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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public" slc-id="S1-TAM25313-2J1-9S-H5J"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>119 S999 IS: Public Health Improvement Act</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2025-03-12</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">II</distribution-code><congress>119th CONGRESS</congress><session>1st Session</session><legis-num>S. 999</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20250312">March 12, 2025</action-date><action-desc><sponsor name-id="S420">Mr. Schmitt</sponsor> (for himself and <cosponsor name-id="S346">Mr. Lee</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSHR00">Committee on Health, Education, Labor, and Pensions</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To reform the Centers for Disease Control and Prevention, limit the scope of public health authorities, and for other purposes.</official-title></form><legis-body display-enacting-clause="yes-display-enacting-clause"><section section-type="section-one" id="S1"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Public Health Improvement Act</short-title></quote>.</text></section><section id="id8107dd6343d94425bb20c2eedca8e69a"><enum>2.</enum><header>Terms of CDC and NIH directors</header><subsection commented="no" display-inline="no-display-inline" id="id4f4083257cae4d428fcfefee72b59c2e"><enum>(a)</enum><header>Term of CDC director</header><text>Section 305(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/242c">42 U.S.C. 242c(a)</external-xref>) is amended by adding at the end the following: <quote>No individual may serve as Director for a total period of more than 12 years.</quote>.</text></subsection><subsection commented="no" display-inline="no-display-inline" id="idff5db010f2d54fd48b2cb19346af4410"><enum>(b)</enum><header>Term of NIH director</header><text>Section 402(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/282">42 U.S.C. 282(a)</external-xref>) is amended by adding at the end the following: <quote>No individual may serve as Director of NIH for a total period of more than 12 years.</quote>.</text></subsection></section><section commented="no" id="id69c9a7319d8f4b8db9fdcc61e33c8ed2"><enum>3.</enum><header>Limiting the CDC strategic plan</header><text display-inline="no-display-inline">Section 305(c)(2)(A) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/242c">42 U.S.C. 242c(c)(2)(A)</external-xref>) is amended—</text><paragraph commented="no" display-inline="no-display-inline" id="id335ba59191024604b9549c24aaa35cc9"><enum>(1)</enum><text display-inline="yes-display-inline">in clause (i), by striking <quote>and noncommunicable diseases or conditions, and addressing injuries, and occupational and environmental hazards</quote> and inserting <quote>diseases</quote>;</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id83855091415c4c9f9d0ce2be62568274"><enum>(2)</enum><text display-inline="yes-display-inline">in clause (ii), by striking <quote>or conditions</quote>; </text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id77ff5b86afc04ae5914e589d431cfe46"><enum>(3)</enum><text display-inline="yes-display-inline">in clause (iii), by adding <quote>and</quote> at the end;</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="ideaff04d52fa14990a10fa010c1cdaf3d"><enum>(4)</enum><text>in clause (iv), by striking <quote>; and</quote> and inserting a semicolon; and</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id4f2df2597424426b928fe58aa81a7783"><enum>(5)</enum><text>by striking clause (v).</text></paragraph></section><section commented="no" display-inline="no-display-inline" id="ida8c12ae8df984f64b6f3580a6bc053be"><enum>4.</enum><header>Advisory committee to the CDC Director</header><text display-inline="no-display-inline">Section 305A(c) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/242c-1">42 U.S.C. 242c–1(c)</external-xref>) is amended—</text><paragraph commented="no" display-inline="no-display-inline" id="ida826f1fec17343d0a7cb42de8f76a235"><enum>(1)</enum><text>in paragraph (1), by striking <quote>by the Secretary under</quote> and inserting <quote>as described in</quote>; and</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idea9a5abdab604a2a9d98bb41a89d2ca3"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (3), by striking subparagraphs (A) and (B) and inserting the following: </text><quoted-block style="OLC" display-inline="no-display-inline" id="id16D37D75AB2D4E6BAC82E9A89258913F"><subparagraph commented="no" id="id5526f8af3bdc40e79b054d83e6087387"><enum>(A)</enum><text>Three members shall be appointed by the Secretary of Health and Human Services—</text><clause commented="no" id="idfa50291d501d45e5b0f6ed669f963f5b"><enum>(i)</enum><text>1 of whom shall be appointed to represent the Department of Health and Human Services; and</text></clause><clause commented="no" id="id298b326621fb4b22bd48f365066c6678"><enum>(ii)</enum><text>1 of whom shall be a public health official.</text></clause></subparagraph><subparagraph commented="no" id="id7d26424810344abaaf0907185f739358"><enum>(B)</enum><text>Two members shall be appointed by the majority leader of the Senate.</text></subparagraph><subparagraph commented="no" id="id5c6c9987a0d048c189866a51d876f086"><enum>(C)</enum><text>Two members shall be appointed by the minority leader of the Senate.</text></subparagraph><subparagraph commented="no" id="idc1a66f68b7824281bc60d977247debfe"><enum>(D)</enum><text>Two members shall be appointed by the Speaker of the House of Representatives.