1.Short title; table of
contents
(a)This Act may be cited as the
Pandemic and All-Hazards Preparedness
Act
.
(b)The table of contents of this Act is as follows:
Sec. 1. Short title;
table of contents.
TITLE I—National
preparedness and response, leadership, organization, and planning
Sec. 101. Public health and medical
preparedness and response functions of the Secretary of Health and Human
Services.
Sec. 102. Assistant Secretary for
Preparedness and Response.
Sec. 103. National Health Security
Strategy.
TITLE II—Public health
security preparedness
Sec. 201. Improving State and local
public health security.
Sec. 202. Using information technology
to improve situational awareness in public health emergencies.
Sec. 203. Public health workforce
enhancements.
Sec. 204. Vaccine tracking and
distribution.
Sec. 205. National Science Advisory
Board for Biosecurity.
TITLE III—All-Hazards
medical surge capacity
Sec. 301. National Disaster Medical
System.
Sec. 302. Enhancing medical surge
capacity.
Sec. 303. Encouraging health
professional volunteers.
Sec. 304. Core education and
training.
Sec. 305. Partnerships for state and
regional hospital preparedness to improve surge capacity.
Sec. 306. Enhancing the role of the
Department of Veterans Affairs.
<enum>I</enum><header>National
preparedness and response, leadership, organization, and planning</header>
<section changed="deleted" committee-id="SSHR00" id="id384969BE309C4600A23981187FA853C8" reported-display-style="strikethrough"><enum>101.</enum><header>Public health
and medical preparedness and response functions of the Secretary of Health and
Human Services</header><text display-inline="no-display-inline">Title XXVIII of
the Public Health Service Act (42 U.S.C. 300hh–11 et seq.) is amended—</text>
<paragraph id="id276BB4772EF8429B814E5B141E53D1E6"><enum>(1)</enum><text>by striking the title heading and
inserting the following:</text>
<quoted-block changed="deleted" display-inline="no-display-inline" id="id2486A81222D447F6A742BA10E8FEA40E" reported-display-style="strikethrough" style="OLC">
<title id="idBB85DE2729F64C27AAA5202740295F0A"><enum>XXVIII</enum><header>National
all-hazards preparedness for public health
emergencies</header>
;
(2)by amending
subtitle A to read as follows:
ANational
all-hazards preparedness and response planning, coordinating, and
reporting
2801.Public health
and medical preparedness and response functions
(a)The Secretary of
Health and Human Services shall lead all Federal public health and medical
response to public health emergencies and incidents covered by the National
Response Plan developed pursuant to section 502(6) of the Homeland Security Act
of 2002, or any successor plan.
(b)The Secretary, in
collaboration with the Secretary of Veterans Affairs, the Secretary of
Transportation, the Secretary of Defense, the Secretary of Homeland Security,
and the head of any other relevant Federal agency, shall establish an
interagency agreement, consistent with the National Response Plan or any
successor plan, under which agreement the Secretary of Health and Human
Services shall assume operational control of emergency public health and
medical response assets, as necessary, in the event of a public health
emergency.
.
102.Assistant
Secretary for Preparedness and Response
(a)Assistant
Secretary for Preparedness and ResponseSubtitle B of title
XXVIII of the Public Health Service Act (42 U.S.C. 300hh–11 et seq.) is
amended—
(1)in the subtitle heading, by
inserting All-Hazards
before Emergency
Preparedness
;
(2)by redesignating section 2811 as
section 2812;
(3)by inserting after the subtitle
heading the following new section:
2811.Coordination
of preparedness for and response to all-hazards public health
emergencies
(a)There is established within the Department of Health and
Human Services the position of the Assistant Secretary for Preparedness and
Response. The President, with the advice and consent of the Senate, shall
appoint an individual to serve in such position. Such Assistant Secretary shall
report to the Secretary.
(b)Subject
to the authority of the Secretary, the Assistant Secretary for Preparedness and
Response shall carry out the following functions:
(1)Serve
as the principal advisor to the Secretary on all matters related to Federal
public health and medical preparedness and response for public health
emergencies.
(2)Register,
credential, organize, train, equip, and have the authority to deploy Federal
public health and medical personnel under the authority of the Secretary,
including the National Disaster Medical System, and coordinate such personnel
with the Medical Reserve Corps and the Emergency System for Advance
Registration of Volunteer Health Professionals.
(3)
(A)Oversee
advanced research, development, and procurement of qualified countermeasures
(as defined in section 319F–1) and qualified pandemic or epidemic products (as
defined in section 319F–3).
(B)Strategic national
stockpileMaintain the Strategic National Stockpile in accordance
with section 319F–2, including conducting an annual review (taking into account
at-risk individuals) of the contents of the stockpile, including
non-pharmaceutical supplies, and make necessary additions or modifications to
the contents based on such review.
(4)
(A)Coordinate with relevant Federal officials to ensure
integration of Federal preparedness and response activities for public health
emergencies.
(B)State, local, and tribal
integrationCoordinate with State, local, and tribal public
health officials, the Emergency Management Assistance Compact, health care
systems, and emergency medical service systems to ensure effective integration
of Federal public health and medical assets during a public health
emergency.
(C)Emergency medical
servicesPromote improved emergency medical services medical
direction, system integration, research, and uniformity of data collection,
treatment protocols, and policies with regard to public health
emergencies.
(5)In
coordination with the Secretary of Veterans Affairs, the Secretary of Homeland
Security, the General Services Administration, and other public and private
entities, provide logistical support for medical and public health aspects of
Federal responses to public health emergencies.
(6)Provide
leadership in international programs, initiatives, and policies that deal with
public health and medical emergency preparedness and response.
(c)The
Assistant Secretary for Preparedness and Response shall—
(1)have authority
over and responsibility for the functions, personnel, assets, and liabilities
of the following—
(A)the National Disaster Medical
System (in accordance with section 301 of the Pandemic and All-Hazards Preparedness
Act);
(B)the Hospital Preparedness
Cooperative Agreement Program pursuant to section 319C–2; and
(C)the Public Health Preparedness
Cooperative Agreement Program pursuant to section 319C–1;
(2)exercise the
responsibilities and authorities of the Secretary with respect to the
coordination of—
(A)the Medical Reserve Corps pursuant
to section 2813 as added by the Pandemic and
All-Hazards Preparedness Act;
(B)the Emergency System for Advance
Registration of Volunteer Health Professionals pursuant to section 319I;
(C)the Strategic National Stockpile;
and
(D)the Cities Readiness Initiative;
and
(3)assume other
duties as determined appropriate by the
Secretary.
;
and
(4)by striking
Assistant Secretary for Public Health Emergency Preparedness
each place it appears and inserting Assistant Secretary for Preparedness
and Response
.
(b)Transfer of
functions; references
(1)There shall be transferred to the Office of the
Assistant Secretary for Preparedness and Response the functions, personnel,
assets, and liabilities of the Assistant Secretary for Public Health Emergency
Preparedness as in effect on the day before the date of enactment of this
Act.
(2)Any
reference in any Federal law, Executive order, rule, regulation, or delegation
of authority, or any document of or pertaining to the Assistant Secretary for
Public Health Emergency Preparedness as in effect the day before the date of
enactment of this Act, shall be deemed to be a reference to the Assistant
Secretary for Preparedness and Response.
103.National Health
Security StrategyTitle XXVIII
of the Public Health Service Act (300hh–11 et seq.), as amended by section 101,
is amended by inserting after section 2801 the following:
2802.National
Health Security Strategy
(a)
(1)Preparedness and response
regarding public health emergenciesBeginning in 2009 and every 4
years thereafter, the Secretary shall prepare and submit to the relevant
Committees of Congress a coordinated strategy and any revisions thereof, and an
accompanying implementation plan for public health emergency preparedness and
response. The strategy shall identify the process for achieving the
preparedness goals described in subsection (b) and shall be consistent with the
National Preparedness Goal, the National Incident Management System, and the
National Response Plan developed pursuant to section 502(6) of the Homeland
Security Act of 2002, or any successor plan.
(2)The National Health Security Strategy shall include an
evaluation of the progress made by Federal, State, local, and tribal entities,
based on the evidence-based benchmarks and objective standards that measure
levels of preparedness established pursuant to section 319C–1(g). Such
evaluation shall include aggregate and State-specific breakdowns of obligated
funding spent by major category (as defined by the Secretary) for activities
funded through awards pursuant to sections 319C–1 and 319C–2.
(3)In 2009, the National Health Security Strategy shall
include a national strategy for establishing an effective and prepared public
health workforce, including defining the functions, capabilities, and gaps in
such workforce, and identifying strategies to recruit, retain, and protect such
workforce from workplace exposures during public health emergencies.
(b)The strategy under subsection (a) shall include provisions
in furtherance of the following:
(1)Integrating
public health and public and private medical capabilities with other first
responder systems, including through—
(A)the periodic evaluation of Federal,
State, local, and tribal preparedness and response capabilities through drills
and exercises; and
(B)integrating public and private
sector public health and medical donations and volunteers.
(2)Developing and sustaining Federal, State, local, and
tribal essential public health security capabilities, including the
following:
(A)Disease situational awareness
domestically and abroad, including detection, identification, and
investigation.
(B)Disease containment including
capabilities for isolation, quarantine, social distancing, and
decontamination.
(C)Risk communication and public
preparedness.
(D)Rapid distribution and
administration of medical countermeasures.
(3)Increasing
the preparedness, response capabilities, and surge capacity of hospitals, other
health care facilities (including mental health facilities), and trauma care
and emergency medical service systems with respect to public health
emergencies, which shall include developing plans for the following:
(A)Strengthening public health
emergency medical management and treatment capabilities.
(B)Medical evacuation and fatality
management.
(C)Rapid distribution and
administration of medical countermeasures.
(D)Effective utilization of any
available public and private mobile medical assets and integration of other
Federal assets.
(E)Protecting health care workers and
health care first responders from workplace exposures during a public health
emergency.
(4)
(A)Taking into account the public
health and medical needs of at-risk individuals in the event of a public health
emergency.
(B)For purpose of this title and
section 319, the term at-risk individuals
means children,
pregnant women, senior citizens and other individuals who have special needs in
the event of a public health emergency, as determined by the Secretary.
(5)Minimizing
duplication of, and ensuring coordination between Federal, State, local, and
tribal planning, preparedness, and response activities (including the State
Emergency Management Assistance Compact). Such planning shall be consistent
with the National Response Plan, or any successor plan, and National Incident
Management System and the National Preparedness Goal.
(6)Maintaining vital public health and medical services
to allow for optimal Federal, State, local, and tribal operations in the event
of a public health
emergency.
.
<enum>II</enum><header>Public health
security preparedness</header>
<section changed="deleted" committee-id="SSHR00" id="id47EAFCD250864BC8A222432CE393D015" reported-display-style="strikethrough"><enum>201.</enum><header>Improving State
and local public health security</header><text display-inline="no-display-inline">Section 319C–1 of the Public Health Service
Act (42 U.S.C. 247d–3a) is amended—</text>
<paragraph id="idB489779DAA1A4883ACBA382F6B7DAD7E"><enum>(1)</enum><text display-inline="yes-display-inline">by amending the heading to read as follows:
<quote><header-in-text level="section" style="OLC">Improving state and local
public health security.</header-in-text></quote>;</text>
</paragraph><paragraph id="id1A5F84855AAA458E9E70C9B06472875E"><enum>(2)</enum><text>by striking subsections (a) through
(i) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id53012A18ABA24BD5AFFCCC045362999A" style="OLC">
<subsection changed="deleted" committee-id="SSHR00" id="idBA54E380C426488A8691DD4E4115D105" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text>To enhance the security of the United States with respect
to public health emergencies, the Secretary shall award cooperative agreements
to eligible entities to enable such entities to conduct the activities
described in subsection (d).</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="id40FF4B107BCF4C738D5419AEDEDDBFA9" reported-display-style="strikethrough"><enum>(b)</enum><header>Eligible
entities</header><text>To be eligible to receive an award under subsection (a),
an entity shall—</text>
<paragraph changed="deleted" committee-id="SSHR00" id="idAC706A9FF9A34690993E7165A5AC28D6" reported-display-style="strikethrough"><enum>(1)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id1D1CF82D30F04F6E84AFE6E07BA3246D"><enum>(A)</enum><text>be a State;</text>
</subparagraph><subparagraph id="idCEBC6C373E9645758173D90A17211815" indent="up1"><enum>(B)</enum><text>be a political subdivision
determined by the Secretary to be eligible for an award under this section
(based on criteria described in subsection (h)(4); or</text>
</subparagraph><subparagraph id="id9D74E7FDBFF9499CB216A6197AE34BE6" indent="up1"><enum>(C)</enum><text>be a consortium of entities
described in subparagraph (A); and</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="idB1E768D398AE4E3E98C123E5594C6468" reported-display-style="strikethrough"><enum>(2)</enum><text>prepare and submit
to the Secretary an application at such time, and in such manner, and
containing such information as the Secretary may require, including—</text>
<subparagraph changed="deleted" committee-id="SSHR00" id="idB3C7D3EFB0114ED39A23DC2155CA42B4" reported-display-style="strikethrough"><enum>(A)</enum><text>an All-Hazards
Public Health Emergency Preparedness and Response Plan which shall
include—</text>
<clause id="ID075507d5241b4238918de7edf44202dd"><enum>(i)</enum><text>a description of the activities
such entity will carry out under the agreement to meet the goals identified
under section 2802;</text>
</clause><clause id="ID8f48d85acbb54ea9b09f2967a8696bc8"><enum>(ii)</enum><text>a pandemic influenza plan
consistent with the requirements of paragraphs (2) and (5) of subsection
(g);</text>
</clause><clause id="ID26d5d83b291b4dec870d9cde91c6e104"><enum>(iii)</enum><text>preparedness and response
strategies and capabilities that take into account the medical and public
health needs of at-risk individuals in the event of a public health
emergency;</text>
</clause><clause id="ID9d3ad8c7fc1e45faaeb4fdc6d7e86d85"><enum>(iv)</enum><text>a description of the mechanism the
entity will implement to utilize the Emergency Management Assistance Compact or
other mutual aid agreements for medical and public health mutual aid;
and</text>
</clause><clause id="idD91B76B58153418EB113EBE44ADA1DBA"><enum>(v)</enum><text>a description of how the entity
will include the State Area Agency on Aging in public health emergency
preparedness;</text>
</clause></subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="idC6502536960A48B5B9D33DB4CFEFFB36" reported-display-style="strikethrough"><enum>(B)</enum><text>an assurance that
the entity will report to the Secretary on an annual basis (or more frequently
as determined by the Secretary) on the evidence-based benchmarks and objective
standards established by the Secretary to evaluate the preparedness and
response capabilities of such entity;</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id8F7C7603E80B43DEBACB3C2A3AF78072" reported-display-style="strikethrough"><enum>(C)</enum><text>an assurance that
the entity will conduct, on at least an annual basis, an exercise or drill that
meets any criteria established by the Secretary to test the preparedness and
response capabilities of such entity, and that the entity will report back to
the Secretary within the application of the following year on the strengths and
weaknesses identified through such exercise or drill, and corrective actions
taken to address material weaknesses;</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="idA799BFCE78C542B6B2EE9E1C373B753E" reported-display-style="strikethrough"><enum>(D)</enum><text>an assurance that
the entity will provide to the Secretary the data described under section
319D(d)(3) as determined feasible by the Secretary;</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id29AADED98D21417EA1C87A52E80D45CD" reported-display-style="strikethrough"><enum>(E)</enum><text>an assurance that
the entity will conduct activities to inform and educate the hospitals within
the jurisdiction of such entity on the role of such hospitals in the plan
required under subparagraph (A);</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="idBA9CD92CCA10423BACE1200F78D40B45" reported-display-style="strikethrough"><enum>(F)</enum><text>an assurance that
the entity, with respect to the plan described under subparagraph (A), has
developed and will implement an accountability system to ensure that such
entity make satisfactory annual improvement and describe such system in the
plan under subparagraph (A);</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="IDce03e3cc0b31430291a8f3a351c68e60" reported-display-style="strikethrough"><enum>(G)</enum><text>a description of
the means by which to obtain public comment and input on the plan described in
subparagraph (A) and on the implementation of such plan, that shall include an
advisory committee or other similar mechanism for obtaining comment from the
public and from other State, local, and tribal stakeholders; and</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="IDb06c8966669045e082ccb04c154e6f6d" reported-display-style="strikethrough"><enum>(H)</enum><text>as relevant, a
description of the process used by the entity to consult with local departments
of public health to reach consensus, approval, or concurrence on the relative
distribution of amounts received under this section.</text>
</subparagraph></paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="ID4b6774db92694f3bbae641c4342e0fbe" reported-display-style="strikethrough"><enum>(c)</enum><header>Limitation</header><text>Beginning
in fiscal year 2009, the Secretary may not award a cooperative agreement to a
State unless such State is a participant in the Emergency System for Advance
Registration of Volunteer Health Professionals described in section
319I.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="id9A1B91B7DA2148F6A29C85C60DEE938B" reported-display-style="strikethrough"><enum>(d)</enum><header>Use of
funds</header>
<paragraph id="idF69D967BABF143DC9E371B004D31053D"><enum>(1)</enum><header>In general</header><text>An award
under subsection (a) shall be expended for activities to achieve the
preparedness goals described under paragraphs (1), (2), (4), (5), and (6) of
section 2802(b).</text>
</paragraph><paragraph id="idFCF8C7E61D9D42209163ADC95C4FE195"><enum>(2)</enum><header>Effect of
section</header><text>Nothing in this subsection may be construed as
establishing new regulatory authority or as modifying any existing regulatory
authority.</text>
</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="id0C1DEB40E6D84591A5458AE269749A89" reported-display-style="strikethrough"><enum>(e)</enum><header>Coordination
with local response capabilities</header><text>An entity shall, to the extent
practicable, ensure that activities carried out under an award under subsection
(a) are coordinated with activities of relevant Metropolitan Medical Response
Systems, local public health departments, the Cities Readiness Initiative, and
