H.R. 3226House118th Congress (2023-2025)Passed House

PREEMIE Reauthorization Act of 2023

Introduced May 11, 2023

AI-Generated Summary

Updated January 20, 2026 at 7:26 AM UTC

The PREEMIE Reauthorization Act of 2023 extends the existing Prematurity Research Expansion and Education for Mothers who deliver Infants Early program through fiscal years 2024‑2028. It requires the Health and Human Services Secretary to set up an interagency working group within 18 months and to commission the National Academies to study premature births, including costs, causes, and early‑detection opportunities. The findings must be reported to Congress and HHS within two years of enactment.

Key Provisions

  • Extends the program’s authorized funding period from FY 2019‑2023 to FY 2024‑2028.
  • Mandates that the HHS Secretary, in collaboration with other departments, establish an interagency working group no later than 18 months after the law takes effect.
  • Directs HHS to contract the National Academies to convene a maternal‑health expert committee within 30 days, produce a consensus report assessing financial costs, factors influencing preterm births, detection opportunities, and research strategies, and deliver the report to HHS and relevant congressional committees within 24 months.
  • Makes a technical correction to a prior amendment by updating a section reference from “Section 2” to “Section 3.”

Legislative Activity

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15 earlier actions
SenateCalendars Latest Action

Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 275.

December 12, 2023

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HouseIntro Referral

Introduced in House

May 11, 2023

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

May 11, 2023

HouseCommittee

Referred to the Subcommittee on Health.

May 12, 2023

HouseCommittee

Subcommittee Consideration and Mark-up Session Held.

July 13, 2023

HouseCommittee

Forwarded by Subcommittee to Full Committee (Amended) by the Yeas and Nays: 26 - 0 .

July 13, 2023

HouseCommittee

Committee Consideration and Mark-up Session Held.

July 19, 2023

HouseCommittee

Ordered to be Reported (Amended) by the Yeas and Nays: 48 - 0.

July 19, 2023

HouseCommittee

Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-164.

August 25, 2023

HouseCalendars

Placed on the Union Calendar, Calendar No. 130.

August 25, 2023

HouseFloor

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

December 11, 2023 • 5:18 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H6799-6800)

December 11, 2023 • 5:18 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 3226.

December 11, 2023 • 5:18 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H6799)

December 11, 2023 • 5:28 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H6799)

December 11, 2023 • 5:28 PM

HouseFloor

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

December 11, 2023 • 5:28 PM

SenateCalendars

Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 275.

December 12, 2023

Floor Debate

4 members

What members said about H.R. 3226 on the floor

2 Republicans2 Democrats
Frank Pallone, Jr.
Rep. Frank Pallone, Jr.D-NJ-6 · Dec 11, 2023

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise to speak in support of H.R. 3226, the PREEMIE Reauthorization Act of 2023. This bipartisan legislation sponsored by…

Brett Guthrie
Rep. Brett GuthrieR-KY-2 · Dec 11, 2023

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 3226) to reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act, as amended. Mr.…

Anna G. Eshoo
Rep. Anna G. EshooD-CA-16 · Dec 11, 2023

Mr. Speaker, I thank the ranking member of the full committee for yielding time. Today, the House is going to vote on my legislation, H.R. 3226, the PREEMIE Reauthorization Act. I thank the co-leads…

Earl L. "Buddy" Carter
Rep. Earl L. "Buddy" CarterR-GA-1 · Dec 11, 2023

Mr. Speaker, I thank the gentleman for yielding. Mr. Speaker, I rise today in strong support of the PREEMIE Reauthorization Act of 2023, which will reauthorize critical programs to expand research…

Bill Text

4 versions available

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Latest
Placed on Calendar SenateIssued December 12, 2023

II

Calendar No. 275

118th CONGRESS

1st Session

H. R. 3226

IN THE SENATE OF THE UNITED STATES

December 12, 2023

Received; read twice and placed on the calendar

AN ACT

To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act.

1.

Short title

This Act may be cited as the PREEMIE Reauthorization Act of 2023.

2.

Research relating to preterm labor and delivery and the care, treatment, and outcomes of preterm and low birthweight infants

(a)

In general

Section 3(e) of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (42 U.S.C. 247b–4f(e)) is amended by striking fiscal years 2019 through 2023 and inserting fiscal years 2024 through 2028.

(b)

Technical correction

Effective as if included in the enactment of the PREEMIE Reauthorization Act of 2018 (Public Law 115–328), section 2 of such Act is amended, in the matter preceding paragraph (1), by striking Section 2 and inserting Section 3.

3.

Interagency working group

Section 5(a) of the PREEMIE Reauthorization Act of 2018 (Public Law 115–328) is amended by striking The Secretary of Health and Human Services, in collaboration with other departments, as appropriate, may establish and inserting Not later than 18 months after the date of the enactment of the PREEMIE Reauthorization Act of 2023, the Secretary of Health and Human Services, in collaboration with other departments, as appropriate, shall establish.

4.

Study on preterm births

(a)

In general

The Secretary of Health and Human Services shall enter into appropriate arrangements with the National Academies of Sciences, Engineering, and Medicine under which the National Academies shall—

(1)

not later than 30 days after the date of enactment of this Act, convene a committee of experts in maternal health to study premature births in the United States; and

(2)

upon completion of the study under paragraph (1)—

(A)

approve by consensus a report on the results of such study;

(B)

include in such report—

(i)

an assessment of each of the topics listed in subsection (b);

(ii)

the analysis required by subsection (c); and

(iii)

the raw data used to develop such report; and

(C)

not later than 24 months after the date of enactment of this Act, transmit such report to—

(i)

the Secretary of Health and Human Services;

(ii)

the Committee on Energy and Commerce of the House of Representatives; and

(iii)

the Committee on Finance and the Committee on Health, Education, Labor, and Pensions of the Senate.

(b)

Assessment topics

The topics listed in this subsection are of each of the following:

(1)

The financial costs of premature birth to society, including—

(A)

an analysis of stays in neonatal intensive care units and the cost of such stays;

(B)

long-term costs of stays in such units to society and the family involved post-discharge; and

(C)

health care costs for families post-discharge from such units (such as medications, therapeutic services, co-pays visits and specialty equipment).

(2)

The factors that impact pre-term birth rates.

(3)

Opportunities for earlier detection of premature birth risk factors, including—

(A)

opportunities to improve maternal and infant health; and

(B)

opportunities for public health programs to provide support and resources for parents in-hospital, in non-hospital settings, and post-discharge.

(c)

Analysis

The analysis required by this subsection is an analysis of—

(1)

targeted research strategies to develop effective drugs, treatments, or interventions to bring at-risk pregnancies to term;

(2)

State and other programs’ best practices with respect to reducing premature birth rates; and

(3)

precision medicine and preventative care approaches starting early in the life course (including during pregnancy) with a focus on behavioral and biological influences on premature birth, child health, and the trajectory of such approaches into adulthood.

Passed the House of Representatives December 11, 2023.

Kevin F. McCumber,

Clerk.

December 12, 2023

Received; read twice and placed on the calendar