H.R. 5551House117th Congress (2021-2023)Passed House

Improving the Health of Children Act

Introduced October 12, 2021

AI-Generated Summary

Updated February 8, 2026 at 7:18 AM UTC

The Improving the Health of Children Act reauthorizes the National Center on Birth Defects and Developmental Disabilities and expands its work to cover a wide range of child health conditions. It requires the Secretary of Health and Human Services to report to Congress every two years and provides $186,010,000 in funding each year from FY2022 through FY2026. The bill also amends the Public Health Service Act’s folic‑acid provision by removing its prior appropriations language. It primarily affects the Center, the HHS Secretary, and children with the listed conditions.

Key Provisions

  • Reauthorizes the Center and adds specific program areas such as early identification of developmental delay, birth defects, folic acid, autism, cerebral palsy, intellectual disabilities, and other listed conditions
  • Requires the Secretary to submit a biennial report to the House Energy and Commerce Committee and the Senate HELP Committee
  • Authorizes $186,010,000 in funding for each fiscal year 2022‑2026
  • Amends the folic‑acid section of the Public Health Service Act by striking the previous appropriations subsection

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 12, 2021

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

October 12, 2021

HouseCommittee

Referred to the Subcommittee on Health.

October 13, 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. 117-209.

December 8, 2021

HouseCalendars

Placed on the Union Calendar, Calendar No. 150.

December 8, 2021

HouseFloor

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

December 8, 2021 • 3:43 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H7516-7518)

December 8, 2021 • 3:43 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 5551.

December 8, 2021 • 3:43 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 • 3:50 PM

HouseFloor

Considered as unfinished business. (consideration: CR H7537-7538)

December 8, 2021 • 7:33 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): 405 - 20 (Roll no. 418).(text: CR H7516-7517)

December 8, 2021 • 7:40 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 405 - 20 (Roll no. 418). (text: CR H7516-7517)

December 8, 2021 • 7:40 PM

HouseFloor

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

December 8, 2021 • 7:40 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

6 members

What members said about H.R. 5551 on the floor

3 Republicans3 Democrats
Anna G. Eshoo
Rep. Anna G. EshooD-CA-18 · Dec 8, 2021

Madam Speaker, I rise in strong support of seven bills that originated in the Health Subcommittee of Energy and Commerce which I have the privilege to chair. These bipartisan bills address the…

Lori Trahan
Rep. Lori TrahanD-MA-3 · Dec 8, 2021

Mr. Speaker, I rise in strong support of H.R. 5551, the Improving the Lives of Children Act. I sponsored this bipartisan legislation alongside Representatives Buddy Carter, G. K. Butterfield, and…

Frank Pallone, Jr.
Rep. Frank Pallone, Jr.D-NJ-6 · Dec 8, 2021

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 5551) to amend title III of the Public Health Service Act to reauthorize the National Center on Birth Defects and Developmental…

Earl L. "Buddy" Carter
Rep. Earl L. "Buddy" CarterR-GA-1 · Dec 8, 2021

Mr. Speaker, I thank the chairman and ranking member for bringing this important legislation to the floor. The Improving the Health for Children Act is up for vote today. It is an extremely important…

Brett Guthrie
Rep. Brett GuthrieR-KY-2 · Dec 8, 2021

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise today in support of H.R. 5551, the Improving the Health of Children Act, led by my Energy and Commerce Committee…

Show 1 more
Randy K. Weber, Sr.
Rep. Randy K. Weber, Sr.R-TX-14 · Dec 8, 2021

Mr. Speaker, on that I demand the yeas and nays.

Bill Text

4 versions available

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Latest
Referred in SenateIssued December 9, 2021

IIB

117th CONGRESS

1st Session

H. R. 5551

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 amend title III of the Public Health Service Act to reauthorize the National Center on Birth Defects and Developmental Disabilities, and for other purposes.

1.

Short title

This Act may be cited as the Improving the Health of Children Act.

2.

Reauthorization of the National Center on Birth Defects and Developmental Disabilities

Section 317C of the Public Health Service Act (42 U.S.C. 247b–4) is amended—

(1)

by striking subsection (a)(4) and inserting the following:

(4)

Specific programs

The Secretary, acting through the Director of the Center, shall continue to carry out programs related to—

(A)

early identification of developmental delay and disability;

(B)

birth defects;

(C)

folic acid;

(D)

cerebral palsy;

(E)

intellectual disabilities;

(F)

child development;

(G)

newborn screening;

(H)

autism;

(I)

fragile X syndrome;

(J)

fetal alcohol spectrum disorders and other conditions related to prenatal substance use;

(K)

pediatric genetic disorders;

(L)

neuromuscular diseases;

(M)

congenital heart defects;

(N)

attention-deficit/hyperactivity disorder;

(O)

stillbirth;

(P)

Tourette Syndrome; or

(Q)

any other relevant disease, disability, disorder, or condition, as determined the Secretary.

;

(2)

in subsection (c), in the matter preceding paragraph (1), by striking Not later than February 1 and all that follows through 2 fiscal years— and inserting the following: The Secretary shall submit biennially to the Committee on Energy and Commerce of the House of Representatives, and the Committee on Health, Education, Labor, and Pensions of the Senate, a report that—; and

(3)

in subsection (f), by striking such sums as may be necessary for each of fiscal years 2003 through 2007 and inserting $186,010,000 for each of fiscal years 2022 through 2026.

3.

Effects of folic acid in prevention of birth defects

Section 317J of the Public Health Service Act (42 U.S.C. 247b–11) is amended by striking subsection (e) (relating to authorization of appropriations).

Passed the House of Representatives December 8, 2021.

Cheryl L. Johnson,

Clerk.