local emergency plans.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID46a75372e5ff49438159987fe4778b23" reported-display-style="strikethrough"><enum>(f)</enum><header>Consultation
with homeland security</header><text>In making awards under subsection (a), the
Secretary shall consult with the Secretary of Homeland Security to—</text>
<paragraph id="ID83c2d0d5267a43949a9fc34e88453f60"><enum>(1)</enum><text>ensure maximum coordination of
public health and medical preparedness and response activities with the
Metropolitan Medical Response System, and other relevant activities;</text>
</paragraph><paragraph id="ID4f95f617d7324f36a32e2aebdc484c89"><enum>(2)</enum><text>minimize duplicative funding of
programs and activities;</text>
</paragraph><paragraph id="IDe985a41866af40c4a7ca71b31d7b2607"><enum>(3)</enum><text>analyze activities, including
exercises and drills, conducted under this section to develop recommendations
and guidance on best practices for such activities, and</text>
</paragraph><paragraph id="IDcf4dafd050d34a60bc9b58b7d38c79f7"><enum>(4)</enum><text>disseminate such recommendations
and guidance, including through expanding existing lessons learned information
system to create a single Internet-based point of access for sharing and
distributing medical and public health best practices and lessons learned from
drills, exercises, disasters, and other emergencies.</text>
</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="ID26903639ca5247f493a841ac8b45e0cb" reported-display-style="strikethrough"><enum>(g)</enum><header>Achievement of
measurable evidence-based benchmarks and objective standards</header>
<paragraph changed="deleted" committee-id="SSHR00" id="id055CEBA54B094873BC377ED4562E89C7" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>Not later than 180 days after the date of enactment of
the <short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary shall develop or where appropriate adopt, and
require the application of measurable evidence-based benchmarks and objective
standards that measure levels of preparedness with respect to the activities
described in this section and with respect to activities described in section
319C–2. In developing such benchmarks and standards, the Secretary shall
consult with and seek comments from State, local, and tribal officials and
private entities, as appropriate. Where appropriate, the Secretary shall
incorporate existing objective standards. Such benchmarks and standards shall,
at a minimum, require entities to—</text>
<subparagraph id="ID59384a1d32494c3bb5497ce6bff9ab5d"><enum>(A)</enum><text>demonstrate progress toward
achieving the preparedness goals described in section 2802 in a reasonable
timeframe determined by the Secretary;</text>
</subparagraph><subparagraph id="ID3c6001ee793e42988186f7a5e587677f"><enum>(B)</enum><text>annually report grant expenditures
to the Secretary (in a form prescribed by the Secretary) who shall ensure that
such information is included on the Federal Internet-based point of access
developed under subsection (f); and</text>
</subparagraph><subparagraph id="IDd0d4f42f4aa74a138e87f648e9144895"><enum>(C)</enum><text>at least annually, test and
exercise the public health and medical emergency preparedness and response
capabilities of the grantee, based on criteria established by the
Secretary.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="ID472a24f156584f898fafb001edad33bb" reported-display-style="strikethrough"><enum>(2)</enum><header>Criteria for
pandemic influenza plans</header>
<subparagraph commented="no" id="id14CCDFA5B68F4A8C9F76FB2ED03151B1"><enum>(A)</enum><header>In general</header><text>Not
later than 180 days after the date of enactment of the
<short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary shall develop and disseminate to the chief
executive officer of each State criteria for an effective State plan for
responding to pandemic influenza.</text>
</subparagraph><subparagraph commented="no" id="id03A336046845436DA386FE76FA80AD1D"><enum>(B)</enum><header>Rule of
construction</header><text>Nothing in this section shall be construed to
require the duplication of Federal efforts with respect to the development of
criteria or standards, without regard to whether such efforts were carried out
prior to or after the date of enactment of this section.</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID5dcee0363947447fa8dd47277e353f23" reported-display-style="strikethrough"><enum>(3)</enum><header>Technical
assistance</header><text>The Secretary shall, as determined appropriate by the
Secretary, provide to a State, upon request, technical assistance in meeting
the requirements of this section, including the provision of advice by experts
in the development of high-quality assessments, the setting of State objectives
and assessment methods, the development of measures of satisfactory annual
improvement that are valid and reliable, and other relevant areas.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID4a62e68ec71a41ff8cd1b0b8e7de1fec" reported-display-style="strikethrough"><enum>(4)</enum><header>Notification of
failures</header><text>The Secretary shall develop and implement a process to
notify entities that are determined by the Secretary to have failed to meet the
requirements of paragraph (1) or (2). Such process shall provide such entities
with the opportunity to correct such noncompliance. An entity that fails to
correct such noncompliance shall be subject to paragraph (5).</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID673420a4904b40969bcd896a8c462bf3" reported-display-style="strikethrough"><enum>(5)</enum><header>Withholding of
amounts from entities that fail to achieve benchmarks or submit influenza
plan</header><text>Beginning with fiscal year 2009, and in each succeeding
fiscal year, the Secretary shall—</text>
<subparagraph id="ID98479c1411084f0a87f36380d4ea9809"><enum>(A)</enum><text>withhold from each entity that has
failed substantially to meet the benchmarks and performance measures described
in paragraph (1) for a previous fiscal year (beginning with fiscal year 2008),
pursuant to the process developed under paragraph (4), the amount described in
paragraph (6); and</text>
</subparagraph><subparagraph commented="no" id="ID6ff79d9512a5467d920d6dc780cee2e4"><enum>(B)</enum><text>withhold from each entity that has
failed to submit to the Secretary a plan for responding to pandemic influenza
that meets the criteria developed under paragraph (2), the amount described in
paragraph (6).</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID52744f9b0a2a4e9182bc4ae881d2ce0b" reported-display-style="strikethrough"><enum>(6)</enum><header>Amounts
described</header>
<subparagraph changed="deleted" committee-id="SSHR00" id="ID544f7572672e4c4e808101f47b4a4465" reported-display-style="strikethrough"><enum>(A)</enum><header>In
general</header><text>The amounts described in this paragraph are the following
amounts that are payable to an entity for activities described in section
319C–1 or 319C–2:</text>
<clause id="IDf1bf3d6b1e104c1b9aad33b5e5f4ad07"><enum>(i)</enum><text>For the fiscal year immediately
following a fiscal year in which an entity experienced a failure described in
subparagraph (A) or (B) of paragraph (5) by the entity, an amount equal to 10
percent of the amount the entity was eligible to receive for such fiscal
year.</text>
</clause><clause id="ID8846fe3890f54a00b682b22cf4a3c4bd"><enum>(ii)</enum><text>For the fiscal year immediately
following two consecutive fiscal years in which an entity experienced such a
failure, an amount equal to 15 percent of the amount the entity was eligible to
receive for such fiscal year, taking into account the withholding of funds for
the immediately preceding fiscal year under clause (i).</text>
</clause><clause id="IDf0d725521b954935868adc279da6ff77"><enum>(iii)</enum><text>For the fiscal year immediately
following three consecutive fiscal years in which an entity experienced such a
failure, an amount equal to 20 percent of the amount the entity was eligible to
receive for such fiscal year, taking into account the withholding of funds for
the immediately preceding fiscal years under clauses (i) and (ii).</text>
</clause><clause id="ID0644cc49e8e9408283728e390c303fd9"><enum>(iv)</enum><text>For the fiscal year immediately
following four consecutive fiscal years in which an entity experienced such a
failure, an amount equal to 25 percent of the amount the entity was eligible to
receive for such a fiscal year, taking into account the withholding of funds
for the immediately preceding fiscal years under clauses (i), (ii), and
(iii).</text>
</clause></subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" id="IDf51454b9b4b342a48a4eb2aa0186f0c6" reported-display-style="strikethrough"><enum>(B)</enum><header>Separate
accounting</header><text>Each failure described in subparagraph (A) or (B) of
paragraph (5) shall be treated as a separate failure for purposes of
calculating amounts withheld under subparagraph (A).</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID650abd4bb5e64798a9fab262e66ff469" reported-display-style="strikethrough"><enum>(7)</enum><header>Reallocation of
amounts withheld</header>
<subparagraph id="ID137a31e960474ff0a4cc2714fe48805a"><enum>(A)</enum><header>In general</header><text>The
Secretary shall make amounts withheld under paragraph (6) available for making
awards under section 319C–2 to entities described in subsection (b)(1) of such
section.</text>
</subparagraph><subparagraph id="ID145a50f2b3954898a500bb5d0e003a12"><enum>(B)</enum><header>Preference in
reallocation</header><text>In making awards under section 319C–2 with amounts
described in subparagraph (A), the Secretary shall give preference to eligible
entities (as described in section 319C–2(b)(1)) that are located in whole or in
part in States from which amounts have been withheld under paragraph
(6).</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID30060ed6be894cdfb77b4d8da46d05f3" reported-display-style="strikethrough"><enum>(8)</enum><header>Waiver or reduce
withholding</header><text>The Secretary may waive or reduce the withholding
described in paragraph (6), for a single entity or for all entities in a fiscal
year, if the Secretary determines that mitigating conditions exist that justify
the waiver or
reduction.</text>
</paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id2099BDB2BB1B4A1DA5B5379A20A0B529" reported-display-style="strikethrough"><enum>(3)</enum><text>by redesignating
subsection (j) as subsection (h);</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id16A916AC4A6A4A51AC49ED9D6EB8F385" reported-display-style="strikethrough"><enum>(4)</enum><text>in subsection (h),
as so redesignated—</text>
<subparagraph id="id8B9DAA54B66B45A6A949993AD195D0CD"><enum>(A)</enum><text>by striking paragraphs (1) through
(3)(A) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id7E20F2413F4548C9AC86AA789A1A0108" style="OLC">
<paragraph id="idC53C1E11D8F9419997EFAFCC5B21C7E8"><enum>(1)</enum><header>Authorization
of appropriations</header>
<subparagraph changed="deleted" committee-id="SSHR00" id="id57E80C424D7F4ADF992A2898C11FD5FD" reported-display-style="strikethrough"><enum>(A)</enum><header>In
general</header><text>For the purpose of carrying out this section, there is
authorized to be appropriated $824,000,000 fiscal year 2007 for awards pursuant
to paragraph (3) (subject to the authority of the Secretary to make awards
pursuant to paragraphs (4) and (5)), and such sums as may be necessary for each
of fiscal years 2008 through 2011.</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id4F44BA238D42472B95CD060FE21ADEBA" reported-display-style="strikethrough"><enum>(B)</enum><header>Coordination</header><text>There
are authorized to be appropriated, $10,000,000 for fiscal year 2007 to carry
out subsection (f)(3).</text>
</subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" id="id3453AD8EE93D4EDDA3BAD9999C0EA7BB" reported-display-style="strikethrough"><enum>(C)</enum><header>Requirement for
state matching funds</header><text>Beginning in fiscal year 2009, in the case
of any State or consortium of two or more States, the Secretary may not award a
cooperative agreement under this section unless the State or consortium of
States agree that, with respect to the amount of the cooperative agreement
awarded by the Secretary, the State or consortium of States will make available
(directly or through donations from public or private entities) non-Federal
contributions in an amount equal to—</text>
<clause id="ID91d7411af9df476694394e8364fec2a7"><enum>(i)</enum><text>for the first fiscal year of the
cooperative agreement, not less than 5 percent of such costs ($1 for each $20
of Federal funds provided in the cooperative agreement); and</text>
</clause><clause id="IDfb34cb9a86a44db19a1721cc10aea4d4"><enum>(ii)</enum><text>for any second fiscal year of the
cooperative agreement, and for any subsequent fiscal year of such cooperative
agreement, not less than 10 percent of such costs ($1 for each $10 of Federal
funds provided in the cooperative agreement).</text>
</clause></subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="ID9ecb811104134e0eae4d432b1b4709ae" reported-display-style="strikethrough"><enum>(D)</enum><header>Determination of
amount of non-federal contributions</header><text>As determined by the
Secretary, non-Federal contributions required in subparagraph (C) may be
provided directly or through donations from public or private entities and may
be in cash or in kind, fairly evaluated, including plant, equipment or
services. Amounts provided by the Federal government, or services assisted or
subsidized to any significant extent by the Federal government, may not be
included in determining the amount of such non-Federal contributions.</text>
</subparagraph></paragraph><paragraph id="idB7358C8764EF4A2D9BF7A2054CBC7BAB"><enum>(2)</enum><header>Maintaining
state funding</header>
<subparagraph commented="no" id="id4A55C6ACEF38475DB9109152ABAD98CC"><enum>(A)</enum><header>In
general</header><text>An entity that receives an award under this section shall
maintain expenditures for public health security at a level that is not less
than the average level of such expenditures maintained by the entity for the
preceding 2 year period.</text>
</subparagraph><subparagraph id="ID406dd7fe18e343b4b4170d815c0e9756"><enum>(B)</enum><header>Rule of
construction</header><text>Nothing in this section shall be construed to
prohibit the use of awards under this section to pay salary and related
expenses of public health and other professionals employed by State, local, or
tribal public health agencies who are carrying out activities supported by such
awards (regardless of whether the primary assignment of such personnel is to
carry out such activities).</text>
</subparagraph></paragraph><paragraph id="idE1F34E3FAE1442A6B2FD8A8D345B86B8"><enum>(3)</enum><header>Determination
of amount</header>
<subparagraph id="idD952A8B68FC44366B70A871CB47B362B"><enum>(A)</enum><header>In
general</header><text>The Secretary shall award cooperative agreements under
subsection (a) to each State or consortium of 2 or more States that submits to
the Secretary an application that meets the criteria of the Secretary for the
receipt of such an award and that meets other implementation conditions
established by the Secretary for such
awards.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="idAE362FFDFC7247DDABCFA19466EB1868" reported-display-style="strikethrough"><enum>(B)</enum><text>in paragraph
(4)(A)—</text>
<clause id="idA9AF810A9AB740B299B3A88FF0C90069"><enum>(i)</enum><text>by striking <quote>2003</quote> and
inserting <quote>2007</quote>; and</text>
</clause><clause id="id0799DCB7B9904BA094E50B0A53B47E59"><enum>(ii)</enum><text>by striking
<quote>(A)(i)(I)</quote>;</text>
</clause></subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id91EA16B1D28940BBB2A915D914C67A7E" reported-display-style="strikethrough"><enum>(C)</enum><text>in paragraph
(4)(D), by striking <quote>2002</quote> and inserting
<quote>2006</quote>;</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="idC551CF418E8D4CFB8E866F03BCD5FBEC" reported-display-style="strikethrough"><enum>(D)</enum><text>in paragraph (5),
by striking <quote>2003</quote> and inserting <quote>2007</quote>; and</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id9409FD55C68B4E09B76C55651636D900" reported-display-style="strikethrough"><enum>(E)</enum><text>by striking
paragraph (6) and inserting the following:</text>
<quoted-block changed="deleted" display-inline="no-display-inline" id="idD784451731624375BDBD4B259FD49C9B" reported-display-style="strikethrough" style="OLC">
<paragraph id="id4C702E2596274B54BE66D03D581058F0"><enum>(6)</enum><header>Funding of local
entities</header><text>The Secretary shall, in making awards under this
section, ensure that with respect to the cooperative agreement awarded, the
entity make available appropriate portions of such award to political
subdivisions and local departments of public health through a process involving
the consensus, approval or concurrence with such local
entities.</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id8A0B15229ACF439ABD775824B0EBBD67" reported-display-style="strikethrough"><enum>(5)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idC68620E676374A3FA1CC84C915CE8714" style="OLC">
<subsection id="id6EFD3661544C4951B6CC5DE4E3A98AE1"><enum>(i)</enum><header>Administrative
and fiscal responsibility</header>
<paragraph id="id12D259F865554BC090C173647EFF7D11"><enum>(1)</enum><header>Annual
reporting requirements</header><text>Each entity shall prepare and submit to
the Secretary annual reports on its activities under this section and section
319C–2. Each such report shall be prepared by, or in consultation with, the
health department. In order to properly evaluate and compare the performance of
different entities assisted under this section and section 319C–2 and to assure
the proper expenditure of funds under this section and section 319C–2, such
reports shall be in such standardized form and contain such information as the
Secretary determines (after consultation with the States) to be necessary
to—</text>
<subparagraph changed="deleted" committee-id="SSHR00" id="idA1F7A7F14A0C437C8BAD6412AD94CA6F" reported-display-style="strikethrough"><enum>(A)</enum><text>secure an accurate
description of those activities;</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="idB8F48C7CF36D49B3B2D8AB53A5B3B5A4" reported-display-style="strikethrough"><enum>(B)</enum><text>secure a complete
record of the purposes for which funds were spent, and of the recipients of
such funds;</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="idDF2F7BAFC0B74BB5A859B9930FBB2561" reported-display-style="strikethrough"><enum>(C)</enum><text>describe the
extent to which the entity has met the goals and objectives it set forth under
this section or section 319C–2; and</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id5CD4F37A21A248D0B734B7DCBC066D7F" reported-display-style="strikethrough"><enum>(D)</enum><text>determine the
extent to which funds were expended consistent with the entity’s application
transmitted under this section or section 319C–2.</text>
</subparagraph></paragraph><paragraph id="idBF2E091B28DB42B38D3121588CB0086A"><enum>(2)</enum><header>Audits;
implementation</header>
<subparagraph changed="deleted" committee-id="SSHR00" id="id218278AAE58840F89D57ED870DC81085" reported-display-style="strikethrough"><enum>(A)</enum><header>In
general</header><text>Each entity receiving funds under this section or section
319C–2 shall, not less often than once every 2 years, audit its expenditures
from amounts received under this section or section 319C–2. Such audits shall
be conducted by an entity independent of the agency administering a program
funded under this section or section 319C–2 in accordance with the Comptroller
General’s standards for auditing governmental organizations, programs,
activities, and functions and generally accepted auditing standards. Within 30
days following the completion of each audit report, the entity shall submit a
copy of that audit report to the Secretary.</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="idF89E871C2A8945FB826029171E96E2B3" reported-display-style="strikethrough"><enum>(B)</enum><header>Repayment</header><text>Each
entity shall repay to the United States amounts found by the Secretary, after
notice and opportunity for a hearing to the entity, not to have been expended
in accordance with this section or section 319C–2 and, if such repayment is not
made, the Secretary may offset such amounts against the amount of any allotment
to which the entity is or may become entitled under this section or section
319C–2 or may otherwise recover such amounts.</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id2C758BA6ECB4443AA9FE6276E99B3A2B" reported-display-style="strikethrough"><enum>(C)</enum><header>Withholding of
payment</header><text>The Secretary may, after notice and opportunity for a
hearing, withhold payment of funds to any entity which is not using its
allotment under this section or section 319C–2 in accordance with such section.
