue guidelines to State departments of health and State and local vital statistics units on—

(i)

collecting data on stillbirth from health care providers, and with the consent of the family involved, including any such data with respect to the clinical history, postmortem examination, and placental pathology;

(ii)

sharing such data with Federal agencies determined appropriate by the Director of the Centers for Disease Control and Prevention; and

(iii)

improving processes and training related to stillbirth data collection and reporting to ensure standardization and completeness of data; and

(B)

develop, and make publicly available, educational awareness materials on stillbirths.

(2)

Consultation

In carrying out paragraph (1), the Secretary may consult with—

(A)

national health care professional associations;

(B)

national associations representing State and local public health officials;

(C)

organizations that assist families with burial support and bereavement services;

(D)

nurses and nurse practitioners;

(E)

obstetricians and gynecologists;

(F)

pediatricians;

(G)

maternal-fetal medicine specialists;

(H)

midwives;

(I)

mental health professionals;

(J)

statisticians;

(K)

individuals who have experienced a stillbirth; and

(L)

advocacy organizations representing such individuals.

(3)

Authorization of appropriations

To carry out this subsection, there is authorized to be appropriated $1,000,000 for each of fiscal years 2022 through 2026.

(c)

Vital statistics unit defined

In this section, the term vital statistics unit means the entity that is responsible for maintaining vital records for a State, or a political subdivision of such State, including official records of live births, deaths, fetal deaths, marriages, divorces, and annulments.

.

3.

Perinatal pathology fellowships

The Public Health Service Act is amended by inserting after section 1122 of such Act (42 U.S.C. 300c–12) the following:

1123.

Improving perinatal pathology

(a)

In general

The Secretary shall establish and implement, or incorporate into an existing training program, a Perinatal Pathology Fellowship Program or a Postdoctoral Research Fellowship on Factors Associated with Stillbirth Program to—

(1)

provide training in perinatal autopsy pathology;

(2)

conduct research on, and improve data collection through fetal autopsies with respect to, stillbirth; and

(3)

address challenges in stillbirth education, research, and data collection.

(b)

Authorization of appropriations

There are authorized to be appropriated to carry out this section $3,000,000 for each of fiscal years 2022 through 2026.

.

4.

Reports

(a)

Educational guidelines report

(1)

In general

Not later than five years after the date of enactment of this Act, the Secretary of Health and Human Services shall publish on a public website of the Department of Health and Human Services a report with educational guidelines on stillbirth and stillbirth risk factors.

(2)

Contents

Such report shall include, to the extent practicable and appropriate, the guidelines issued and educational awareness materials developed under section 317L–2 of the Public Health Service Act, as added by section 2 of this Act.

(b)

Progress report

Not later than five years after the date of enactment of this Act, the Secretary of Health and Human Services shall submit to the Congress a comprehensive report on the progress and effectiveness of the Perinatal Pathology Fellowship Program established under section 1123 of the Public Health Service Act, as added by section 3 of this Act.

Passed the House of Representatives December 8, 2021.

Cheryl L. Johnson,

Clerk.