</text></subparagraph><subparagraph commented="no" id="id2fe17ef651ec4e229e0fbe5176ef20fc"><enum>(E)</enum><text>Two members shall be appointed by the minority leader of the House of Representatives.</text></subparagraph><subparagraph commented="no" id="id368612322d82491494f0186868106169"><enum>(F)</enum><text>Four members shall be appointed by the Comptroller General of the United States.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="id530b2f0d858246e48445b36a46ed7f5f"><enum>5.</enum><header>Limiting the scope of regulations of the Department of Health and Human Services to control communicable diseases</header><text display-inline="no-display-inline">Section 361(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/264">42 U.S.C. 264(a)</external-xref>) is amended to read as follows:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idbc3c38c395e84f569638d2475d2d39b8"><subsection commented="no" display-inline="no-display-inline" id="iddf6b6bd2f30e42e39b73ebc1df514aaa"><enum>(a)</enum><text display-inline="yes-display-inline">To prevent the introduction, transmission, or spread of communicable diseases from foreign countries into the States or possessions, or from one State or possession into any other State or possession, the Secretary may make and enforce regulations for the inspection, fumigation, disinfection, sanitation, pest extermination, or destruction of animals or articles found to be so infected or contaminated as to be sources of dangerous infection to human beings.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section><section commented="no" id="idb6766c479cae4a32821d726444dea886"><enum>6.</enum><header>Congressional approval for public health emergencies</header><text display-inline="no-display-inline">Section 319(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/247d">42 U.S.C. 247d(a)</external-xref>) is amended by striking the third and fourth sentences and inserting the following: <quote>Determinations that terminate under the preceding sentence may be renewed by a majority vote in both chambers of Congress, and such a renewal period terminates upon the Secretary declaring that the emergency no longer exists or the expiration of the 90-day period beginning on the date on which both chambers of Congress have voted in favor of such renewal, whichever occurs first. Not later than 48 hours after making a determination under this subsection of a public health emergency, the Secretary shall submit to the Congress written notification of the determination.</quote>.</text></section><section id="idec221d1ed5014ea086a29f928cecaff1"><enum>7.</enum><header>Transfer of offices to NIH</header><subsection commented="no" display-inline="no-display-inline" id="id66ec6a566d4044028f313fae4861cfc5"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Effective on the date that is 2 years after the date of enactment of this Act, notwithstanding any other provision of law, the authorities, functions, personnel, and assets of the offices described in subsection (b) shall be transferred from the Centers for Disease Control and Prevention to the National Institutes of Health.</text></subsection><subsection commented="no" display-inline="no-display-inline" id="id4c484475996f4550b40ad2409d098846"><enum>(b)</enum><header>Offices described</header><text display-inline="yes-display-inline">The offices described in this subsection are the following:</text><paragraph commented="no" display-inline="no-display-inline" id="id0b626fa7441b4367a83a80e0819e048a"><enum>(1)</enum><text>The National Center on Birth Defects and Developmental Disabilities.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idb3fc00fd059745d5b250a6d9a4cd9c7d"><enum>(2)</enum><text>The National Center for Chronic Disease Prevention and Health Promotion.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="ida68ecf014a744b32844778a03fd4e82f"><enum>(3)</enum><text>The National Center for Environmental Health.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idb447fdd435a146379a9bb3fc3492bc7c"><enum>(4)</enum><text>The Agency for Toxic Substances and Disease Registry.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id1438a9beda3c4f26a7b4ee921ec03441"><enum>(5)</enum><text>The National Center for Health Statistics.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id3563fb13c43f40939e030c0432717989"><enum>(6)</enum><text>The National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id50599fd9fb934a139b884df2fb8c08d0"><enum>(7)</enum><text>The National Center for Injury Prevention and Control.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idab7040257028420d95049f7e00c78c94"><enum>(8)</enum><text>The National Institute for Occupational Safety and Health.</text></paragraph></subsection></section><section id="idF7373EDC3F0B41089B110E175CEACC11"><enum>8.</enum><header>Regulations</header><text display-inline="no-display-inline">Not later than 90 days after the date of enactment of this Act, the Secretary of Health and Human Services shall issue such new or revised regulations as are necessary to carry out this Act (including the amendments made by this Act). </text></section><section commented="no" display-inline="no-display-inline" section-type="subsequent-section" id="id1BE578299DFD430299E613F6E32716D3"><enum>9.</enum><header>Preemption</header><text display-inline="no-display-inline">The provisions of this Act (including the amendments made by this Act) shall supersede any provision of Federal, State, Tribal, territorial, or local law, declaration, guidance, or directive to the extent that such law, declaration, guidance, or directive is inconsistent with this Act (including such amendments). </text></section></legis-body></bill> 