The Secretary may withhold such funds until the Secretary finds that the reason
for the withholding has been removed and there is reasonable assurance that it
will not recur.</text>
</subparagraph></paragraph><paragraph id="idBEB6642D1A1240CC91CC6EEBE38E7339"><enum>(3)</enum><header>Maximum
carryover amount</header>
<subparagraph changed="deleted" committee-id="SSHR00" id="id7CF28276932F432D9D344171AA800C65" reported-display-style="strikethrough"><enum>(A)</enum><header>In
general</header><text>For each fiscal year, the Secretary, in consultation with
the States and political subdivisions, shall determine the maximum percentage
amount of an award under this section that an entity may carryover to the
succeeding fiscal year.</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id3D55771750D24C9DB861189A51242A4C" reported-display-style="strikethrough"><enum>(B)</enum><header>Amount
exceeded</header><text>For each fiscal year, if the percentage amount of an
award under this section unexpended by an entity exceeds the maximum percentage
permitted by the Secretary under subparagraph (A), the entity shall return to
the Secretary the portion of the unexpended amount that exceeds the maximum
amount permitted to be carried over by the Secretary.</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id921A6CC87C5841169099667DC624A21C" reported-display-style="strikethrough"><enum>(C)</enum><header>Action by
Secretary</header><text>The Secretary shall make amounts returned to the
Secretary under subparagraph (B) available for awards under section
319C–2(b)(1). In making awards under section 319C–2(b)(1) with amounts
collected under this paragraph the Secretary shall give preference to entities
that are located in whole or in part in States from which amounts have been
returned under subparagraph (B).</text>
</subparagraph><subparagraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idFA8965E044A649D090147B8D45CA7E7D" reported-display-style="strikethrough"><enum>(D)</enum><header>Waiver</header><text>An
entity may apply to the Secretary for a waiver of the maximum percentage amount
under subparagraph (A). Such an application for a waiver shall include an
explanation why such requirement should not apply to the entity and the steps
taken by such entity to ensure that all funds under an award under this section
will be expended appropriately.</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="IDf00cb44d010549e9bcb3897d900f5ae1" reported-display-style="strikethrough"><enum>(E)</enum><header>Waive or reduce
withholding</header><text>The Secretary may waive the application of
subparagraph (B) for a single entity pursuant to subparagraph (D) or for all
entities in a fiscal year, if the Secretary determines that mitigating
conditions exist that justify the waiver or
reduction.</text>
</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section changed="deleted" committee-id="SSHR00" id="idA6F9E3413FAD461CA221CBD4576A89C6" reported-display-style="strikethrough"><enum>202.</enum><header>Using
information technology to improve situational awareness in public health
emergencies</header><text display-inline="no-display-inline">Section 319D of
the Public Health Service Act (42 U.S.C. 247d–4) is amended—</text>
<paragraph id="id0FFDB1D097A24AAC9B1FBE9B81281630"><enum>(1)</enum><text>in subsection (a)(1), by inserting
<quote>domestically and abroad</quote> after <quote>public health
threats</quote>; and</text>
</paragraph><paragraph id="idED087CA13C544B9CB0F16B3A5891EFD1"><enum>(2)</enum><text>by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="idCBB8FBABD0A347D9AE005A1DAF1A9A00" style="OLC">
<subsection id="id589630C570A149318F741E3558B69A12"><enum>(d)</enum><header>Public health
situational awareness</header>
<paragraph changed="deleted" committee-id="SSHR00" id="IDe195219133104452aadab3123f27bbbd" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>Not later than 2 years after the date of enactment of the
<short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary, in collaboration with State, local, and
tribal public health officials, shall establish a near real-time electronic
nationwide public health situational awareness capability through an
interoperable network of systems to share data and information to enhance early
detection of rapid response to, and management of, potentially catastrophic
infectious disease outbreaks and other public health emergencies that originate
domestically or abroad. Such network shall be built on existing State
situational awareness systems or enhanced systems that enable such
connectivity.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id75FB6055DF79427A8E0554DC5F37137C" reported-display-style="strikethrough"><enum>(2)</enum><header>Strategic
plan</header><text>Not later than 180 days after the date of enactment the
<short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary shall submit to the appropriate committees of
Congress, a strategic plan that demonstrates the steps the Secretary will
undertake to develop, implement, and evaluate the network described in
paragraph (1), utilizing the elements described in paragraph (3).</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID30e28dc6705f481da82bf8e216106f3a" reported-display-style="strikethrough"><enum>(3)</enum><header>Elements</header><text>The
network described in paragraph (1) shall include data and information
transmitted in a standardized format from—</text>
<subparagraph id="ID83f612df7f1c433798782a9f2bcf54a5"><enum>(A)</enum><text>State, local, and tribal public
health entities, including public health laboratories;</text>
</subparagraph><subparagraph id="IDff11b8c20de143b58b1e0478708f00ab"><enum>(B)</enum><text>Federal health agencies;</text>
</subparagraph><subparagraph id="IDc1dd9836e9484132b9b6f8397c8c7a47"><enum>(C)</enum><text>zoonotic disease monitoring
systems;</text>
</subparagraph><subparagraph id="ID12830cbd47ad4cb3abc96796f56e0f9b"><enum>(D)</enum><text>public and private sector health
care entities, hospitals, pharmacies, poison control centers or professional
organizations in the field of poison control, and clinical laboratories, to the
extent practicable and provided that such data are voluntarily provided
simultaneously to the Secretary and appropriate State, local, and tribal public
health agencies; and</text>
</subparagraph><subparagraph id="IDc582277eaf424c8aa9aeeed61ccff761"><enum>(E)</enum><text>such other sources as the Secretary
may deem appropriate.</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID12d9a9fcb0634bc28826a2939c0d7651" reported-display-style="strikethrough"><enum>(4)</enum><header>Rule of
construction</header><text>Paragraph (3) shall not be construed as requiring
separate reporting of data and information from each source listed.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="IDe617d965e2564e21b9d3e943a060e945" reported-display-style="strikethrough"><enum>(5)</enum><header>Required
activities</header><text>In establishing and operating the network described in
paragraph (1), the Secretary shall—</text>
<subparagraph id="ID6559115ca15d4dff87b1654cc8f34329"><enum>(A)</enum><text>utilize applicable interoperability
standards as determined by the Secretary through a joint public and private
sector process;</text>
</subparagraph><subparagraph id="id2C982899363742829858D8B1E595D65B"><enum>(B)</enum><text>define minimal data elements for
such network;</text>
</subparagraph><subparagraph id="ID1710fb0dbc3543878a0af9d95e9eb44c"><enum>(C)</enum><text>in collaboration with State, local,
and tribal public health officials, integrate and build upon existing State,
local, and tribal capabilities, ensuring simultaneous sharing of data,
information, and analyses from the network described in paragraph (1) with
State, local, and tribal public health agencies; and</text>
</subparagraph><subparagraph id="ID181330b82fdc4fe892e4cb9d7d6ec5e0"><enum>(D)</enum><text>in collaboration with State, local,
and tribal public health officials, develop procedures and standards for the
collection, analysis, and interpretation of data that States, regions, or other
entities collect and report to the network described in paragraph (1).</text>
</subparagraph></paragraph></subsection><subsection id="id84D7753504A44CBBB1F26126B2185A32"><enum>(e)</enum><header>State and
regional systems To enhance situational awareness in public health
emergencies</header>
<paragraph changed="deleted" committee-id="SSHR00" id="IDedfc27a6e725450095cf67c7bc254a63" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>To implement the network described in section (d), the
Secretary may award grants to States to enhance the ability of such States to
establish or operate a coordinated public health situational awareness system
for regional or Statewide early detection of, rapid response to, and management
of potentially catastrophic infectious disease outbreaks and public health
emergencies, in collaboration with public health agencies, sentinel hospitals,
clinical laboratories, pharmacies, poison control centers, other health care
organizations, or animal health organizations within such States.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID301a721b3d4f4cf0a71a94e6b751a466" reported-display-style="strikethrough"><enum>(2)</enum><header>Eligibility</header><text>To
be eligible to receive a grant under paragraph (1), the State shall submit to
the Secretary an application at such time, in such manner, and containing such
information as the Secretary may require, including an assurance that the State
will submit to the Secretary—</text>
<subparagraph id="ID01bd390b155741f2a739987512a1cf6a"><enum>(A)</enum><text>reports of such data, information,
and metrics as the Secretary may require;</text>
</subparagraph><subparagraph id="IDf8503cd1970f48af81a9c5a546591497"><enum>(B)</enum><text>a report on the effectiveness of
the systems funded under the grant; and</text>
</subparagraph><subparagraph id="id31453EFB508343B199FC73E9B5F9C767"><enum>(C)</enum><text>a description of the manner in
which grant funds will be used to enhance the timelines and comprehensiveness
of efforts to detect, respond to, and manage potentially catastrophic
infectious disease outbreaks and public health emergencies.</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="IDf8d2e82c73484c99a16664cdf8f978db" reported-display-style="strikethrough"><enum>(3)</enum><header>Use of
funds</header><text>A State that receives an award under this
subsection—</text>
<subparagraph id="IDa8aff85bd9374c82926c3247af3bf9bd"><enum>(A)</enum><text>shall establish, enhance, or
operate a coordinated public health situational awareness system for regional
or Statewide early detection of, rapid response to, and management of
potentially catastrophic infectious disease outbreaks and public health
emergencies; and</text>
</subparagraph><subparagraph id="IDb5104ae52f3043f898317d469ae327e4"><enum>(B)</enum><text>may award grants or contracts to
entities described in paragraph (1) within or serving such State to assist such
entities in improving the operation of information technology systems,
facilitating the secure exchange of data and information, and training
personnel to enhance the operation of the system described in paragraph
(A).</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="IDc9e7b5dda8b540dda6df6a8ec64313ab" reported-display-style="strikethrough"><enum>(4)</enum><header>Limitation</header><text>Information
technology systems acquired or implemented using grants awarded under this
section must be compliant with—</text>
<subparagraph id="IDfe2ad32e9e5e4782b333b320fa0c927b"><enum>(A)</enum><text>interoperability and other
technological standards, as determined by the Secretary; and</text>
</subparagraph><subparagraph id="IDacf03d5a2e2041c48a42acebeae1e9bd"><enum>(B)</enum><text>data collection and reporting
requirements for the network described in subsection (d).</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="IDd7d47c1affeb4ae5b250b2fe1f9a18e9" reported-display-style="strikethrough"><enum>(5)</enum><header>Independent
evaluation</header><text>Not later than 4 years after the date of enactment of
the <short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Government Accountability Office shall conduct an
independent evaluation, and submit to the Secretary and the appropriate
committees of Congress a report, concerning the activities conducted under this
subsection and subsection (d).</text>
</paragraph></subsection><subsection id="id345BFC9FCD124C74ADF7E57C123AE4BB"><enum>(f)</enum><header>Grants for
real-time surveillance improvement</header>
<paragraph changed="deleted" committee-id="SSHR00" id="idC75305FB94A04627B064D07E14F53AE4" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>The Secretary may award grants to eligible entities to
carry out projects described under paragraph (4).</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id299CDFBEB12949119759167D257A4A30" reported-display-style="strikethrough"><enum>(2)</enum><header>Eligible
entity</header><text>For purposes of this section, the term <quote>eligible
entity</quote> means an entity that is—</text>
<subparagraph commented="no" id="id41339D143FA149D688F79A1A07A62565"><enum>(A)(i)</enum><text>a hospital, clinical laboratory,
university; or</text>
</subparagraph><subparagraph commented="no" id="id37B30EFC337340DFB5193EDE2E83FC03"><enum>(ii)</enum><text>poison control center or
professional organization in the field of poison control; and</text>
</subparagraph><subparagraph commented="no" id="id76D8E70EFECD490385C2E5AAC1112F0A"><enum>(B)</enum><text>a participant in the network
established under subsection (d).</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id407153E0A74A4D67AD9A9689D66A283B" reported-display-style="strikethrough"><enum>(3)</enum><header>Application</header><text>Each
eligible entity desiring a grant under this section shall submit to the
Secretary an application at such time, in such manner, and containing such
information as the Secretary may require.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="idC03B57E11E51467389762D9550997CD2" reported-display-style="strikethrough"><enum>(4)</enum><header>Use of
funds</header>
<subparagraph changed="deleted" committee-id="SSHR00" id="idA0F1C4C497704EF0AD3A653DE8A596FF" reported-display-style="strikethrough"><enum>(A)</enum><header>In
general</header><text>An eligible entity described in paragraph (2)(A)(i) that
receives a grant under this section shall use the funds awarded pursuant to
such grant to carry out a pilot demonstration project to purchase and implement
the use of advanced diagnostic medical equipment to analyze real-time clinical
specimens for pathogens of public health or bioterrorism significance and
report any results from such project to State, local, and tribal public health
entities and the network established under subsection (d).</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id3B7904D035514390BFF500F069A9E970" reported-display-style="strikethrough"><enum>(B)</enum><header>Other
entities</header><text>An eligible entity described in paragraph (2)(A)(ii)
that receives a grant under this section shall use the funds awarded pursuant
to such grant to—</text>
<clause id="idB71702BDC79F46B283ACE6BB84C73555"><enum>(i)</enum><text>improve the early detection,
surveillance, and investigative capabilities of poison control centers for
chemical, biological, radiological, and nuclear events by training poison
information personnel to improve the accuracy of surveillance data, improving
the definitions used by the poison control centers for surveillance, and
enhancing timely and efficient investigation of data anomalies;</text>
</clause><clause id="id2984BFC43BEC446FA4F99BA3EECE291A"><enum>(ii)</enum><text>improve the capabilities of poison
control centers to provide information to health care providers and the public
with regard to chemical, biological, radiological, or nuclear threats or
exposures, in consultation with the appropriate State, local, and tribal public
health entities; or</text>
</clause><clause id="id8C0DD4950AE243F9B094EFC3AEB80A72"><enum>(iii)</enum><text>provide surge capacity in the
event of a chemical, biological, radiological, or nuclear event through the
establishment of alternative poison control center worksites and the training
of nontraditional personnel.</text>
</clause></subparagraph></paragraph></subsection><subsection commented="no" id="id6A61FCFD717144A9A674D6A479A50E79"><enum>(g)</enum><header>Authorization
of appropriations</header>
<paragraph commented="no" id="idA6C70746013E4C168E5D4B0ACA2222CC"><enum>(1)</enum><header>Fiscal year
2007</header><text>There are authorized to be appropriated to carry out
subsections (d), (e), and (f) $102,000,000 for fiscal year 2007, of which
$35,000,000 is authorized to be appropriated to carry out subsection
(f).</text>
</paragraph><paragraph commented="no" id="idBF99592BEC7C45259CA415849FFD39DD"><enum>(2)</enum><header>Subsequent
fiscal years</header><text>There are authorized to be appropriated such sums as
may be necessary to carry out subsections (d), (e), and (f) for each of fiscal
years 2008 through
2011.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section changed="deleted" committee-id="SSHR00" id="ID4dd8c3fd24744f39b15d62d8fcc6d0ce" reported-display-style="strikethrough"><enum>203.</enum><header>Public health
workforce enhancements</header>
<subsection id="IDca95c3c359bb407780b11a2f24d24e52"><enum>(a)</enum><header>Demonstration
project</header><text>Section 338L of the Public Health Service Act (42 U.S.C.
254t) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idE0777B62C4EC453CA9E4D05F53BF6DF6" style="OLC">
<subsection id="ID4f00de1886c941fd9b0fb7b63e71aba2"><enum>(h)</enum><header>Public health
departments</header>
<paragraph changed="deleted" committee-id="SSHR00" id="id2127416A8FEC46F0B621C9B8160BCCF0" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>To the extent that funds are appropriated under paragraph
(5), the Secretary shall establish a demonstration project to provide for the
participation of individuals who are eligible for the Loan Repayment Program
described in section 338B and who agree to complete their service obligation in
a State health department that serves a significant number of health
professional shortage areas or areas at risk of a public health emergency, as
determined by the Secretary, or in a local health department that serves a
health professional shortage area or an area at risk of a public health
emergency.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID1becda19557e4482a1243c1a81d5f0b7" reported-display-style="strikethrough"><enum>(2)</enum><header>Procedure</header><text>To
be eligible to receive assistance under paragraph (1), with respect to the
program described in section 338B, an individual shall—</text>
<subparagraph id="ID9153909401dd403f97d9cee7166896bf"><enum>(A)</enum><text>comply with all rules and
requirements described in such section (other than section 338B(f)(1)(B)(iv));
and</text>
</subparagraph><subparagraph id="IDe14330cf3d524d1c82b2edec2e8758f5"><enum>(B)</enum><text>agree to serve for a time period
equal to 2 years, or such longer period as the individual may agree to, in a
State, local, or tribal health department, consistent with paragraph
(1).</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="IDf5ee4ec999034ed4abed4b6c885cca6e" reported-display-style="strikethrough"><enum>(3)</enum><header>Designations</header><text>The
demonstration project described in paragraph (1), and any healthcare providers
who are selected to participate in such project, shall not be considered by the
Secretary in the designation of health professional shortage areas under
section 332 during fiscal years 2007 through 2010.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID168ea57d0e8b410eac004e503f9ebc4c" reported-display-style="strikethrough"><enum>(4)</enum><header>Report</header><text>Not
later than 3 years after the date of enactment of this subsection, the
Secretary shall submit a report to the relevant committees of Congress that
evaluates the participation of individuals in the demonstration project under
paragraph (1), the impact of such participation on State, local, and tribal
health departments, and the benefit and feasibility of permanently allowing
such placements in the Loan Repayment Program.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID61b5f4d80d35400c8acf5ea28f5f3fa9" reported-display-style="strikethrough"><enum>(5)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this subsection, such sums as may be necessary for each of fiscal years
2007 through
2010.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="IDc6ff710888de4d93a4dfaa0af11ae18b" reported-display-style="strikethrough"><enum>(b)</enum><header>Grants for loan
repayment program</header><text>Section 338I of the Public Health Service Act
(42 U.S.C. 254q–1) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id0E99565FAD704CFB885137D2AA48050F" style="OLC">
<subsection id="IDdb6b264218ba488f897da07a1c430009"><enum>(i)</enum><header>Public health
loan repayment</header>
<paragraph changed="deleted" committee-id="SSHR00" id="id309F358FA5AB4D5BAD7943516C305496" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>The Secretary may award grants to States for the purpose
of assisting such States in operating loan repayment programs under which such
States enter into contracts to repay all or part of the eligible loans borrowed
by, or on behalf of, individuals who agree to serve in State, local, or tribal
health departments that serve health professional shortage areas or other areas
at risk of a public health emergency, as designated by the Secretary.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id9575008A8F6049A6BFD500779CFB1811" reported-display-style="strikethrough"><enum>(2)</enum><header>Loans eligible
for repayment</header><text>To be eligible for repayment under this subsection,
a loan shall be a loan made, insured, or guaranteed by the Federal Government
that is borrowed by, or on behalf of, an individual to pay the cost of
attendance for a program of education leading to a degree appropriate for
serving in a State, local, or tribal health department as determined by the
Secretary and the chief executive officer of the State in which the grant is
administered, at an institution of higher education (as defined in section 102
of the Higher Education Act of 1965), including principal, interest, and
related expenses on such loan.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="IDc9f1fa6f851547baa4f254b43ce43817" reported-display-style="strikethrough"><enum>(3)</enum><header>Applicability of
existing requirements</header><text>With respect to awards made under paragraph
(1)—</text>
<subparagraph id="ID9ab8ad02d19846f99740d8d98d328358"><enum>(A)</enum><text>the requirements of subsections
(b), (f), and (g) shall apply to such awards; and</text>
</subparagraph><subparagraph id="ID356da96ee2fa4b3b95942d8c5510b3b1"><enum>(B)</enum><text>the requirements of subsection (c)
shall apply to such awards except that with respect to paragraph (1) of such
subsection, the State involved may assign an individual only to public and
nonprofit private entities that serve health professional shortage areas or
areas at risk of a public health emergency, as determined by the
Secretary.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ID8e799cbfb965495b8ddedd3a933037d8" reported-display-style="strikethrough"><enum>(4)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this subsection, such sums as may be necessary for each of fiscal years
2007 through
2010.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section changed="deleted" committee-id="SSHR00" id="IDe7d8c4c2f2ab46adb8b3f97d31f46aa8" reported-display-style="strikethrough"><enum>204.</enum><header>Vaccine
tracking and distribution</header><text display-inline="no-display-inline">Section 319A of the Public Health Service
Act (42 U.S.C. 247d–1) is amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="id4DA74700280C4FB58F999B50FE1D3796" style="OLC">
<section id="idE0A72157E17B4E4AB66C3775C642A1FA"><enum>319A.</enum><header>Vaccine
tracking and distribution</header>
<subsection changed="deleted" committee-id="SSHR00" id="ID9a356ea1abde4f95bfac6f260757be37" reported-display-style="strikethrough"><enum>(a)</enum><header>Tracking</header><text>The
Secretary, together with relevant manufacturers, wholesalers, and distributors
as may agree to cooperate, may track the initial distribution of federally
purchased influenza vaccine in an influenza pandemic. Such tracking information
shall be used to inform Federal, State, local, and tribal decision makers
during an influenza pandemic.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID510fc56941fe4f55ad670a00f288019c" reported-display-style="strikethrough"><enum>(b)</enum><header>Distribution</header><text>The
Secretary shall promote communication between State, local, and tribal public
health officials and such manufacturers, wholesalers, and distributors as agree
to participate, regarding the effective distribution of seasonal influenza
vaccine. Such communication shall include estimates of high priority
populations, as determined by the Secretary, in State, local, and tribal
jurisdictions in order to inform Federal, State, local, and tribal decision
makers during vaccine shortages and supply disruptions.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="IDe61fdeabef7644d6b9fb9812a0ea06e1" reported-display-style="strikethrough"><enum>(c)</enum><header>Confidentiality</header><text>The
information submitted to the Secretary or its contractors, if any, under this
section or under any other section of this Act related to vaccine distribution
information shall remain confidential in accordance with the exception from the
public disclosure of trade secrets, commercial or financial information, and
information obtained from an individual that is privileged and confidential, as
provided for in section 552(b)(4) of title 5, United States Code, and subject
to the penalties and exceptions under sections 1832 and 1833 of title 18,
United States Code, relating to the protection and theft of trade secrets, and
subject to privacy protections that are consistent with the regulations
promulgated under section 264(c) of the Health Insurance Portability and
Accountability Act of 1996. None of such information provided by a
manufacturer, wholesaler, or distributor shall be disclosed without its consent
to another manufacturer, wholesaler, or distributor, or shall be used in any
manner to give a manufacturer, wholesaler, or distributor a proprietary
advantage.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID7f9022f284c94c0e8021babb7a7420e0" reported-display-style="strikethrough"><enum>(d)</enum><header>Guidelines</header><text>The
Secretary, in order to maintain the confidentiality of relevant information and
ensure that none of the information contained in the systems involved may be
used to provide proprietary advantage within the vaccine market, while allowing
State, local, and tribal health officials access to such information to
maximize the delivery and availability of vaccines to high priority
populations, during times of influenza pandemics, vaccine shortages, and supply
disruptions, in consultation with manufacturers, distributors, wholesalers and
State, local, and tribal health departments, shall develop guidelines for
subsections (a) and (b).</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID2fb696e433aa416885511f748d9e591d" reported-display-style="strikethrough"><enum>(e)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section, such sums for each of fiscal years 2007 through 2011.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID824503626b0f446ba1222ff9f62b3f9e" reported-display-style="strikethrough"><enum>(f)</enum><header>Report to
Congress</header><text>As part of the National Health Security Strategy
described in section 2802, the Secretary shall provide an update on the
implementation of subsections (a) through
(d).</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="deleted" committee-id="SSHR00" id="id1C7731F1599344BB928806EBAC0C87D6" reported-display-style="strikethrough"><enum>205.</enum><header>National
Science Advisory Board for Biosecurity</header><text display-inline="no-display-inline">The National Science Advisory Board for
Biosecurity shall, when requested by the Secretary of Health and Human
Services, provide to relevant Federal departments and agencies, advice,
guidance, or recommendations concerning—</text>
<paragraph id="ID1fa3caff5b3e4d96b0fe108a9b3cf769"><enum>(1)</enum><text>a core curriculum and training
requirements for workers in maximum containment biological laboratories;
and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDbe5690229b76431e9d770e9fe7c844b0"><enum>(2)</enum><text>periodic evaluations of maximum
containment biological laboratory capacity nationwide and assessments of the
future need for increased laboratory capacity;</text>
</paragraph></section><enum>III</enum><header>All-Hazards
medical surge capacity</header>
<section changed="deleted" commented="no" committee-id="SSHR00" id="id1C89490516A94D27ACC6AFD42E35F99B" reported-display-style="strikethrough"><enum>301.</enum><header>National
disaster medical system</header>
<subsection changed="deleted" commented="no" committee-id="SSHR00" id="id55115C4B2B124D6BA2C7F5F4CB367981" reported-display-style="strikethrough"><enum>(a)</enum><header>National
Disaster Medical System</header><text>Section 2812 of subtitle B of title
XXVIII of the Public Health Service Act (42 U.S.C. 300hh–11 et seq.), as
redesignated by section 102, is amended—</text>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id3C1B342A5DE54CAF81DA7A4913DFCB78" reported-display-style="strikethrough"><enum>(1)</enum><text>by striking the
section heading and inserting <quote><header-in-text level="section" style="OLC">National Disaster Medical System</header-in-text></quote>;</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="idCB4543E768EE4A658FB1BE955058DEE1" reported-display-style="strikethrough"><enum>(2)</enum><text>by striking
subsection (a);</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id96F29E6F978944259C93BF79B899AF61" reported-display-style="strikethrough"><enum>(3)</enum><text>by redesignating
subsections (b) through (h) as subsections (a) through (g);</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="idFF84DAE03FE54281A0475ACEF2D13C73" reported-display-style="strikethrough"><enum>(4)</enum><text>in subsection (a),
as so redesignated—</text>
<subparagraph commented="no" id="id7363F99F683E41B7AE51DB8829ADD32D"><enum>(A)</enum><text>in paragraph (2)(B), by striking
<quote>Federal Emergency Management Agency</quote> and inserting
<quote>Department of Homeland Security</quote>; and</text>
</subparagraph><subparagraph commented="no" id="idA253BD3EE8734CAC82E73280FF4851CD"><enum>(B)</enum><text>in paragraph (3)(C), by striking
<quote>Public Health Security and Bioterrorism Preparedness and Response Act of
2002</quote> and inserting <quote>Pandemic and All-Hazards Preparedness
Act</quote>;</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id4DB9B76701774D2C9D763EF16D089E84" reported-display-style="strikethrough"><enum>(5)</enum><text>in subsection (b),
as so redesignated, by—</text>
<subparagraph commented="no" id="id37C0E80589E348159FC3E723D8B78ABE"><enum>(A)</enum><text>striking the subsection heading and
inserting <quote><header-in-text level="subsection" style="OLC">Modifications</header-in-text></quote>;</text>
</subparagraph><subparagraph commented="no" id="id00C43FD0CFB94622ADDD501E8FE3901D"><enum>(B)</enum><text>redesignating paragraph (2) as
paragraph (3); and</text>
</subparagraph><subparagraph commented="no" id="idB6FE1E68138C41638CCF5CD3725DB84F"><enum>(C)</enum><text>striking paragraph (1) and
inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id166B4D08667648C39A31C01CED28A582" style="OLC">
<paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id0CCFE49EEB6F4DB4B3AA301013B9B44F" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>Taking into account the findings from the joint review
described under paragraph (2), the Secretary shall modify the policies of the
National Disaster Medical System as necessary.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id1F2B1EE3C30B4C52AE0032A6A356D1D5" reported-display-style="strikethrough"><enum>(2)</enum><header>Joint review and
medical surge capacity strategic plan</header><text>Not later than 180 days
after the date of enactment of the Pandemic and All-Hazards Preparedness Act,
the Secretary, in coordination with the Secretary of Homeland Security, the
Secretary of Defense, and the Secretary of Veterans Affairs, shall conduct a
joint review of the National Disaster Medical System. Such review shall include
an evaluation of medical surge capacity, as described by section 2804(a). As
part of the National Health Security Strategy under section 2802, the Secretary
shall update the findings from such review and further modify the policies of
the National Disaster Medical System as
necessary.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="idCF13827C6969472FB5E5518690727852" reported-display-style="strikethrough"><enum>(6)</enum><text>by striking
<quote>subsection (b)</quote> each place it appears and inserting
<quote>subsection (a)</quote>;</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idFBDFDCD38ECF4D1DA13CCDC55161EA9E" reported-display-style="strikethrough"><enum>(7)</enum><text>by striking
<quote>subsection (d)</quote> each place it appears and inserting
<quote>subsection (c)</quote>; and</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="idADDFF8667EBA44ADADB8B53B37C284FF" reported-display-style="strikethrough"><enum>(8)</enum><text>in subsection (g),
as so redesignated, by striking <quote>2002 through 2006</quote> and inserting
<quote>2007 through 2011</quote>.</text>
</paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" id="idEEEBFF3623C34BDEA7F66DC1252B5978" reported-display-style="strikethrough"><enum>(b)</enum><header>Transfer of
National Disaster Medical System to the Department of Health and Human
Services</header><text>There shall be transferred to the Secretary of Health
and Human Services the functions, personnel, assets, and liabilities of the
National Disaster Medical System of the Department of Homeland Security,
including the functions of the Secretary of Homeland Security and the Under
Secretary for Emergency Preparedness and Response relating thereto.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id4777BE83F7764C99B0E6E6CB00418408" reported-display-style="strikethrough"><enum>(c)</enum><header>Conforming
amendments to the Homeland Security Act of 2002</header><text display-inline="yes-display-inline">The Homeland Security Act of 2002 (6 U.S.C.
