1. Short title This Act may be cited as the Healthy Start Reauthorization Act of 2019 . 2. Reauthorization of healthy start program Section 330H of the Public Health Service Act ( 42 U.S.C. 254c–8 ) is amended— (1) in subsection (a)— (A) in paragraph (1), by striking , during fiscal year 2001 and subsequent years, ; and (B) in paragraph (2), by inserting or increasing above the national average after areas with high ; (2) in subsection (b)— (A) in paragraph (1), by striking consumers of project services, public health departments, hospitals, health centers under section 330 and inserting participants and former participants of project services, public health departments, hospitals, health centers under section 330, State substance abuse agencies ; and (B) in paragraph (2)— (i) in subparagraph (A), by striking such as low birthweight and inserting including poor birth outcomes (such as low birthweight and preterm birth) and social determinants of health ; (ii) by redesignating subparagraph (B) as subparagraph (C); (iii) by inserting after subparagraph (A), the following: (B) Communities with— (i) high rates of infant mortality or poor perinatal outcomes; or (ii) high rates of infant mortality or poor perinatal outcomes in specific subpopulations within the community. ; and (iv) in subparagraph (C) (as so redesignated)— (I) by redesignating clauses (i) and (ii) as clauses (ii) and (iii), respectively; (II) by inserting before clause (ii) (as so redesignated) the following: (i) collaboration with the local community in the development of the project; ; (III) in clause (ii) (as so redesignated), by striking and at the end; (IV) in clause (iii) (as so redesignated), by striking the period and inserting ; and ; and (V) by adding at the end the following: (iv) the use and collection of data demonstrating the effectiveness of such program in decreasing infant mortality rates and improving perinatal outcomes, as applicable, or the process by which new applicants plan to collect this data.