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S 1375 IS
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.
(************Definitions of ensure: make certain of, assure, guarantee, insure, secure, vouch, give surety or assume responsibility, doom, make certain of the failure or destruction of, make, assure the success of, be careful or certain to do something, see to it, ascertain, check, control, see, check off, tick off, mark off, tick, check, mark, verify, double-check, cinch, confirm the truth of, ascertain, find out, learn watch, determine, see; find out, learn, or determine with certainty, usually by making an inquiry or other effort; cover; maintain a check on, especially by patrolling, check or regulate by conducting a parallel experiment or comparing with another standard.*********************)
Mr. MENENDEZ (for himself, Mr. DURBIN, Ms. SNOWE, Mr. BROWN, Mr. DODD, and Mr. LAUTENBERG) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions
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.
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Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
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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'.
SEC. 2. FINDINGS.
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The Congress finds as follows:
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(1)
(*******Definition of postpartum: In the period just after delivery. Postpartum refers to the mother and postnatal to the baby. From the Latin post, after + partum, birth.*******************)
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(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,
(***Psychosis occurs in 1/100 users of antidepressants.****)
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. (***actually it is the American PSYCHIATRIC Association - I wonder if they wrote it incorrectly on purpose to distract people from the fact that we are talking about psychiatric treatment here, not counseling.***)
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(5) The symptoms of postpartum psychosis include losing touch with reality, distorted thinking, delusions, auditory hallucinations, paranoia, hyperactivity, and rapid speech or mania. (****Notice that this does not list suicidality or homicidality as symptoms. And what happens when you drug psychotic people with mood stabilizers? You double the risk of suicide, according to the FDA.****)
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(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.
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(7) The causes of postpartum depression are complex and unknown at this time; (*****So how can you treat it if you don't know the cause?*************) 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. (****NOT A CHEMICAL IMBALANCE? OK THEN WHY ARE YOU PUSHING DRUGS? You said you do not know the causes, then you list some causes, and then you later go on to recommend medication to cure strife and financial problems, abuse, and a natural drop in hormones.***)
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(8) Postpartum depression is a treatable disorder
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(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.
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(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.
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(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.
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(12) This Act shares the goals of the Melanie Blocker-Stokes Postpartum Depression Research and Care Act and
SEC. 101. DELIVERY OF SERVICES REGARDING POSTPARTUM DEPRESSION AND PSYCHOSIS.
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Subpart 3 of part B of title V of the Public Health Service Act (42 U.S.C. 290bb-31 et seq.) is amended--
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(1) by inserting after the subpart heading the following:
`CHAPTER I--GENERAL PROVISIONS';
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and
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(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.
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`(a) In General- The Secretary shall in accordance with this chapter
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`(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')
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`(2) provide for the delivery of essential services to individuals with postpartum conditions and their families.
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 (*****I think the Native Americans have disowned the US Government so good luck trying to force screening and drugs on them.********), or
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`(2) submits to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.
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`(c) Certain Activities-
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`(1) EDUCATION-
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). (***CLICK HERE TO SEE SUBPARAGRAPH C******)
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`(B) REQUIREMENTS- A State that receives a grant or contract under subsection (a)(1) shall ensure that postpartum condition education complies with the following:
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`(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
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`(ii)
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`(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.
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`(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.
(******OTHERWISE KNOWN AS: A STATE SHALL ENSURE IF WARNING SIGNS EXIST THAT MOMS GET REFERRED TO MENTAL HEALTH PROVIDERS.*****)
Click here to go back to paragraph C1A... (CLICK HERE TO SEE WHAT PSYCHIATRISTS CONSIDER A RISK FACTOR OR WARNING SIGN AND NOTICE THAT IT DOES NOT SAY SYMPTOMS in the paragraph above, just warning signs)
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`(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).
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`(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:
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`(A) Delivering or enhancing outpatient and home-based health and support services, including
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`(B) Delivering or enhancing
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`(C) Improving the quality, availability, and organization of health care and support services (including
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`(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. TECHNICAL ASSISTANCE.
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`The Secretary may provide technical assistance to assist entities in
(***********We'll give you money if you get moms on drugs.*********)
`SEC. 520M. AUTHORIZATION OF APPROPRIATIONS.
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`For the purpose of carrying out this chapter, there are authorized to be appropriated such
((*****$$$$$$$$$$$$$$$$$$$$$$$***********))
SEC. 201. CONSENSUS RESEARCH CONFERENCE AND PLAN CONCERNING POSTPARTUM DEPRESSION AND PSYCHOSIS.
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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.
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`(a) Consensus Research Conference and Plan-
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`(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').
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`(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--
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`(A) basic
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`(B) epidemiological studies to address the frequency and natural history of postpartum conditions
(*****RESEARCH ON MINORITIES??????????*******)
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`(C) the development of improved diagnostic techniques relating to postpartum conditions; and
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`(D)
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`(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).
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`(b) Activity Relating to Research Plan-
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`(1) IN GENERAL- After the development of the research plan under subsection (a)(1), the Secretary, acting through the Director of NIH
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`(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.'.