312(3)(B), 313(5))) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idAFCADE8C1AC245D88FC8C86DB419F4FD"><enum>(1)</enum><text>in section 502(3)(B), by striking
<term>, the National Disaster Medical System,</term>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id343ED3F4147542F1AC1D7AF4CFCDC338"><enum>(2)</enum><text>in section 503(5), by striking
<quote>, the National Disaster Medical System</quote>.</text>
</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="id976496A3B937409EA7CDAB7648E9F6DB" reported-display-style="strikethrough"><enum>(d)</enum><header>Update of
certain provision</header><text>Section 319F(b)(2) of the Public Health Service
Act (42 U.S.C. 247d–6(b)(2)) is amended—</text>
<paragraph changed="deleted" committee-id="SSHR00" id="id23036C1247904D58ACC2458187413CB8" reported-display-style="strikethrough"><enum>(1)</enum><text>in the paragraph
heading, by striking <quote><header-in-text level="paragraph" style="OLC">Children and Terrorism</header-in-text></quote> and inserting
<quote><header-in-text level="paragraph" style="OLC">At-Risk Individuals and
Public Health Emergencies</header-in-text></quote>;</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id8CE75304D7804B839DEB7C49778CBA59" reported-display-style="strikethrough"><enum>(2)</enum><text>in subparagraph
(A), by striking <quote>Children and Terrorism</quote> and inserting
<quote>At-Risk Individuals and Public Health Emergencies</quote>;</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id7729307DC43842DEA3FAA0CAD3D19CDC" reported-display-style="strikethrough"><enum>(3)</enum><text>in subparagraph
(B)—</text>
<subparagraph id="id979E7FD9438E451E9A7202B01A41E751"><enum>(A)</enum><text>in clause (i), by striking
<quote>bioterrorism as it relates to children</quote> and inserting
<quote>public health emergencies as they relate to at-risk
individuals</quote>;</text>
</subparagraph><subparagraph id="id80C9A353757B44499D81FB31A592EBEF"><enum>(B)</enum><text>in clause (ii), by striking
<quote>children</quote> and inserting <quote>at-risk individuals</quote>;
and</text>
</subparagraph><subparagraph id="idC86D2E0D692642F3B94DA529BAFC87D6"><enum>(C)</enum><text>in clause (iii), by striking
<quote>children</quote> and inserting <quote>at-risk
individuals</quote>;</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id1783490FFE6B4996A0BE9F0E7540F77D" reported-display-style="strikethrough"><enum>(4)</enum><text>in subparagraph
(C), by striking <quote>children</quote> and all that follows through the
period and inserting <quote>at-risk populations.</quote>; and</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id5DCC1F78FFC44B778619DB199C04353D" reported-display-style="strikethrough"><enum>(5)</enum><text>in subparagraph
(D), by striking <quote>one year</quote> and inserting <quote>six
years</quote>.</text>
</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="id3C740EC0142C4DCF94190BA9014A4A58" reported-display-style="strikethrough"><enum>(e)</enum><header>Effective
date</header><text>The amendments made by subsections (b) and (c) shall take
effect on January 1, 2007.</text>
</subsection></section><section changed="deleted" committee-id="SSHR00" id="IDa8a1db3d198b46cea005e058dacc4457" reported-display-style="strikethrough"><enum>302.</enum><header>Enhancing
medical surge capacity</header>
<subsection id="id2E70ED47FAF54AE2838248E9A82AA1CA"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Title XXVIII of the Public Health Service
Act (300hh–11 et seq.), as amended by section 103, is amended by inserting
after section 2802 the following:</text>
<quoted-block display-inline="no-display-inline" id="idDE852B6321B84EA784020CDDE3A118CB" style="OLC">
<section id="id5992D3A7990A47D7ACB2AE6C5C0369E8"><enum>2804.</enum><header>Enhancing
medical surge capacity</header>
<subsection changed="deleted" committee-id="SSHR00" id="IDfedacfaf8be6475b8f896e71ef693a24" reported-display-style="strikethrough"><enum>(a)</enum><header>Study of
enhancing medical surge capacity</header><text>As part of the joint review
described in section 2812(b), the Secretary shall evaluate the benefits and
feasibility of improving the capacity of the Department of Health and Human
Services to provide additional medical surge capacity to local communities in
the event of a public health emergency. Such study shall include an assessment
of the need for and feasibility of improving surge capacity through—</text>
<paragraph id="ID24c9294790e945f7bb9c40e7a1ead200"><enum>(1)</enum><text>acquisition and operation of mobile
medical assets by the Secretary to be deployed, on a contingency basis, to a
community in the event of a public health emergency; and</text>
</paragraph><paragraph id="ID635ac9764ccf4b30854778bfe4456ed8"><enum>(2)</enum><text>other strategies to improve such
capacity as determined appropriate by the Secretary.</text>
</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="IDf5494d3947e24f2f9883aa8b55cd4ea0" reported-display-style="strikethrough"><enum>(b)</enum><header>Authority To
acquire and operate mobile medical assets</header><text>In addition to any
other authority to acquire, deploy, and operate mobile medical assets, the
Secretary may acquire, deploy, and operate mobile medical assets if, taking
into consideration the evaluation conducted under subsection (a), such
acquisition, deployment, and operation is determined to be beneficial and
feasible in improving the capacity of the Department of Health and Human
Services to provide additional medical surge capacity to local communities in
the event of a public health emergency.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID32188bc1a5ec4feebccfb47f53f43665" reported-display-style="strikethrough"><enum>(c)</enum><header>Using Federal
facilities To enhance medical surge capacity</header>
<paragraph id="ID6d495e91ce01419794f5da7700943a5d"><enum>(1)</enum><header>Analysis</header><text>The
Secretary shall conduct an analysis of whether there are Federal facilities
which, in the event of a public health emergency, could practicably be used as
facilities in which to provide health care.</text>
</paragraph><paragraph id="ID592dbb3bceda406daea8f527aa785d13"><enum>(2)</enum><header>Memoranda of
understanding</header><text>If, based on the analysis conducted under paragraph
(1), the Secretary determines that there are Federal facilities which, in the
event of a public health emergency, could be used as facilities in which to
provide health care, the Secretary shall, with respect to each such facility,
seek to conclude a memorandum of understanding with the head of the Department
or agency that operates such facility that permits the use of such facility to
provide health care in the event of a public health
emergency.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="idA1F8C440986E40AAB0B86A9A7B51212D" reported-display-style="strikethrough"><enum>(b)</enum><header>EMTALA</header>
<paragraph changed="deleted" committee-id="SSHR00" id="idB548AA973817470FAB9068556C8A286A" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>Section 1135(b) of the Social Security Act (42 U.S.C.
1320b–5(b)) is amended—</text>
<subparagraph id="ID982a2c3485e34fc7be982951b0aa1f6f"><enum>(A)</enum><text>in paragraph (3), by striking
subparagraph (B) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id4F83E14C4E2E4877A823B43BF1653B89" style="OLC">
<subparagraph id="ID6c616330ebec4ab3886650fcc48217ad"><enum>(B)</enum><text>the direction or
relocation of an individual to receive medical screening in an alternative
location—</text>
<clause changed="deleted" committee-id="SSHR00" id="ID1e72225eba9343f2a79e23195c214202" reported-display-style="strikethrough"><enum>(i)</enum><text>pursuant to an
appropriate State emergency preparedness plan; or</text>
</clause><clause changed="deleted" committee-id="SSHR00" id="IDa7cde3f092774263b4fc3d47e7f888df" reported-display-style="strikethrough"><enum>(ii)</enum><text>in the case of a
public health emergency described in subsection (g)(1)(B) that involves a
pandemic infectious disease, pursuant to a State pandemic preparedness plan or
a plan referred to in clause (i), whichever is applicable in the
State;</text>
</clause></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="ID0e3ee2a750b744db935dc4022923ff84" reported-display-style="strikethrough"><enum>(B)</enum><text>in the third
sentence, by striking <quote>and shall be limited to</quote> and inserting
<quote>and, except in the case of a waiver or modification to which the fifth
sentence of this subsection applies, shall be limited to</quote>; and</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="ID6da5889ebf374a61a83d3851f2ec3299" reported-display-style="strikethrough"><enum>(C)</enum><text>by adding at the
end the following: <quote>If a public health emergency described in subsection
(g)(1)(B) involves a pandemic infectious disease (such as pandemic influenza),
the duration of a waiver or modification under paragraph (3) shall be
determined in accordance with subsection (e) as such subsection applies to
public health emergencies.</quote>.</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID6eec96d226634ff395472c496b1e720b" reported-display-style="strikethrough"><enum>(2)</enum><header>Effective
date</header><text>The amendments made by paragraph (1) shall take effect on
the date of the enactment of this Act and shall apply to public health
emergencies declared pursuant to section 319 of the Public Health Service Act
(42 U.S.C. 247d) on or after such date.</text>
</paragraph></subsection></section><section changed="deleted" committee-id="SSHR00" id="idB59F2671820F4834B7FEFFF4142B0C8D" reported-display-style="strikethrough"><enum>303.</enum><header>Encouraging
health professional volunteers</header>
<subsection id="id3BA9F3F0C3D24E1C90A33DAF0A322601"><enum>(a)</enum><header>Volunteer medical reserve
corps</header><text display-inline="yes-display-inline">Title XXVIII of the
Public Health Service Act (42 U.S.C. 300hh–11 et seq.), as amended by this Act,
is amended by inserting after section 2812 the following:</text>
<quoted-block display-inline="no-display-inline" id="idD71655EE21B54B98B22FFEE75B83581A" style="OLC">
<section id="id760B22EED9B548B295772198A4F767E6"><enum>2813.</enum><header>Volunteer
Medical Reserve Corps</header>
<subsection changed="deleted" committee-id="SSHR00" id="IDc917ccf405ad42c18a3983b294baeaed" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text>Not later than 180 days after the date of enactment of
the <short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary, in collaboration with State, local, and
tribal officials, shall build on State, local, and tribal programs in existence
on the date of enactment of such Act to establish and maintain a Medical
Reserve Corps (referred to in this section as the <quote>Corps</quote>) to
provide for an adequate supply of volunteers in the case of a Federal, State,
local, or tribal public health emergency. The Corps shall be headed by a
Director who shall be appointed by the Secretary and shall oversee the
activities of the Corps chapters that exist at the State, local, and tribal
levels.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="IDbbdfa4663b0f472ab5fe58ea791e90aa" reported-display-style="strikethrough"><enum>(b)</enum><header>State, local,
and tribal coordination</header><text>The Corps shall be established using
existing State, local, and tribal teams and shall not alter such teams.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="idFC426BB33BCD491981DF4AEBD0A76D5F" reported-display-style="strikethrough"><enum>(c)</enum><header>Composition</header><text>The
Corps shall be composed of individuals who—</text>
<paragraph id="ID05efb80f5a3a4b1eb47ccb1781aadb86"><enum>(1)(A)</enum><text>are health professionals who
have appropriate professional training and expertise as determined appropriate
by the Director of the Corps; or</text>
</paragraph><paragraph id="id323819AB035445EA920F807CF35CD637"><enum>(B)</enum><text>are non-health professionals who
have an interest in serving in an auxiliary or support capacity to facilitate
access to health care services in a public health emergency;</text>
</paragraph><paragraph id="ID6645f1fe32854bceb0e70676ccf2f184"><enum>(2)</enum><text>are certified in accordance with
the certification program developed under subsection (d);</text>
</paragraph><paragraph id="ID20c695a6e604453686390c9b4cd600bd"><enum>(3)</enum><text>are geographically diverse in
residence;</text>
</paragraph><paragraph id="id1B19385A9CCA41DC961F5A9DC0F0D37F"><enum>(4)</enum><text>have registered and carry out
training exercises with a local chapter of the Medical Reserve Corps;
and</text>
</paragraph><paragraph id="IDd36970e088414c46bb7199a81ba58725"><enum>(5)</enum><text>indicate whether they are willing
to be deployed outside the area in which they reside in the event of a public
health emergency.</text>
</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="ID2d82c07096c349cba6021fcd3c063247" reported-display-style="strikethrough"><enum>(d)</enum><header>Certification;
drills</header>
<paragraph id="id694F1E2C186E48F89497F598E2809412"><enum>(1)</enum><header>Certification</header><text>The
Director, in collaboration with State, local, and tribal officials, shall
establish a process for the periodic certification of individuals who volunteer
for the Corps, as determined by the Secretary, which shall include the
completion by each individual of the core training programs developed under
section 319F, as required by the Director. Such certification shall not
supercede State licensing or credentialing requirements.</text>
</paragraph><paragraph id="ID3939a79b36fc443286890a3a59e9fad1"><enum>(2)</enum><header>Drills</header><text>In
conjunction with the core training programs referred to in paragraph (1), and
in order to facilitate the integration of trained volunteers into the health
care system at the local level, Corps members shall engage in periodic training
exercises to be carried out at the local level.</text>
</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="IDe7ecedb5fc384cf4b389edd074d62c9c" reported-display-style="strikethrough"><enum>(e)</enum><header>Deployment</header><text>During
a public health emergency, the Secretary shall have the authority to activate
and deploy willing members of the Corps to areas of need, taking into
consideration the public health and medical expertise required, with the
concurrence of the State, local, or tribal officials from the area where the
members reside.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID2ef66b9cf1fc4709bd108100a7560cde" reported-display-style="strikethrough"><enum>(f)</enum><header>Expenses and
transportation</header><text>While engaged in performing duties as a member of
the Corps pursuant to an assignment by the Secretary (including periods of
travel to facilitate such assignment), members of the Corps who are not
otherwise employed by the Federal Government shall be allowed travel or
transportation expenses, including per diem in lieu of subsistence.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="idB00466A52EC44BC39E778DB20EE3BABE" reported-display-style="strikethrough"><enum>(g)</enum><header>Identification</header><text>The
Secretary, in cooperation and consultation with the States, shall develop a
Medical Reserve Corps Identification Card that describes the licensure and
certification information of Corps members, as well as other identifying
information determined necessary by the Secretary.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID5d506648d1254a10be6976637af4d690" reported-display-style="strikethrough"><enum>(h)</enum><header>Intermittent
disaster-response personnel</header>
<paragraph id="ID5c0e902edf814c65bf10b19c0691a431"><enum>(1)</enum><header>In general</header><text>For the
purpose of assisting the Corps in carrying out duties under this section,
during a public health emergency, the Secretary may appoint selected
individuals to serve as intermittent personnel of such Corps in accordance with
applicable civil service laws and regulations. In all other cases, members of
the Corps are subject to the laws of the State in which the activities of the
Corps are undertaken.</text>
</paragraph><paragraph commented="no" id="IDd72c05b8084044bc969eec4ba4a4cf5b"><enum>(2)</enum><header>Applicable
protections</header><text>Subsections (c)(2), (d), and (e) of section 2812
shall apply to an individual appointed under paragraph (1) in the same manner
as such subsections apply to an individual appointed under section
2812(c).</text>
</paragraph><paragraph id="ID4cfb6c50909343279bd62ae0972d7256"><enum>(3)</enum><header>Limitation</header><text>State,
local, and tribal officials shall have no authority to designate a member of
the Corps as Federal intermittent disaster-response personnel, but may request
the services of such members.</text>
</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="ID29164d2c58d7484589a07b37fb4e05d8" reported-display-style="strikethrough"><enum>(i)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated to carry
out this section, $22,000,000 for fiscal year 2007, and such sums as may be
necessary for each of fiscal years 2008 through
2011.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="IDe5f501379dc246b185030d58bf2b5e77" reported-display-style="strikethrough"><enum>(b)</enum><header>Encouraging
health professions volunteers</header><text>Section 319I of the Public Health
Service Act (42 U.S.C. 247d–7b) is amended—</text>
<paragraph id="idF6D36F69286641DD8ED112752636631C"><enum>(1)</enum><text>by redesignating subsections (e)
and (f) as subsections (j) and (k), respectively;</text>
</paragraph><paragraph id="idC7D11C9AC73A4306A67D1D09BFB1C3C5"><enum>(2)</enum><text>by striking subsections (a) and (b)
and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id58D11ABB4A3141EF9CDFC763C6DE7BD4" style="OLC">
<subsection changed="deleted" committee-id="SSHR00" id="id4D662980CE994025ACDD6B9A940AAEE4" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text>Not later than 12 months after the date of enactment of
the <short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary shall link existing State verification systems
to maintain a single national interoperable network of systems, each system
being maintained by a State or group of States, for the purpose of verifying
the credentials and licenses of health care professionals who volunteer to
provide health services during a public health emergency (such network shall be
referred to in this section as the <quote>verification network</quote>).</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="id30491DD763EA4D83AB7B2DD1493B3F40" reported-display-style="strikethrough"><enum>(b)</enum><header>Requirements</header><text>The
interoperable network of systems established under subsection (a) shall
include—</text>
<paragraph changed="deleted" committee-id="SSHR00" id="ID6e8263570dba4aacade8883fa3c70fc3" reported-display-style="strikethrough"><enum>(1)</enum><text>with respect to
each volunteer health professional included in the system—</text>
<subparagraph id="ID0ca2fa5a2e584a7eb4d2f6efb8cf2e13"><enum>(A)</enum><text>information necessary for the rapid
identification of, and communication with, such professionals; and</text>
</subparagraph><subparagraph id="IDc6be2019eb2f4602aae8f05ced25d725"><enum>(B)</enum><text>the credentials, certifications,
licenses, and relevant training of such individuals; and</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="IDe9931a87ed9e4f94b8a8e0906aff9496" reported-display-style="strikethrough"><enum>(2)</enum><text>the name of each
member of the Medical Reserve Corps, the National Disaster Medical System, and
any other relevant federally-sponsored or administered programs determined
necessary by the
Secretary.</text>
</paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="idBFFC68930192484991D1B92CD53F7ACC" reported-display-style="strikethrough"><enum>(3)</enum><text>by striking
subsection (d) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id062197850FE94DA9A9F3BB84B1E8D785" style="OLC">
<subsection changed="deleted" committee-id="SSHR00" id="ID83f7619a70844e74b3221a60d22146b1" reported-display-style="strikethrough"><enum>(d)</enum><header>Accessibility</header><text>The
Secretary shall ensure that the network established under subsection (a) is
electronically accessible by State, local, and tribal health departments and
can be linked with the identification cards under section 2813.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="IDa4334227b74a4b908c3c992823ddc6a1" reported-display-style="strikethrough"><enum>(e)</enum><header>Confidentiality</header><text>The
Secretary shall establish and require the application of and compliance with
measures to ensure the effective security of, integrity of, and access to the
data included in the network.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="id04A58D12D88B42D3A288813488C29CE3" reported-display-style="strikethrough"><enum>(f)</enum><header>Coordination</header><text>The
Secretary shall coordinate with the Secretary of Veterans Affairs and the
Secretary of Homeland Security to assess the feasibility of integrating the
verification network under this section with the VetPro system of the
Department of Veterans Affairs and the National Emergency Responder
Credentialing System of the Department of Homeland Security. The Secretary
shall, if feasible, integrate the verification network under this section with
such VetPro system and the National Emergency Responder Credentialing
System.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID73f4b8e1d0ab4aa8823ba72943a3302e" reported-display-style="strikethrough"><enum>(g)</enum><header>Updating of
information</header><text>The States that are participants in the network
established under subsection (a) shall, on at least a quarterly basis, work
with the Director to provide for the updating of the information contained in
such network.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="id1E9BA02DAEC54EC6BAA98AC0BBB3CA2B" reported-display-style="strikethrough"><enum>(h)</enum><header>Clarification</header><text>Inclusion
of a health professional in the verification network established pursuant to
this section shall not constitute appointment of such individual as a Federal
employee for any purpose, either under section 2812(c) or otherwise. Such
appointment may only be made under section 2812 or 2813.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" id="id7B1D88377C384C8EB8DAC779BC26FFE7" reported-display-style="strikethrough"><enum>(i)</enum><header>Health care
provider licenses</header><text>The Secretary shall encourage States to
establish and implement mechanisms to waive the application of licensing
requirements applicable to health professionals, who are seeking to provide
medical services (within their scope of practice), during a national, State,
local, or tribal public health emergency upon verification that such health
professionals are licensed and in good standing in another State and have not
been disciplined by any State health licensing or disciplinary
board.</text>
</subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id6AEBE757DD6D4B5FBB52AC226476CC2B" reported-display-style="strikethrough"><enum>(4)</enum><text>in subsection (k)
(as so redesignated), by striking <quote>2006</quote> and inserting
<quote>2011</quote>.</text>
</paragraph></subsection></section><section changed="deleted" committee-id="SSHR00" id="idC466DB9C0F5640AE945284269E17DD5E" reported-display-style="strikethrough"><enum>304.</enum><header>Core education
and training</header><text display-inline="no-display-inline">Section 319F of
the Public Health Service Act (42 U.S.C. 247d–6) is amended—</text>
<paragraph id="idAD7BA56B54AE4D8089EF7D9092DCC539"><enum>(1)</enum><text>by striking subsections (a) through
(g) and inserting the following;</text>
<quoted-block display-inline="no-display-inline" id="id9B02B2CAC629421B8E774B37B051B67E" style="OLC">
<subsection changed="deleted" committee-id="SSHR00" id="IDF9C1032656AB42B6A63D758B906758E2" reported-display-style="strikethrough"><enum>(a)</enum><header>All-Hazards
public health and medical response curricula and training</header>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id3AD948F2E7DB4F269AFBF93A0E7FB081" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>The Secretary, in collaboration with the Secretary of
Defense, and in consultation with relevant public and private entities, shall
develop core health and medical response curricula and trainings by adapting
applicable existing curricula and training programs to improve responses to
public health emergencies.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="idD9789ED7FB554E9C803B9FA3F905DB1F" reported-display-style="strikethrough"><enum>(2)</enum><header>Curriculum</header><text>The
public health and medical response training program may include course work
related to—</text>
<subparagraph id="idCFD27D94FFC74C17AB92A4B4A300D90E"><enum>(A)</enum><text>medical management of casualties,
taking into account the needs of at-risk individuals;</text>
</subparagraph><subparagraph id="id2BB21F4DBAE941F49D8357939B75EFFB"><enum>(B)</enum><text>public health aspects of public
health emergencies;</text>
</subparagraph><subparagraph id="id3F6B83DD08754034B97BB84DE051D852"><enum>(C)</enum><text>mental health aspects of public
health emergencies;</text>
</subparagraph><subparagraph id="idE1964C1A0C704EC8A893FDCB1E979232"><enum>(D)</enum><text>national incident management,
including coordination among Federal, State, local, tribal, international
agencies, and other entities; and</text>
</subparagraph><subparagraph commented="no" id="idD5DA48EB4D4045C3B462EE70896EA209"><enum>(E)</enum><text>protecting health care workers and
health care first responders from workplace exposures during a public health
emergency.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id5E2007775D414D889CA26586ABF1A26A" reported-display-style="strikethrough"><enum>(3)</enum><header>Peer
review</header><text display-inline="yes-display-inline">On a periodic basis,
products prepared as part of the program shall be rigorously tested and
peer-reviewed by experts in the relevant fields.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="idEEB218DE077A44119396DC63149BE0A9" reported-display-style="strikethrough"><enum>(4)</enum><header>Credit</header><text>The
Secretary and the Secretary of Defense shall—</text>
<subparagraph id="ID55add018931e446d8e82104a8042169b"><enum>(A)</enum><text>take into account continuing
professional education requirements of public health and healthcare
professions; and</text>
</subparagraph><subparagraph id="IDa5b507f45be24ccda0660df65bc26621"><enum>(B)</enum><text>cooperate with State, local, and
tribal accrediting agencies and with professional associations in arranging for
students enrolled in the program to obtain continuing professional education
credit for program courses.</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id4652B73DBBE3481683CFF12DA653589A" reported-display-style="strikethrough"><enum>(5)</enum><header>Dissemination
and training</header>
<subparagraph id="id27A3F0643C3E4D7AA6A3AA1F19F5A539"><enum>(A)</enum><header>In general</header><text>The
Secretary may provide for the dissemination and teaching of the materials
described in paragraphs (1) and (2) by appropriate means, as determined by the
Secretary.</text>
</subparagraph><subparagraph id="ID9BE6C85C31C547E1A98BF04AC88A03F8"><enum>(B)</enum><header>Certain
entities</header><text>The education and training activities described in
subparagraph (A) may be carried out by Federal public health or medical
entities, appropriate educational entities, professional organizations and
societies, private accrediting organizations, and other nonprofit institutions
or entities meeting criteria established by the Secretary.</text>
</subparagraph><subparagraph id="idC8491DC13F064072B24B7E2838A96D83"><enum>(C)</enum><header>Grants and
contracts</header><text>In carrying out this subsection, the Secretary may
carry out activities directly or through the award of grants and contracts, and
may enter into interagency agreements with other Federal agencies.</text>
</subparagraph></paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" id="id8F83A34D9E4940CCA7CF8B106E47BF5C" reported-display-style="strikethrough"><enum>(b)</enum><header>Expansion of
Epidemic Intelligence Service Program</header><text display-inline="yes-display-inline">The Secretary may establish 20 officer
positions in the Epidemic Intelligence Service Program, in addition to the
number of the officer positions offered under such Program in 2006 for
individuals who agree to participate, for a period of not less than 2 years, in
the Career Epidemiology Field Officer program in a State, local, or tribal
health department that serves a health professional shortage area (as defined
under section 332(a)), a medically underserved population (as defined under
section 330(b)(3)), or a medically underserved area or area at high risk of a
public health emergency as designated by the Secretary.</text>
</subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" id="id09879661EA694741914CF9E6C1CC27EA" reported-display-style="strikethrough"><enum>(c)</enum><header>Centers for
public health preparedness; core curricula and training</header>
<paragraph changed="deleted" committee-id="SSHR00" id="IDcd9416be55da46eca97ca2eaafbb87a8" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>The Secretary may establish at accredited schools of
public health, Centers for Public Health Preparedness (hereafter referred to in
this section as the <quote>Centers</quote>).</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="IDed34a938d5ea4ac1ba45e891d606409c" reported-display-style="strikethrough"><enum>(2)</enum><header>Eligibility</header><text>To
be eligible to receive an award under this subsection to establish a Center, an
accredited school of public health shall agree to conduct activities consistent
with the requirements of this subsection.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id417FBFD6F289470DA9A1C6429889BAC4" reported-display-style="strikethrough"><enum>(3)</enum><header>Core
curricula</header><text>The Secretary, in collaboration with the Centers and
other public or private entities shall establish core curricula based on
established competencies leading to a 4-year bachelor's degree, a graduate
degree, a combined bachelor and master's degree, or a certificate program, for
use by each Center. The Secretary shall disseminate such curricula to other
accredited schools of public health and other health professions schools
determined appropriate by the Secretary, for voluntary use by such
schools.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id731D28A980B94504B67BC645B5E722F0" reported-display-style="strikethrough"><enum>(4)</enum><header>Core
competency-based training program</header><text>The Secretary, in collaboration
with the Centers and other public or private entities shall facilitate the
development of a competency-based training program to train public health
practitioners. The Centers shall use such training program to train public
health practitioners. The Secretary shall disseminate such training program to
other accredited schools of public health, and other health professions schools
as determined by the Secretary, for voluntary use by such schools.</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id8D98F5CC47B14619B372A996631A4625" reported-display-style="strikethrough"><enum>(5)</enum><header>Content of core
curricula and training program</header><text>The Secretary shall ensure that
the core curricula and training program established pursuant to this subsection
respond to the needs of State, local, and tribal public health authorities and
integrate and emphasize essential public health security capabilities
consistent with section 2802(b)(2).</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id98A6DB133ACE4C4F935CF03B8AAB0FAD" reported-display-style="strikethrough"><enum>(6)</enum><header>Academic-workforce
communication</header><text display-inline="yes-display-inline">As a condition
of receiving funding from the Secretary under this subsection, a Center shall
collaborate with a State, local, or tribal public health department to—</text>
<subparagraph commented="no" id="id4BA3D6ED5BD44F718642C28D058455AA"><enum>(A)</enum><text>define the public health
preparedness and response needs of the community involved;</text>
</subparagraph><subparagraph commented="no" id="id9EE41CDADD0745F1934B5E133EE4407B"><enum>(B)</enum><text>assess the extent to which such
needs are fulfilled by existing preparedness and response activities of such
school or health department, and how such activities may be improved;</text>
</subparagraph><subparagraph id="ID0f01243dc384410d833a4f1c4c6b5238"><enum>(C)</enum><text>prior to developing new materials
or trainings, evaluate and utilize relevant materials and trainings developed
by others Centers; and</text>
</subparagraph><subparagraph id="idB03A1EC09C714ADC844444CE6953FC0C"><enum>(D)</enum><text>evaluate community impact and the
effectiveness of any newly developed materials or trainings.</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="idF3D6C2C82CE443D1AC4CF0C2CEEE57C2" reported-display-style="strikethrough"><enum>(7)</enum><header>Public health
systems research</header><text>In consultation with relevant public and private
entities, the Secretary shall define the existing knowledge base for public
health preparedness and response systems, and establish a research agenda based
on Federal, State, local, and tribal public health preparedness priorities. As
a condition of receiving funding from the Secretary under this subsection, a
Center shall conduct public health systems research that is consistent with the
agenda described under this
paragraph.</text>
</paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id6C0EBE09020A450B806354D32720B55B" reported-display-style="strikethrough"><enum>(2)</enum><text>by redesignating
subsection (h) as subsection (d);</text>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id97D8F07330DB41A1A593A779F40D463F" reported-display-style="strikethrough"><enum>(3)</enum><text>by inserting after
subsection (d) (as so redesignated), the following:</text>
<quoted-block display-inline="no-display-inline" id="id8909CE824042439F8A454696B88015B9" style="OLC">
<subsection commented="no" id="id64797B7A26504F2D83B9827697C8CE5E"><enum>(e)</enum><header>Authorization
of appropriations</header>
<paragraph changed="deleted" commented="no" committee-id="SSHR00" id="id0C07EDB70F414F0C9871D17F639F14C3" reported-display-style="strikethrough"><enum>(1)</enum><header>Fiscal year
2007</header><text>There are authorized to be appropriated to carry out this
section for fiscal year 2007—</text>
<subparagraph commented="no" id="id0F1EF3A1E2EE44A4A8E1A322338348DD"><enum>(A)</enum><text>to carry out subsection (a),
$12,000,000, of which $5,000,000 shall be used to carry out paragraphs (1)
through (4) of such subsection, and $7,000,000 shall be used to carry out
paragraph (5) of such subsection;</text>
</subparagraph><subparagraph commented="no" id="idCFA1D045C66B4DD697012FB442FFF361"><enum>(B)</enum><text>to carry out subsection (b),
$3,000,000; and</text>
</subparagraph><subparagraph commented="no" id="id3BC25E0130184EC1BE15F69C7A9851A2"><enum>(C)</enum><text>to carry out subsection (c),
$31,000,000, of which $5,000,000 shall be used to carry out paragraphs (3)
through (5) of such subsection.</text>
</subparagraph></paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id42AC8B2EED8F4FB89098C7444D6858BD" reported-display-style="strikethrough"><enum>(2)</enum><header>Subsequent
fiscal years</header><text>There are authorized to be appropriated such sums as
may be necessary to carry out this section for fiscal year 2008 and each
subsequent fiscal year.</text>
</paragraph></subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idC6C6CA1C1EEA4948B20B23E73DEB166D" reported-display-style="strikethrough"><enum>(4)</enum><text>by striking
subsections (i) and (j).</text>
</paragraph></section><section changed="deleted" committee-id="SSHR00" id="id05741CC091384256A91DE392F9C731B5" reported-display-style="strikethrough"><enum>305.</enum><header>Partnerships
for state and regional hospital preparedness to improve surge
capacity</header><text display-inline="no-display-inline">Section 319C–2 of the
Public Health Service Act (42 U.S.C. 247d–3b) is amended to read as
follows:</text>
<quoted-block display-inline="no-display-inline" id="idA719FF12C7ED4D3E9DE36065531A7C94" style="OLC">
<section id="IDFEF7D0CB11E0484E9FB6CD622D297BCB"><enum>319C–2.</enum><header>Partnerships
for state and regional hospital preparedness to improve surge capacity</header>
<subsection changed="deleted" committee-id="SSHR00" id="IDF152B38416384DA69B7D3840D5D5C70F" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text>The Secretary shall award competitive grants or
cooperative agreements to eligible entities to enable such entities to improve
surge capacity and enhance community and hospital preparedness for public
health emergencies.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID6B65CA77A8324FF6BE99DA069FCFFB0D" reported-display-style="strikethrough"><enum>(b)</enum><header>Eligibility</header><text>To
be eligible for an award under subsection (a), an entity shall—</text>
<paragraph changed="deleted" committee-id="SSHR00" id="ID03A47E510DAD44BE8EE3206601D22E9E" reported-display-style="strikethrough"><enum>(1)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="idDF3430267D6D423BA953E68BD5BC4410"><enum>(A)</enum><text>be a partnership
consisting of—</text>
<clause changed="deleted" committee-id="SSHR00" id="id4599DB5FB75447F0A8CA225383AC39B4" indent="up1" reported-display-style="strikethrough"><enum>(i)</enum><text>one or more
hospitals, at least one of which shall be a designated trauma center,
consistent with section 1213(c);</text>
</clause><clause changed="deleted" committee-id="SSHR00" id="idF3E07A72382146FABE7A281ED0386186" indent="up1" reported-display-style="strikethrough"><enum>(ii)</enum><text>one or more other
local health care facilities, including clinics, health centers, primary care
facilities, mental health centers, mobile medical assets, or nursing homes;
and</text>
</clause><clause changed="deleted" committee-id="SSHR00" id="id0C6C1B1C2AF74CEEA32E5FE13A78F2D3" indent="up1" reported-display-style="strikethrough"><enum>(iii)</enum><subclause commented="no" display-inline="yes-display-inline" id="idBBA85930A92547C3B37CB1967810CCB1"><enum>(I)</enum><text>one or more political
subdivisions;</text>
</subclause><subclause id="id4D9B01AFAD9749FBA758E2A02464B1B5" indent="up1"><enum>(II)</enum><text>one or more States; or</text>
</subclause><subclause id="id9354995DFE144D888C46B7D93E05D4E3" indent="up1"><enum>(III)</enum><text>one or more States and one or
more political subdivisions; and</text>
</subclause></clause></subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id045D54C9C424411988822C2F2F135C7E" indent="up1" reported-display-style="strikethrough"><enum>(B)</enum><text>prepare, in
consultation with the Chief Executive Officer and the lead health officials of
the State, District, or territory in which the hospital and health care
facilities described in subparagraph (A) are located, and submit to the
Secretary, an application at such time, in such manner, and containing such
information as the Secretary may require; or</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id5B7B484CC51B462DB4AAD22FBC76380E" reported-display-style="strikethrough"><enum>(2)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="idF9B1060E5C874E879C05F680F2307E17"><enum>(A)</enum><text>be an entity described
in section 319C–1(b)(1); and</text>
</subparagraph><subparagraph id="id826F9C6C2F5E4D929F565E462672EF21" indent="up1"><enum>(B)</enum><text>submit an application at such time,
in such manner, and containing such information as the Secretary may require,
including the information or assurances required under section 319C–1(b)(2) and
an assurance that the State will retain not more than 25 percent of the funds
awarded for administrative and other support functions.</text>
</subparagraph></paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="id1D0E09BA236A4F5FA5C88581DCE60D59" reported-display-style="strikethrough"><enum>(c)</enum><header>Use of
funds</header><text>An award under subsection (a) shall be expended for
activities to achieve the preparedness goals described under paragraphs (1),
(3), (4), (5), and (6) of section 2802(b).</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="IDA2CB6A8791964371A3F97CB2085387FD" reported-display-style="strikethrough"><enum>(d)</enum><header>Preferences</header>
<paragraph changed="deleted" committee-id="SSHR00" id="id18C8E06E7A28414E9EE8061DC3E29684" reported-display-style="strikethrough"><enum>(1)</enum><header>Regional
coordination</header><text>In making awards under subsection (a), the Secretary
shall give preference to eligible entities that submit applications that, in
the determination of the Secretary—</text>
<subparagraph changed="deleted" committee-id="SSHR00" id="ID243857B261CA46FAB8DB04DF0C541582" reported-display-style="strikethrough"><enum>(A)</enum><text>will enhance
coordination—</text>
<clause id="ID7AEFD2944DFD47AC8BC59D50575EE7D8"><enum>(i)</enum><text>among the entities described in
subsection (b)(1)(A)(i); and</text>
</clause><clause id="IDDCC1E37D7492463A9C96CF31677FFE87"><enum>(ii)</enum><text>between such entities and the
entities described in subsection (b)(1)(A)(ii); and</text>
</clause></subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id579E89DD807E4495853A02472C6B6E50" reported-display-style="strikethrough"><enum>(B)</enum><text>include, in the
partnership described in subsection (b)(1)(A), a significant percentage of the
hospitals and health care facilities within the geographic area served by such
partnership.</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="IDac716dc86ca248e2b0a1389166aae65c" reported-display-style="strikethrough"><enum>(2)</enum><header>Other
preferences</header><text>In making awards under subsection (a), the Secretary
shall give preference to eligible entities that, in the determination of the
Secretary—</text>
<subparagraph id="ID1c457b2bfda44c23b768b77df619e7ed"><enum>(A)</enum><text>include one or more hospitals that
are participants in the National Disaster Medical System;</text>
</subparagraph><subparagraph id="IDf8b1b62e868d47efaba1d8d48c2d300c"><enum>(B)</enum><text>are located in a geographic area
that faces a high degree of risk, as determined by the Secretary in
consultation with the Secretary of Homeland Security; or</text>
</subparagraph><subparagraph id="ID8fd5e52c19c24d9894c0e143148cc6c2"><enum>(C)</enum><text>have a significant need for funds
to achieve the medical preparedness goals described in section
2802(b)(2).</text>
</subparagraph></paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="ID835024748C0848A2ADFE55BC248AECC1" reported-display-style="strikethrough"><enum>(e)</enum><header>Consistency of
planned activities</header><text>The Secretary may not award a cooperative
agreement to an eligible entity described in subsection (b)(1) unless the
application submitted by the entity is coordinated and consistent with an
applicable State All-Hazards Public Health Emergency Preparedness and Response
Plan and relevant local plans, as determined by the Secretary in consultation
with relevant State health officials.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="ID0888E5F016F042E7A98F8071A0DB89D1" reported-display-style="strikethrough"><enum>(f)</enum><header>Limitation on
awards</header><text>A political subdivision shall not participate in more than
one partnership described in subsection (b)(1).</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="IDCA13DB98B1B84CA5B53FB00FB0945162" reported-display-style="strikethrough"><enum>(g)</enum><header>Coordination
with local response capabilities</header><text>An eligible entity shall, to the
extent practicable, ensure that activities carried out under an award under
subsection (a) are coordinated with activities of relevant local Metropolitan
Medical Response Systems, local Medical Reserve Corps, the Cities Readiness
Initiative, and local emergency plans.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="IDbde2f84355a74776a7893dd7295c53c1" reported-display-style="strikethrough"><enum>(h)</enum><header>Maintenance of
state funding</header>
<paragraph id="ID966b7299ae414f01af5148b5d651f693"><enum>(1)</enum><header>In general</header><text>An
entity that receives an award under this section shall maintain expenditures
for health care preparedness at a level that is not less than the average level
of such expenditures maintained by the entity for the preceding 2 year
period.</text>
</paragraph><paragraph id="ID4fec90b5a02a43b199ffe5fdcac8d9e6"><enum>(2)</enum><header>Rule of
construction</header><text>Nothing in this section shall be construed to
prohibit the use of awards under this section to pay salary and related
expenses of public health and other professionals employed by State, local, or
tribal agencies who are carrying out activities supported by such awards
(regardless of whether the primary assignment of such personnel is to carry out
such activities).</text>
</paragraph></subsection><subsection changed="deleted" committee-id="SSHR00" id="IDf4efec750b1e49c5a46162ce37d94795" reported-display-style="strikethrough"><enum>(i)</enum><header>Performance and
accountability</header><text>The requirements of section 319C–1(g) and (i)
shall apply to entities receiving awards under this section (regardless of
whether such entities are described under subsection (b)(1)(A) or (b)(2)(A)) in
the same manner as such requirements apply to entities under section
319C–1.</text>
</subsection><subsection changed="deleted" committee-id="SSHR00" id="id3509BF7C74694A90B549B8C3C5CF3336" reported-display-style="strikethrough"><enum>(j)</enum><header>Authorization of
appropriations</header>
<paragraph changed="deleted" committee-id="SSHR00" id="id7EBAD16782A24FBE8F762E38C22CD8B8" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>For the purpose of carrying out this section, there is
authorized to be appropriated $474,000,000 for fiscal year 2007, and such sums
as may be necessary for each of fiscal years 2008 through 2011.</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID22fc079cc4314077932afe6ce16a2c07" reported-display-style="strikethrough"><enum>(2)</enum><header>Reservation of
amounts for partnerships</header><text>Prior to making awards described in
paragraph (3), the Secretary may reserve from the amount appropriated under
paragraph (1) for a fiscal year, an amount determined appropriate by the
Secretary for making awards to entities described in subsection
(b)(1)(A).</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="ID42053d6c1a754900aa04198eff6752c0" reported-display-style="strikethrough"><enum>(3)</enum><header>Awards to states
and political subdivisions</header>
<subparagraph id="ID5233914c4ac445658f94d5171e542055"><enum>(A)</enum><header>In general</header><text>From
amounts appropriated for a fiscal year under paragraph (1) and not reserved
under paragraph (2), the Secretary shall make awards to entities described in
subsection (b)(2)(A) that have completed an application as described in
subsection (b)(2)(B).</text>
</subparagraph><subparagraph id="ID15e21d5b9faf402a928fb117ff24ebf3"><enum>(B)</enum><header>Amount</header><text>The
Secretary shall determine the amount of an award to each entity described in
subparagraph (A) in the same manner as such amounts are determined under
section
319C–1(h).</text>
</subparagraph></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="deleted" committee-id="SSHR00" id="idA2310CD16674483D85A7B272996A9E07" reported-display-style="strikethrough"><enum>306.</enum><header>Enhancing the
role of the Department of Veterans Affairs</header>
<subsection changed="deleted" committee-id="SSHR00" id="id9D5A8780EE184A8898671EA3CF7E6E87" reported-display-style="strikethrough"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 8117 of title
38, United States Code, is amended—</text>
<paragraph changed="deleted" committee-id="SSHR00" id="idD9DEA86EB0154FABBF89F038E8FC872B" reported-display-style="strikethrough"><enum>(1)</enum><text>in subsection
(a)—</text>
<subparagraph changed="deleted" committee-id="SSHR00" id="id8AE6897276154B7C866D0832DE4971A9" reported-display-style="strikethrough"><enum>(A)</enum><text>in paragraph (1),
by—</text>
<clause id="id5FCDDE59E3D742BAA8DCE8640BCCB2AD"><enum>(i)</enum><text>striking <quote>chemical or
biological attack</quote> and inserting <quote>a public health emergency (as
defined in section 2801 of the Public Health Service Act)</quote>;</text>
</clause><clause id="idEC9E0DAB2FAE4D8CABCE7B8D6EBCDF54"><enum>(ii)</enum><text>striking <quote>an attack</quote>
and inserting <quote>such an emergency</quote>; and</text>
</clause><clause id="idECBFB4EFE4CF46578409D6A10AFF671C"><enum>(iii)</enum><text>striking <quote>public health
emergencies</quote> and inserting <quote>such emergencies</quote>; and</text>
</clause></subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id457E16DCEC844BE48F959341A78D6CA2" reported-display-style="strikethrough"><enum>(B)</enum><text>in paragraph
(2)—</text>
<clause id="idE6F5E80EE98E455CB8490E41B69E3857"><enum>(i)</enum><text>in subparagraph (A), by striking
<quote>; and</quote> and inserting a semicolon;</text>
</clause><clause id="idB32781F56B2B4AB5AFABA96D9B308BEC"><enum>(ii)</enum><text>in subparagraph (B), by striking
the period and inserting a semicolon; and</text>
</clause><clause id="idEFFF2F7CB76B4FD99EC086717DF3A1E1"><enum>(iii)</enum><text>by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="id3F48E7B4BAFB4CC291869E1FA7EDFD1C" style="OLC">
<subparagraph changed="deleted" committee-id="SSHR00" id="idAAC8515F1E1C49F4A3E8A1DE21413C63" reported-display-style="strikethrough"><enum>(C)</enum><text>organizing,
training, and equipping the staff of such centers to support the activities
carried out by the Secretary of Health and Human Services under section 2801 of
the Public Health Service Act in the event of a public health emergency and
incidents covered by the National Response Plan developed pursuant to section
502(6) of the Homeland Security Act of 2002, or any successor plan; and</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id42480E8FEBCA43E9AC11CF2E660CF21B" reported-display-style="strikethrough"><enum>(D)</enum><text>providing medical
logistical support to the National Disaster Medical System and the Secretary of
Health and Human Services as necessary, on a reimbursable basis, and in
coordination with other designated Federal
agencies.</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id544FA7864C6E4B28B57C47FF6E461C18" reported-display-style="strikethrough"><enum>(2)</enum><text>in subsection (c),
by striking <quote>a chemical or biological attack or other terrorist
attack.</quote> and inserting <quote>a public health emergency. The Secretary
shall, through existing medical procurement contracts, and on a reimbursable
basis, make available as necessary, medical supplies, equipment, and
pharmaceuticals in response to a public health emergency in support of the
Secretary of Health and Human Services.</quote>;</text>
</paragraph><paragraph changed="deleted" committee-id="SSHR00" id="id24D521DE5C3F4BB5936D56655B6E9967" reported-display-style="strikethrough"><enum>(3)</enum><text>in subsection (d),
by—</text>
<subparagraph id="id4FF0D4F9050647799B2614FBD24BCC2B"><enum>(A)</enum><text>striking <quote>develop
and</quote>;</text>
</subparagraph><subparagraph id="idAB1FBD1B04854C2B8B73A677137F9F1E"><enum>(B)</enum><text>striking <quote>biological,
chemical, or radiological attacks</quote> and inserting <quote>public health
emergencies</quote>; and</text>
</subparagraph><subparagraph id="id8F069DEDBD854A7EADE82ED8DD13226B"><enum>(C)</enum><text>by inserting <quote>consistent with
section 319F(a) of the Public Health Service Act</quote> before the period;
and</text>
</subparagraph></paragraph><paragraph changed="deleted" committee-id="SSHR00" id="idF2CC386D542544F5A1167330A9774D33" reported-display-style="strikethrough"><enum>(4)</enum><text>in subsection
(e)—</text>
<subparagraph changed="deleted" committee-id="SSHR00" id="idD68AA9B8191B449599605B6B3CCC2D13" reported-display-style="strikethrough"><enum>(A)</enum><text>in paragraph (1),
by striking <quote>2811(b)</quote> and inserting <quote>2812</quote>;
and</text>
</subparagraph><subparagraph changed="deleted" committee-id="SSHR00" id="id6D52E868753940BC9637CBF98DA0D1C3" reported-display-style="strikethrough"><enum>(B)</enum><text>in paragraph
(2)—</text>
<clause id="id680262288A704C5DA3CEFB7B3207F90C"><enum>(i)</enum><text>by striking <quote>bioterrorism and
other</quote>; and</text>
</clause><clause id="idB0D482FFA2C0476D9F6D59F348D080A8"><enum>(ii)</enum><text>by striking <quote>319F(a)</quote>
and inserting <quote>319F</quote>.</text>
</clause></subparagraph></paragraph></subsection><subsection changed="deleted" commented="no" committee-id="SSHR00" id="idFB2C04A250E740F8BCED158F5C490DE5" reported-display-style="strikethrough"><enum>(b)</enum><header>Authorization of
appropriations</header><text>Section 8117 of title 38, United States Code, is
amended by adding at the end the following:</text>
<quoted-block changed="deleted" display-inline="no-display-inline" id="id0B4297F560924364A177D787D53BE213" reported-display-style="strikethrough" style="OLC">
<subsection commented="no" id="idF37B764B8BB848F89B4FE907F001454E"><enum>(g)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated, such sums
as may be necessary to carry out this section for each of fiscal years 2007
through
2011.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section>
1.Short title; table of
contents
(a)This Act may be cited as the
Pandemic and All-Hazards Preparedness
Act
.
(b)The table of contents of this Act is as follows:
Sec. 1. Short title; table of
contents.
TITLE I—National preparedness and
response, leadership, organization, and planning
Sec. 101. Public health and medical
preparedness and response functions of the Secretary of Health and Human
Services.
Sec. 102. Assistant Secretary for Preparedness
and Response.
Sec. 103. National Health Security
Strategy.
TITLE II—Public health security
preparedness
Sec. 201. Improving State and local public
health security.
Sec. 202. Using information technology to
improve situational awareness in public health emergencies.
Sec. 203. Public health workforce
enhancements.
Sec. 204. Vaccine tracking and
distribution.
Sec. 205. National Science Advisory Board for
Biosecurity.
TITLE III—All-Hazards medical
surge capacity
Sec. 301. National Disaster Medical
System.
Sec. 302. Enhancing medical surge
capacity.
Sec. 303. Encouraging health professional
volunteers.
Sec. 304. Core education and
training.
Sec. 305. Partnerships for state and regional
hospital preparedness to improve surge capacity.
Sec. 306. Enhancing the role of the Department
of Veterans Affairs.
<enum>I</enum><header>National preparedness and
response, leadership, organization, and planning</header>
<section changed="added" committee-id="SSHR00" id="idcf90049a-5a1b-435e-9d55-bf82d088ab7c" reported-display-style="italic"><enum>101.</enum><header>Public health and
medical preparedness and response functions of the Secretary of Health and
Human Services</header><text display-inline="no-display-inline">Title XXVIII of
the Public Health Service Act (42 U.S.C. 300hh–11 et seq.) is amended—</text>
<paragraph id="idceb4a6f3-cfa5-4fc5-bd18-ebafec61914b"><enum>(1)</enum><text>by
striking the title heading and inserting the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="id0b2f717d-2810-42ac-80cc-a013c30e50f4" reported-display-style="italic" style="OLC">
<title id="ida7695ed3-a060-46cf-bd84-6ff51c09e4ed"><enum>XXVIII</enum><header>National all-hazards
preparedness for public health
emergencies</header>
;
(2)by amending subtitle A to
read as follows:
ANational
all-hazards preparedness and response planning, coordinating, and
reporting
2801.Public
health and medical preparedness and response functions
(a)The Secretary of
Health and Human Services shall lead all Federal public health and medical
response to public health emergencies and incidents covered by the National
Response Plan developed pursuant to section 502(6) of the Homeland Security Act
of 2002, or any successor plan.
(b)The Secretary, in
collaboration with the Secretary of Veterans Affairs, the Secretary of
Transportation, the Secretary of Defense, the Secretary of Homeland Security,
and the head of any other relevant Federal agency, shall establish an
interagency agreement, consistent with the National Response Plan or any
successor plan, under which agreement the Secretary of Health and Human
Services shall assume operational control of emergency public health and
medical response assets, as necessary, in the event of a public health
emergency.
.
102.Assistant Secretary
for Preparedness and Response
(a)Assistant Secretary for
Preparedness and ResponseSubtitle B of title XXVIII of the
Public Health Service Act (42 U.S.C. 300hh–11 et seq.) is amended—
(1)in
the subtitle heading, by inserting All-Hazards
before
Emergency Preparedness
;
(2)by
redesignating section 2811 as section 2812;
(3)by
inserting after the subtitle heading the following new section:
2811.Coordination
of preparedness for and response to all-hazards public health
emergencies
(a)There is established within the Department of Health and
Human Services the position of the Assistant Secretary for Preparedness and
Response. The President, with the advice and consent of the Senate, shall
appoint an individual to serve in such position. Such Assistant Secretary shall
report to the Secretary.
(b)Subject
to the authority of the Secretary, the Assistant Secretary for Preparedness and
Response shall carry out the following functions:
(1)Serve
as the principal advisor to the Secretary on all matters related to Federal
public health and medical preparedness and response for public health
emergencies.
(2)Register,
credential, organize, train, equip, and have the authority to deploy Federal
public health and medical personnel under the authority of the Secretary,
including the National Disaster Medical System, and coordinate such personnel
with the Medical Reserve Corps and the Emergency System for Advance
Registration of Volunteer Health Professionals.
(3)
(A)Oversee
advanced research, development, and procurement of qualified countermeasures
(as defined in section 319F–1) and qualified pandemic or epidemic products (as
defined in section 319F–3).
(B)Strategic national
stockpileMaintain the Strategic National Stockpile in accordance
with section 319F–2, including conducting an annual review (taking into account
at-risk individuals) of the contents of the stockpile, including
non-pharmaceutical supplies, and make necessary additions or modifications to
the contents based on such review.
(4)
(A)Coordinate with relevant Federal officials to ensure
integration of Federal preparedness and response activities for public health
emergencies.
(B)State, local, and tribal
integrationCoordinate with State, local, and tribal public
health officials, the Emergency Management Assistance Compact, health care
systems, and emergency medical service systems to ensure effective integration
of Federal public health and medical assets during a public health
emergency.
(C)Emergency medical
servicesPromote improved emergency medical services medical
direction, system integration, research, and uniformity of data collection,
treatment protocols, and policies with regard to public health
emergencies.
(5)In
coordination with the Secretary of Veterans Affairs, the Secretary of Homeland
Security, the General Services Administration, and other public and private
entities, provide logistical support for medical and public health aspects of
Federal responses to public health emergencies.
(6)Provide
leadership in international programs, initiatives, and policies that deal with
public health and medical emergency preparedness and response.
(c)The
Assistant Secretary for Preparedness and Response shall—
(1)have authority over and
responsibility for the functions, personnel, assets, and liabilities of the
following—
(A)the National Disaster Medical
System (in accordance with section 301 of the Pandemic and All-Hazards Preparedness
Act);
(B)the Hospital Preparedness
Cooperative Agreement Program pursuant to section 319C–2; and
(C)the Public Health Preparedness
Cooperative Agreement Program pursuant to section 319C–1;
(2)exercise the
responsibilities and authorities of the Secretary with respect to the
coordination of—
(A)the Medical Reserve Corps pursuant
to section 2813;
(B)the Emergency System for Advance
Registration of Volunteer Health Professionals pursuant to section 319I;
(C)the
Strategic National Stockpile; and
(D)the
Cities Readiness Initiative; and
(3)assume other duties as
determined appropriate by the
Secretary.
;
and
(4)by striking
Assistant Secretary for Public Health Emergency Preparedness
each place it appears and inserting Assistant Secretary for Preparedness
and Response
.
(b)Transfer of functions;
references
(1)There shall be transferred to the Office of the
Assistant Secretary for Preparedness and Response the functions, personnel,
assets, and liabilities of the Assistant Secretary for Public Health Emergency
Preparedness as in effect on the day before the date of enactment of this
Act.
(2)Any
reference in any Federal law, Executive order, rule, regulation, or delegation
of authority, or any document of or pertaining to the Assistant Secretary for
Public Health Emergency Preparedness as in effect the day before the date of
enactment of this Act, shall be deemed to be a reference to the Assistant
Secretary for Preparedness and Response.
103.National Health
Security StrategyTitle XXVIII
of the Public Health Service Act (300hh–11 et seq.), as amended by section 101,
is amended by inserting after section 2801 the following:
2802.National
Health Security Strategy
(a)
(1)Preparedness and response
regarding public health emergenciesBeginning in 2009 and every
four years thereafter, the Secretary shall prepare and submit to the relevant
Committees of Congress a coordinated strategy and any revisions thereof, and an
accompanying implementation plan for public health emergency preparedness and
response. The strategy shall identify the process for achieving the
preparedness goals described in subsection (b) and shall be consistent with the
National Preparedness Goal, the National Incident Management System, and the
National Response Plan developed pursuant to section 502(6) of the Homeland
Security Act of 2002, or any successor plan.
(2)The National Health Security Strategy shall include an
evaluation of the progress made by Federal, State, local, and tribal entities,
based on the evidence-based benchmarks and objective standards that measure
levels of preparedness established pursuant to section 319C–1(g). Such
evaluation shall include aggregate and State-specific breakdowns of obligated
funding spent by major category (as defined by the Secretary) for activities
funded through awards pursuant to sections 319C–1 and 319C–2.
(3)In 2009, the National Health Security Strategy shall
include a national strategy for establishing an effective and prepared public
health workforce, including defining the functions, capabilities, and gaps in
such workforce, and identifying strategies to recruit, retain, and protect such
workforce from workplace exposures during public health emergencies.
(b)The strategy under subsection (a) shall include provisions
in furtherance of the following:
(1)Integrating
public health and public and private medical capabilities with other first
responder systems, including through—
(A)the periodic evaluation of Federal,
State, local, and tribal preparedness and response capabilities through drills
and exercises; and
(B)integrating public and private
sector public health and medical donations and volunteers.
(2)Developing and sustaining Federal, State, local, and
tribal essential public health security capabilities, including the
following:
(A)Disease situational awareness
domestically and abroad, including detection, identification, and
investigation.
(B)Disease containment including
capabilities for isolation, quarantine, social distancing, and
decontamination.
(C)Risk communication and public
preparedness.
(D)Rapid distribution and
administration of medical countermeasures.
(3)Increasing
the preparedness, response capabilities, and surge capacity of hospitals, other
health care facilities (including mental health facilities), and trauma care
and emergency medical service systems with respect to public health
emergencies, which shall include developing plans for the following:
(A)Strengthening public health
emergency medical management and treatment capabilities.
(B)Medical evacuation and fatality
management.
(C)Rapid distribution and
administration of medical countermeasures.
(D)Effective utilization of any
available public and private mobile medical assets and integration of other
Federal assets.
(E)Protecting health care workers and
health care first responders from workplace exposures during a public health
emergency.
(4)
(A)Taking into account the public
health and medical needs of at-risk individuals in the event of a public health
emergency.
(B)For purpose of the
Pandemic and All-Hazards Preparedness
Act, the term at-risk individuals
means children,
pregnant women, senior citizens and other individuals who have special needs in
the event of a public health emergency, as determined by the Secretary.
(5)Minimizing
duplication of, and ensuring coordination between Federal, State, local, and
tribal planning, preparedness, and response activities (including the State
Emergency Management Assistance Compact). Such planning shall be consistent
with the National Response Plan, or any successor plan, and National Incident
Management System and the National Preparedness Goal.
(6)Maintaining vital public health and medical services
to allow for optimal Federal, State, local, and tribal operations in the event
of a public health
emergency.
.
<enum>II</enum><header>Public health security
preparedness</header>
<section changed="added" committee-id="SSHR00" id="id45227b62-abe3-4c2c-a2d3-c610e877fcec" reported-display-style="italic"><enum>201.</enum><header>Improving State and
local public health security</header><text display-inline="no-display-inline">Section 319C–1 of the Public Health Service
Act (42 U.S.C. 247d–3a) is amended—</text>
<paragraph id="id484b08c3-a706-4b13-af37-835a7c1adabd"><enum>(1)</enum><text display-inline="yes-display-inline">by amending the heading to read as follows:
<quote><header-in-text level="section" style="OLC">Improving state and local
public health security.</header-in-text></quote>;</text>
</paragraph><paragraph id="id0ffa78d2-4dac-4c96-a0d2-f59947fd1501"><enum>(2)</enum><text>by
striking subsections (a) through (i) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id12a8cf49-4477-4cb8-b9b0-b2f0aab0a3d8" style="OLC">
<subsection changed="added" committee-id="SSHR00" id="id2dd46e75-66a8-4c00-89fc-91d823fd80c3" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text>To enhance the security of the United States with respect
to public health emergencies, the Secretary shall award cooperative agreements
to eligible entities to enable such entities to conduct the activities
described in subsection (d).</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idfc9e7921-7ddd-4d69-8a2d-92c10de283c1" reported-display-style="italic"><enum>(b)</enum><header>Eligible
entities</header><text>To be eligible to receive an award under subsection (a),
an entity shall—</text>
<paragraph changed="added" committee-id="SSHR00" id="id851e9536-f4a5-4110-a1b4-043715246b2e" reported-display-style="italic"><enum>(1)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id6967e0f5-4d47-441d-ba55-df677f7cf7c6"><enum>(A)</enum><text>be a State;</text>
</subparagraph><subparagraph id="id0f7e2fa2-f166-4e11-adb6-d47fd5dbe60c" indent="up1"><enum>(B)</enum><text>be
a political subdivision determined by the Secretary to be eligible for an award
under this section (based on criteria described in subsection (h)(4));
or</text>
</subparagraph><subparagraph id="id9af02818-f6c5-46a4-ae21-f1b12722c585" indent="up1"><enum>(C)</enum><text>be
a consortium of entities described in subparagraph (A); and</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="idd81f990e-42f3-4ad5-9f4e-fd4b77a8273c" reported-display-style="italic"><enum>(2)</enum><text>prepare and submit to the
Secretary an application at such time, and in such manner, and containing such
information as the Secretary may require, including—</text>
<subparagraph changed="added" committee-id="SSHR00" id="id3d0dc162-b901-41ec-8105-7d78101adebd" reported-display-style="italic"><enum>(A)</enum><text>an All-Hazards Public
Health Emergency Preparedness and Response Plan which shall include—</text>
<clause id="id5ea74d60-ba2f-4f34-8cb4-ce1df7ab0bd0"><enum>(i)</enum><text>a
description of the activities such entity will carry out under the agreement to
meet the goals identified under section 2802;</text>
</clause><clause id="id6ddf10f9-805b-4ab6-8f9f-b2310c2c1931"><enum>(ii)</enum><text>a
pandemic influenza plan consistent with the requirements of paragraphs (2) and
(5) of subsection (g);</text>
</clause><clause id="idb8c3ca37-5f86-4f18-a9bb-863b954118c0"><enum>(iii)</enum><text>preparedness and response
strategies and capabilities that take into account the medical and public
health needs of at-risk individuals in the event of a public health
emergency;</text>
</clause><clause id="idb901010b-bd9d-4950-8205-9658ccf3e61c"><enum>(iv)</enum><text>a
description of the mechanism the entity will implement to utilize the Emergency
Management Assistance Compact or other mutual aid agreements for medical and
public health mutual aid; and</text>
</clause><clause id="id8ae3d0a9-b2ac-461c-843d-4cf770f76648"><enum>(v)</enum><text>a
description of how the entity will include the State Area Agency on Aging in
public health emergency preparedness;</text>
</clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id2244a4ee-f8da-4642-bf93-ef730e60be4c" reported-display-style="italic"><enum>(B)</enum><text>an assurance that the
entity will report to the Secretary on an annual basis (or more frequently as
determined by the Secretary) on the evidence-based benchmarks and objective
standards established by the Secretary to evaluate the preparedness and
response capabilities of such entity;</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id89ee0723-488c-4ba9-877f-705acbab4d50" reported-display-style="italic"><enum>(C)</enum><text>an assurance that the
entity will conduct, on at least an annual basis, an exercise or drill that
meets any criteria established by the Secretary to test the preparedness and
response capabilities of such entity, and that the entity will report back to
the Secretary within the application of the following year on the strengths and
weaknesses identified through such exercise or drill, and corrective actions
taken to address material weaknesses;</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id2ae7bed8-2aff-4997-8208-5688e95c89e1" reported-display-style="italic"><enum>(D)</enum><text>an assurance that the
entity will provide to the Secretary the data described under section
319D(d)(3) as determined feasible by the Secretary;</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id9ad90ed4-01df-454b-ab3c-16550103b9d0" reported-display-style="italic"><enum>(E)</enum><text>an assurance that the
entity will conduct activities to inform and educate the hospitals within the
jurisdiction of such entity on the role of such hospitals in the plan required
under subparagraph (A);</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id27533e4e-b85d-46bd-ab56-79192cf5e0b8" reported-display-style="italic"><enum>(F)</enum><text>an assurance that the
entity, with respect to the plan described under subparagraph (A), has
developed and will implement an accountability system to ensure that such
entity make satisfactory annual improvement and describe such system in the
plan under subparagraph (A);</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id10d7d309-8b3d-4718-a837-13e923d54afe" reported-display-style="italic"><enum>(G)</enum><text>a description of the
means by which to obtain public comment and input on the plan described in
subparagraph (A) and on the implementation of such plan, that shall include an
advisory committee or other similar mechanism for obtaining comment from the
public and from other State, local, and tribal stakeholders; and</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id16b3057e-e79e-4345-b61d-6a1d977bdcdd" reported-display-style="italic"><enum>(H)</enum><text>as relevant, a
description of the process used by the entity to consult with local departments
of public health to reach consensus, approval, or concurrence on the relative
distribution of amounts received under this section.</text>
</subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id44d42e95-6248-457f-af66-10d60c66a28a" reported-display-style="italic"><enum>(c)</enum><header>Limitation</header><text>Beginning
in fiscal year 2009, the Secretary may not award a cooperative agreement to a
State unless such State is a participant in the Emergency System for Advance
Registration of Volunteer Health Professionals described in section
319I.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idb16bd81a-18c2-46c9-ba39-2ba0811b7277" reported-display-style="italic"><enum>(d)</enum><header>Use of funds</header>
<paragraph id="id2fc22685-50e0-45aa-88c1-f157f9c464ec"><enum>(1)</enum><header>In general</header><text>An award
under subsection (a) shall be expended for activities to achieve the
preparedness goals described under paragraphs (1), (2), (4), (5), and (6) of
section 2802(b).</text>
</paragraph><paragraph id="idb7c6a94f-39f4-42c4-b8d4-1a11de26c23a"><enum>(2)</enum><header>Effect of
section</header><text>Nothing in this subsection may be construed as
establishing new regulatory authority or as modifying any existing regulatory
authority.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id180fd35f-9bdd-4176-909c-b2b5633e8641" reported-display-style="italic"><enum>(e)</enum><header>Coordination with local
response capabilities</header><text>An entity shall, to the extent practicable,
ensure that activities carried out under an award under subsection (a) are
coordinated with activities of relevant Metropolitan Medical Response Systems,
local public health departments, the Cities Readiness Initiative, and local
emergency plans.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id49b31834-0d1d-48b3-91c5-577439cee151" reported-display-style="italic"><enum>(f)</enum><header>Consultation with
homeland security</header><text>In making awards under subsection (a), the
Secretary shall consult with the Secretary of Homeland Security to—</text>
<paragraph id="id3e569f3b-ba34-4164-941e-4490a6d1501a"><enum>(1)</enum><text>ensure maximum coordination of
public health and medical preparedness and response activities with the
Metropolitan Medical Response System, and other relevant activities;</text>
</paragraph><paragraph id="idd103e2c7-3f43-49bd-a74c-b049ee9f18fa"><enum>(2)</enum><text>minimize duplicative funding of
programs and activities;</text>
</paragraph><paragraph id="idb2150d65-4eef-4248-bfd8-bdcbcf0e1584"><enum>(3)</enum><text>analyze activities, including
exercises and drills, conducted under this section to develop recommendations
and guidance on best practices for such activities, and</text>
</paragraph><paragraph id="idd4f17c27-34f6-4b81-92fe-48703a07eac7"><enum>(4)</enum><text>disseminate such recommendations
and guidance, including through expanding existing lessons learned information
systems to create a single Internet-based point of access for sharing and
distributing medical and public health best practices and lessons learned from
drills, exercises, disasters, and other emergencies.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="idd32971fe-d00a-4e93-9a2b-5b2292a2c865" reported-display-style="italic"><enum>(g)</enum><header>Achievement of
measurable evidence-based benchmarks and objective standards</header>
<paragraph changed="added" committee-id="SSHR00" id="idd2a1a7e9-3da6-4fdf-9166-9346102cb45e" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>Not later than 180 days after the date of enactment of
the <short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary shall develop or where appropriate adopt, and
require the application of measurable evidence-based benchmarks and objective
standards that measure levels of preparedness with respect to the activities
described in this section and with respect to activities described in section
319C–2. In developing such benchmarks and standards, the Secretary shall
consult with and seek comments from State, local, and tribal officials and
private entities, as appropriate. Where appropriate, the Secretary shall
incorporate existing objective standards. Such benchmarks and standards shall,
at a minimum, require entities to—</text>
<subparagraph id="idd14ac961-5ff9-4bb1-b8f5-d98e750459ad"><enum>(A)</enum><text>demonstrate progress toward
achieving the preparedness goals described in section 2802 in a reasonable
timeframe determined by the Secretary;</text>
</subparagraph><subparagraph id="id08400b33-fa8c-4d48-878d-c93b50e523aa"><enum>(B)</enum><text>annually report grant expenditures
to the Secretary (in a form prescribed by the Secretary) who shall ensure that
such information is included on the Federal Internet-based point of access
developed under subsection (f); and</text>
</subparagraph><subparagraph id="id66c64280-e540-45c7-8850-c963dac76cfb"><enum>(C)</enum><text>at least annually, test and
exercise the public health and medical emergency preparedness and response
capabilities of the grantee, based on criteria established by the
Secretary.</text>
</subparagraph></paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="id2c98aa08-1401-4817-ae62-56456e49c465" reported-display-style="italic"><enum>(2)</enum><header>Criteria for pandemic
influenza plans</header>
<subparagraph commented="no" id="id446ccf32-863c-493a-852f-a9c5965740a4"><enum>(A)</enum><header>In general</header><text>Not
later than 180 days after the date of enactment of the
<short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary shall develop and disseminate to the chief
executive officer of each State criteria for an effective State plan for
responding to pandemic influenza.</text>
</subparagraph><subparagraph commented="no" id="ide16d6bcf-89df-40cb-a194-e7c153f81d49"><enum>(B)</enum><header>Rule of
construction</header><text>Nothing in this section shall be construed to
require the duplication of Federal efforts with respect to the development of
criteria or standards, without regard to whether such efforts were carried out
prior to or after the date of enactment of this section.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="ide6488bdc-7dd5-4954-bf10-3edbd816bd9d" reported-display-style="italic"><enum>(3)</enum><header>Technical
assistance</header><text>The Secretary shall, as determined appropriate by the
Secretary, provide to a State, upon request, technical assistance in meeting
the requirements of this section, including the provision of advice by experts
in the development of high-quality assessments, the setting of State objectives
and assessment methods, the development of measures of satisfactory annual
improvement that are valid and reliable, and other relevant areas.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id3ed1033c-c850-4ad3-bba1-cdb113b46684" reported-display-style="italic"><enum>(4)</enum><header>Notification of
failures</header><text>The Secretary shall develop and implement a process to
notify entities that are determined by the Secretary to have failed to meet the
requirements of paragraph (1) or (2). Such process shall provide such entities
with the opportunity to correct such noncompliance. An entity that fails to
correct such noncompliance shall be subject to paragraph (5).</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id5d3217df-b473-4413-9da8-6c29070380b8" reported-display-style="italic"><enum>(5)</enum><header>Withholding of amounts
from entities that fail to achieve benchmarks or submit influenza
plan</header><text>Beginning with fiscal year 2009, and in each succeeding
fiscal year, the Secretary shall—</text>
<subparagraph id="idc56500e9-676a-485b-bbe9-a21b38cd88f6"><enum>(A)</enum><text>withhold from each entity that has
failed substantially to meet the benchmarks and performance measures described
in paragraph (1) for the immediately preceding fiscal year (beginning with
fiscal year 2008), pursuant to the process developed under paragraph (4), the
amount described in paragraph (6); and</text>
</subparagraph><subparagraph commented="no" id="ida4a0bcdd-1f50-419c-8f3e-598594db0c3d"><enum>(B)</enum><text>withhold from each entity that has
failed to submit to the Secretary a plan for responding to pandemic influenza
that meets the criteria developed under paragraph (2), the amount described in
paragraph (6).</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id2eee6e8e-c256-42cd-ab25-8def7ff729aa" reported-display-style="italic"><enum>(6)</enum><header>Amounts
described</header>
<subparagraph changed="added" committee-id="SSHR00" id="id405971d9-e7bf-4d3b-9b40-7b5f935d4dd8" reported-display-style="italic"><enum>(A)</enum><header>In
general</header><text>The amounts described in this paragraph are the following
amounts that are payable to an entity for activities described in section
319C–1 or 319C–2:</text>
<clause id="id56c7010c-2dea-4070-9c1b-9886321ef437"><enum>(i)</enum><text>For
the fiscal year immediately following a fiscal year in which an entity
experienced a failure described in subparagraph (A) or (B) of paragraph (5) by
the entity, an amount equal to 10 percent of the amount the entity was eligible
to receive for such fiscal year.</text>
</clause><clause id="id5c30b22d-f6ad-4773-916b-d00f2201a280"><enum>(ii)</enum><text>For the fiscal year immediately
following two consecutive fiscal years in which an entity experienced such a
failure, an amount equal to 15 percent of the amount the entity was eligible to
receive for such fiscal year, taking into account the withholding of funds for
the immediately preceding fiscal year under clause (i).</text>
</clause><clause id="idbebe2538-a327-49f6-8b9f-9e7d4623ccc1"><enum>(iii)</enum><text>For the fiscal year immediately
following three consecutive fiscal years in which an entity experienced such a
failure, an amount equal to 20 percent of the amount the entity was eligible to
receive for such fiscal year, taking into account the withholding of funds for
the immediately preceding fiscal years under clauses (i) and (ii).</text>
</clause><clause id="id24533fa0-6ae6-44bb-8d19-22884e07df5d"><enum>(iv)</enum><text>For the fiscal year immediately
following four consecutive fiscal years in which an entity experienced such a
failure, an amount equal to 25 percent of the amount the entity was eligible to
receive for such a fiscal year, taking into account the withholding of funds
for the immediately preceding fiscal years under clauses (i), (ii), and
(iii).</text>
</clause></subparagraph><subparagraph changed="added" commented="no" committee-id="SSHR00" id="id0e82d294-db86-421b-8604-4de53f472b7e" reported-display-style="italic"><enum>(B)</enum><header>Separate
accounting</header><text>Each failure described in subparagraph (A) or (B) of
paragraph (5) shall be treated as a separate failure for purposes of
calculating amounts withheld under subparagraph (A).</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="idb461c45a-db3c-475c-9491-60dcd53b9b00" reported-display-style="italic"><enum>(7)</enum><header>Reallocation of amounts
withheld</header>
<subparagraph id="id52bd7020-e166-4df1-950d-c6a0512b4152"><enum>(A)</enum><header>In general</header><text>The
Secretary shall make amounts withheld under paragraph (6) available for making
awards under section 319C–2 to entities described in subsection (b)(1) of such
section.</text>
</subparagraph><subparagraph id="id0c2166bf-a4e9-464e-b3f0-368ea17ddd6d"><enum>(B)</enum><header>Preference in
reallocation</header><text>In making awards under section 319C–2 with amounts
described in subparagraph (A), the Secretary shall give preference to eligible
entities (as described in section 319C–2(b)(1)) that are located in whole or in
part in States from which amounts have been withheld under paragraph
(6).</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id805f35fb-5e66-4d8b-9449-94665a50be3d" reported-display-style="italic"><enum>(8)</enum><header>Waiver or reduce
withholding</header><text>The Secretary may waive or reduce the withholding
described in paragraph (6), for a single entity or for all entities in a fiscal
year, if the Secretary determines that mitigating conditions exist that justify
the waiver or
reduction.</text>
</paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id738d6d52-1680-414f-8394-41ace542ed0f" reported-display-style="italic"><enum>(3)</enum><text>by redesignating
subsection (j) as subsection (h);</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id76e3fdfd-fd84-41b5-a8c2-93092962ff6e" reported-display-style="italic"><enum>(4)</enum><text>in subsection (h), as so
redesignated—</text>
<subparagraph id="idfe9cb6f6-285c-4b3d-8b43-bc6c8d2b99ae"><enum>(A)</enum><text>by
striking paragraphs (1) through (3)(A) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id33040d65-9e2e-450b-be48-7f675fa4e116" style="OLC">
<paragraph id="ida123fc8f-16d2-4b05-8c66-cab46435b31a"><enum>(1)</enum><header>Authorization
of appropriations</header>
<subparagraph changed="added" committee-id="SSHR00" id="id02e6441d-7b2d-4568-baf4-acb169e8eae2" reported-display-style="italic"><enum>(A)</enum><header>In
general</header><text>For the purpose of carrying out this section, there is
authorized to be appropriated $824,000,000 fiscal year 2007 for awards pursuant
to paragraph (3) (subject to the authority of the Secretary to make awards
pursuant to paragraphs (4) and (5)), and such sums as may be necessary for each
of fiscal years 2008 through 2011.</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id7ed02231-734b-473f-affa-554e4db9cb0e" reported-display-style="italic"><enum>(B)</enum><header>Coordination</header><text>There
are authorized to be appropriated, $10,000,000 for fiscal year 2007 to carry
out subsection (f)(3).</text>
</subparagraph><subparagraph changed="added" commented="no" committee-id="SSHR00" id="idac1e585a-d97f-42d6-9540-d1412938edc3" reported-display-style="italic"><enum>(C)</enum><header>Requirement for state
matching funds</header><text>Beginning in fiscal year 2009, in the case of any
State or consortium of two or more States, the Secretary may not award a
cooperative agreement under this section unless the State or consortium of
States agree that, with respect to the amount of the cooperative agreement
awarded by the Secretary, the State or consortium of States will make available
(directly or through donations from public or private entities) non-Federal
contributions in an amount equal to—</text>
<clause id="id8d58fdec-f86a-42a7-8e6b-86175602457d"><enum>(i)</enum><text>for
the first fiscal year of the cooperative agreement, not less than 5 percent of
such costs ($1 for each $20 of Federal funds provided in the cooperative
agreement); and</text>
</clause><clause id="idef04cd3b-7448-4ee4-b731-adb31ab07357"><enum>(ii)</enum><text>for any second fiscal year of the
cooperative agreement, and for any subsequent fiscal year of such cooperative
agreement, not less than 10 percent of such costs ($1 for each $10 of Federal
funds provided in the cooperative agreement).</text>
</clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id38096117-b76e-442d-9ac4-0e4fa52dc3a5" reported-display-style="italic"><enum>(D)</enum><header>Determination of amount
of non-federal contributions</header><text>As determined by the Secretary,
non-Federal contributions required in subparagraph (C) may be provided directly
or through donations from public or private entities and may be in cash or in
kind, fairly evaluated, including plant, equipment or services. Amounts
provided by the Federal government, or services assisted or subsidized to any
significant extent by the Federal government, may not be included in
determining the amount of such non-Federal contributions.</text>
</subparagraph></paragraph><paragraph id="id0280aa1f-aa5f-45db-ae29-cb2593007666"><enum>(2)</enum><header>Maintaining
funding</header>
<subparagraph commented="no" id="id836b7151-cad9-41de-801d-2256eb9ca4b5"><enum>(A)</enum><header>In
general</header><text>An entity that receives an award under this section shall
maintain expenditures for public health security at a level that is not less
than the average level of such expenditures maintained by the entity for the
preceding 2 year period.</text>
</subparagraph><subparagraph id="idc8f182c3-521e-4b44-be21-459b8f6a90b3"><enum>(B)</enum><header>Rule of
construction</header><text>Nothing in this section shall be construed to
prohibit the use of awards under this section to pay salary and related
expenses of public health and other professionals employed by State, local, or
tribal public health agencies who are carrying out activities supported by such
awards (regardless of whether the primary assignment of such personnel is to
carry out such activities).</text>
</subparagraph></paragraph><paragraph id="idba585dfe-187b-49f6-93bc-090216cd52b7"><enum>(3)</enum><header>Determination
of amount</header>
<subparagraph id="id2c35ffee-83ef-48cc-b343-44d1ebd807f9"><enum>(A)</enum><header>In
general</header><text>The Secretary shall award cooperative agreements under
subsection (a) to each State or consortium of 2 or more States that submits to
the Secretary an application that meets the criteria of the Secretary for the
receipt of such an award and that meets other implementation conditions
established by the Secretary for such
awards.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="idade097f6-a8f3-468d-b4f1-83eb98f727c2" reported-display-style="italic"><enum>(B)</enum><text>in paragraph
(4)(A)—</text>
<clause id="id3cb4687f-4419-4b2a-818d-e69c57420fcf"><enum>(i)</enum><text>by
striking <quote>2003</quote> and inserting <quote>2007</quote>; and</text>
</clause><clause id="idb8e3534f-2d66-477e-96fd-3c1e3763fc5e"><enum>(ii)</enum><text>by
striking <quote>(A)(i)(I)</quote>;</text>
</clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id13d999ae-d3e1-4d4c-97f9-e9400f687c3a" reported-display-style="italic"><enum>(C)</enum><text>in paragraph (4)(D), by
striking <quote>2002</quote> and inserting <quote>2006</quote>;</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id80bcc344-5478-407b-9a24-db7e58e7c331" reported-display-style="italic"><enum>(D)</enum><text>in paragraph (5)—</text>
<clause id="id17825F872FF04CA2B574D3FD96E2A6CF"><enum>(i)</enum><text>by
striking <quote>2003</quote>and inserting <quote>2007</quote>; and</text>
</clause><clause id="idC6E0347185C9442DA8EA8C132A978882"><enum>(ii)</enum><text>By
striking <quote>(A)(i)(I)</quote>; and</text>
</clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="ide8ef82c4-afde-40e4-a790-36b4b151981a" reported-display-style="italic"><enum>(E)</enum><text>by striking paragraph (6)
and inserting the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="idbe05c06b-7633-45be-bec5-3daaeea6a821" reported-display-style="italic" style="OLC">
<paragraph id="idcd364a10-4eb1-42dc-b1fb-df707e6e1a07"><enum>(6)</enum><header>Funding of local
entities</header><text>The Secretary shall, in making awards under this
section, ensure that with respect to the cooperative agreement awarded, the
entity make available appropriate portions of such award to political
subdivisions and local departments of public health through a process involving
the consensus, approval or concurrence with such local
entities.</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id1b6d146d-a2e0-405c-9aa2-3e0f24857d31" reported-display-style="italic"><enum>(5)</enum><text>by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="idd5d953dd-3af6-47d2-8249-4343c84e30ae" style="OLC">
<subsection id="idf05ad0bd-23c5-47d9-a75c-a90a041008ae"><enum>(i)</enum><header>Administrative
and fiscal responsibility</header>
<paragraph id="id1f7ea3b9-6126-4506-9af8-7008a8fa767c"><enum>(1)</enum><header>Annual
reporting requirements</header><text>Each entity shall prepare and submit to
the Secretary annual reports on its activities under this section and section
319C–2. Each such report shall be prepared by, or in consultation with, the
health department. In order to properly evaluate and compare the performance of
different entities assisted under this section and section 319C–2 and to assure
the proper expenditure of funds under this section and section 319C–2, such
reports shall be in such standardized form and contain such information as the
Secretary determines (after consultation with the States) to be necessary
to—</text>
<subparagraph changed="added" committee-id="SSHR00" id="ida8a83c2b-b2e7-45f1-9d95-6deae91091f5" reported-display-style="italic"><enum>(A)</enum><text>secure an accurate
description of those activities;</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id5af60e87-e677-4fa5-abf0-c855512f290e" reported-display-style="italic"><enum>(B)</enum><text>secure a complete record
of the purposes for which funds were spent, and of the recipients of such
funds;</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="idb175bd90-802c-40a8-8036-9c38d8971b92" reported-display-style="italic"><enum>(C)</enum><text>describe the extent to
which the entity has met the goals and objectives it set forth under this
section or section 319C–2; and</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="idd9431583-6664-40f8-a2e0-942384d5193a" reported-display-style="italic"><enum>(D)</enum><text>determine the extent to
which funds were expended consistent with the entity’s application transmitted
under this section or section 319C–2.</text>
</subparagraph></paragraph><paragraph id="id06372ce8-866b-4d2c-b765-2e98db9ad88f"><enum>(2)</enum><header>Audits;
implementation</header>
<subparagraph changed="added" committee-id="SSHR00" id="id69d1383b-fe0c-4cb9-a257-56da5f0432ce" reported-display-style="italic"><enum>(A)</enum><header>In
general</header><text>Each entity receiving funds under this section or section
319C–2 shall, not less often than once every 2 years, audit its expenditures
from amounts received under this section or section 319C–2. Such audits shall
be conducted by an entity independent of the agency administering a program
funded under this section or section 319C–2 in accordance with the Comptroller
General’s standards for auditing governmental organizations, programs,
activities, and functions and generally accepted auditing standards. Within 30
days following the completion of each audit report, the entity shall submit a
copy of that audit report to the Secretary.</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id73083426-fbdb-46b3-9843-334f716d7c66" reported-display-style="italic"><enum>(B)</enum><header>Repayment</header><text>Each
entity shall repay to the United States amounts found by the Secretary, after
notice and opportunity for a hearing to the entity, not to have been expended
in accordance with this section or section 319C–2 and, if such repayment is not
made, the Secretary may offset such amounts against the amount of any allotment
to which the entity is or may become entitled under this section or section
319C–2 or may otherwise recover such amounts.</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id3a0d58b8-5f77-486d-90d6-f6f03e39350d" reported-display-style="italic"><enum>(C)</enum><header>Withholding of
payment</header><text>The Secretary may, after notice and opportunity for a
hearing, withhold payment of funds to any entity which is not using its
allotment under this section or section 319C–2 in accordance with such section.
The Secretary may withhold such funds until the Secretary finds that the reason
for the withholding has been removed and there is reasonable assurance that it
will not recur.</text>
</subparagraph></paragraph><paragraph id="idac00c50b-e016-46fb-8840-dd5e6ada6358"><enum>(3)</enum><header>Maximum
carryover amount</header>
<subparagraph changed="added" committee-id="SSHR00" id="id193410df-5020-4ef9-8461-dc9ae714fa21" reported-display-style="italic"><enum>(A)</enum><header>In
general</header><text>For each fiscal year, the Secretary, in consultation with
the States and political subdivisions, shall determine the maximum percentage
amount of an award under this section that an entity may carryover to the
succeeding fiscal year.</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="idb7210767-d3c3-41fa-a0bc-51403aae4937" reported-display-style="italic"><enum>(B)</enum><header>Amount
exceeded</header><text>For each fiscal year, if the percentage amount of an
award under this section unexpended by an entity exceeds the maximum percentage
permitted by the Secretary under subparagraph (A), the entity shall return to
the Secretary the portion of the unexpended amount that exceeds the maximum
amount permitted to be carried over by the Secretary.</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id513c5e58-c7b1-4994-acb7-a5986fa47222" reported-display-style="italic"><enum>(C)</enum><header>Action by
Secretary</header><text>The Secretary shall make amounts returned to the
Secretary under subparagraph (B) available for awards under section
319C–2(b)(1). In making awards under section 319C–2(b)(1) with amounts
collected under this paragraph the Secretary shall give preference to entities
that are located in whole or in part in States from which amounts have been
returned under subparagraph (B).</text>
</subparagraph><subparagraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idd5e1e42d-26d3-4b02-abc9-b9fb139baee7" reported-display-style="italic"><enum>(D)</enum><header>Waiver</header><text>An
entity may apply to the Secretary for a waiver of the maximum percentage amount
under subparagraph (A). Such an application for a waiver shall include an
explanation why such requirement should not apply to the entity and the steps
taken by such entity to ensure that all funds under an award under this section
will be expended appropriately.</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id1df5da18-028f-4e4c-877e-d8837d20bda9" reported-display-style="italic"><enum>(E)</enum><header>Waive or reduce
withholding</header><text>The Secretary may waive the application of
subparagraph (B) for a single entity pursuant to subparagraph (D) or for all
entities in a fiscal year, if the Secretary determines that mitigating
conditions exist that justify the waiver or
reduction.</text>
</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section changed="added" committee-id="SSHR00" id="id1b4df657-6807-4955-ab8b-67ba4d07bc1c" reported-display-style="italic"><enum>202.</enum><header>Using information
technology to improve situational awareness in public health
emergencies</header><text display-inline="no-display-inline">Section 319D of
the Public Health Service Act (42 U.S.C. 247d–4) is amended—</text>
<paragraph id="id5034eba4-29c7-45c6-9acf-62dedbc96447"><enum>(1)</enum><text>in
subsection (a)(1), by inserting <quote>domestically and abroad</quote> after
<quote>public health threats</quote>; and</text>
</paragraph><paragraph id="id3104ae80-c6be-4289-a136-b8b1da1689c5"><enum>(2)</enum><text>by
adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idb1e6de0b-41ae-4743-bee7-8cd2521e4aea" style="OLC">
<subsection id="idfa40d249-2bf6-4caf-8ff1-3db7bc91476a"><enum>(d)</enum><header>Public
health situational awareness</header>
<paragraph changed="added" committee-id="SSHR00" id="id99f251f1-07cd-48ae-9bbb-d0822f36f335" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>Not later than 2 years after the date of enactment of the
<short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary, in collaboration with State, local, and
tribal public health officials, shall establish a near real-time electronic
nationwide public health situational awareness capability through an
interoperable network of systems to share data and information to enhance early
detection of rapid response to, and management of, potentially catastrophic
infectious disease outbreaks and other public health emergencies that originate
domestically or abroad. Such network shall be built on existing State
situational awareness systems or enhanced systems that enable such
connectivity.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="ida886f9f8-5f44-48f2-9c1b-b3197f663f25" reported-display-style="italic"><enum>(2)</enum><header>Strategic
plan</header><text>Not later than 180 days after the date of enactment the
<short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary shall submit to the appropriate committees of
Congress, a strategic plan that demonstrates the steps the Secretary will
undertake to develop, implement, and evaluate the network described in
paragraph (1), utilizing the elements described in paragraph (3).</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id27d0f682-24e0-48c8-a204-a0f9e57fcd8c" reported-display-style="italic"><enum>(3)</enum><header>Elements</header><text>The
network described in paragraph (1) shall include data and information
transmitted in a standardized format from—</text>
<subparagraph id="idcaaf90ab-6223-4e71-8e29-45cafa63f330"><enum>(A)</enum><text>State, local, and tribal public
health entities, including public health laboratories;</text>
</subparagraph><subparagraph id="idc24a9458-c4b0-4842-af22-bf6ae794e970"><enum>(B)</enum><text>Federal health agencies;</text>
</subparagraph><subparagraph id="id67043177-57d9-4b3e-ba0f-8d8448b3947f"><enum>(C)</enum><text>zoonotic disease monitoring
systems;</text>
</subparagraph><subparagraph id="iddc873237-50a5-4d61-8230-b97a82402d05"><enum>(D)</enum><text>public and private sector health
care entities, hospitals, pharmacies, poison control centers or professional
organizations in the field of poison control, and clinical laboratories, to the
extent practicable and provided that such data are voluntarily provided
simultaneously to the Secretary and appropriate State, local, and tribal public
health agencies; and</text>
</subparagraph><subparagraph id="id7003e2e1-1da2-4836-831b-fa975143dc31"><enum>(E)</enum><text>such other sources as the Secretary
may deem appropriate.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="idbb03854a-03a5-4659-becc-be62b9de24e6" reported-display-style="italic"><enum>(4)</enum><header>Rule of
construction</header><text>Paragraph (3) shall not be construed as requiring
separate reporting of data and information from each source listed.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idfcc6609e-9747-4322-9990-9a9cdc6d96e8" reported-display-style="italic"><enum>(5)</enum><header>Required
activities</header><text>In establishing and operating the network described in
paragraph (1), the Secretary shall—</text>
<subparagraph id="id340fdcc6-aa60-4d69-badd-7fcf35eb0ad1"><enum>(A)</enum><text>utilize applicable interoperability
standards as determined by the Secretary through a joint public and private
sector process;</text>
</subparagraph><subparagraph id="idfd0ecbde-9e22-4ec7-942b-ebd94cc718ee"><enum>(B)</enum><text>define minimal data elements for
such network;</text>
</subparagraph><subparagraph id="idd18b27ce-3051-411b-892d-7abfb53b7f93"><enum>(C)</enum><text>in collaboration with State, local,
and tribal public health officials, integrate and build upon existing State,
local, and tribal capabilities, ensuring simultaneous sharing of data,
information, and analyses from the network described in paragraph (1) with
State, local, and tribal public health agencies; and</text>
</subparagraph><subparagraph id="id04db6b5d-eb32-4e95-b7d2-bb366c57018c"><enum>(D)</enum><text>in collaboration with State, local,
and tribal public health officials, develop procedures and standards for the
collection, analysis, and interpretation of data that States, regions, or other
entities collect and report to the network described in paragraph (1).</text>
</subparagraph></paragraph></subsection><subsection id="id1fab5530-d5e8-42cb-b056-6ea62377b695"><enum>(e)</enum><header>State and
regional systems to enhance situational awareness in public health
emergencies</header>
<paragraph changed="added" committee-id="SSHR00" id="id4069bd10-a49d-4f6a-9ed2-264de2fa5534" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>To implement the network described in section (d), the
Secretary may award grants to States to enhance the ability of such States to
establish or operate a coordinated public health situational awareness system
for regional or Statewide early detection of, rapid response to, and management
of potentially catastrophic infectious disease outbreaks and public health
emergencies, in collaboration with public health agencies, sentinel hospitals,
clinical laboratories, pharmacies, poison control centers, other health care
organizations, and animal health organizations within such States.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id1a47d3cd-0e35-47a8-b149-a4eabe4e6da1" reported-display-style="italic"><enum>(2)</enum><header>Eligibility</header><text>To
be eligible to receive a grant under paragraph (1), the State shall submit to
the Secretary an application at such time, in such manner, and containing such
information as the Secretary may require, including an assurance that the State
will submit to the Secretary—</text>
<subparagraph id="idcc9d6ede-0af2-4036-9a67-e1d1226899f5"><enum>(A)</enum><text>reports of such data, information,
and metrics as the Secretary may require;</text>
</subparagraph><subparagraph id="idab26394d-5a8a-4224-84c8-860a600e2031"><enum>(B)</enum><text>a report on the effectiveness of
the systems funded under the grant; and</text>
</subparagraph><subparagraph id="id82d321ff-1bfc-4d99-b9e7-f763cf9c8f43"><enum>(C)</enum><text>a description of the manner in
which grant funds will be used to enhance the timelines and comprehensiveness
of efforts to detect, respond to, and manage potentially catastrophic
infectious disease outbreaks and public health emergencies.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id6f6e9b48-5c5e-4a42-b177-7e324e8d1873" reported-display-style="italic"><enum>(3)</enum><header>Use of
funds</header><text>A State that receives an award under this
subsection—</text>
<subparagraph id="id6552a761-9c1d-4bd3-806f-cb9acf737fe8"><enum>(A)</enum><text>shall establish, enhance, or
operate a coordinated public health situational awareness system for regional
or Statewide early detection of, rapid response to, and management of
potentially catastrophic infectious disease outbreaks and public health
emergencies; and</text>
</subparagraph><subparagraph id="id538a434f-64ef-48ab-9fe5-71fa0762e91a"><enum>(B)</enum><text>may award grants or contracts to
entities described in paragraph (1) within or serving such State to assist such
entities in improving the operation of information technology systems,
facilitating the secure exchange of data and information, and training
personnel to enhance the operation of the system described in paragraph
(A).</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id0436f1a1-e34a-4c87-99dc-8c12ec092b08" reported-display-style="italic"><enum>(4)</enum><header>Limitation</header><text>Information
technology systems acquired or implemented using grants awarded under this
section must be compliant with—</text>
<subparagraph id="id92f5a620-b577-4c14-b2a9-d2e806a0d36d"><enum>(A)</enum><text>interoperability and other
technological standards, as determined by the Secretary; and</text>
</subparagraph><subparagraph id="idf0b1770d-bed8-49cf-a5a1-3c1467d56e83"><enum>(B)</enum><text>data collection and reporting
requirements for the network described in subsection (d).</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id6e24e655-1f55-42f1-bed1-39b133f9cfe4" reported-display-style="italic"><enum>(5)</enum><header>Independent
evaluation</header><text>Not later than 4 years after the date of enactment of
the <short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Government Accountability Office shall conduct an
independent evaluation, and submit to the Secretary and the appropriate
committees of Congress a report, concerning the activities conducted under this
subsection and subsection (d).</text>
</paragraph></subsection><subsection id="idd49adf1e-4b3b-4653-8de8-58c4179163d7"><enum>(f)</enum><header>Grants for
real-time surveillance improvement</header>
<paragraph changed="added" committee-id="SSHR00" id="idb1324f3a-22aa-47c4-8cfd-410e475a867a" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>The Secretary may award grants to eligible entities to
carry out projects described under paragraph (4).</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="id24c1bb24-b335-4266-a93f-57fb8e2d4972" reported-display-style="italic"><enum>(2)</enum><header>Eligible
entity</header><text>For purposes of this section, the term <quote>eligible
entity</quote> means an entity that is—</text>
<subparagraph commented="no" id="id62c8340c-afb5-4325-ad6b-d653f402c536"><enum>(A)(i)</enum><text>a hospital, clinical laboratory,
university; or</text>
</subparagraph><subparagraph commented="no" id="id6a0e434b-41de-4391-938c-b821c2decc15"><enum>(ii)</enum><text>poison control center or
professional organization in the field of poison control; and</text>
</subparagraph><subparagraph commented="no" id="id29a722d2-21f8-4b26-8f2c-f016fc8a3498"><enum>(B)</enum><text>a
participant in the network established under subsection (d).</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="idea866501-aecd-4bfc-8297-3637b657a171" reported-display-style="italic"><enum>(3)</enum><header>Application</header><text>Each
eligible entity desiring a grant under this section shall submit to the
Secretary an application at such time, in such manner, and containing such
information as the Secretary may require.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id23b2cb05-0f5f-4bf8-849c-f2457cd0c079" reported-display-style="italic"><enum>(4)</enum><header>Use of funds</header>
<subparagraph changed="added" committee-id="SSHR00" id="idbbdabd7b-08db-48ba-890e-587407e53658" reported-display-style="italic"><enum>(A)</enum><header>In
general</header><text>An eligible entity described in paragraph (2)(A)(i) that
receives a grant under this section shall use the funds awarded pursuant to
such grant to carry out a pilot demonstration project to purchase and implement
the use of advanced diagnostic medical equipment to analyze real-time clinical
specimens for pathogens of public health or bioterrorism significance and
report any results from such project to State, local, and tribal public health
entities and the network established under subsection (d).</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="idc7853eb6-57c7-402d-afa5-3831c517c09b" reported-display-style="italic"><enum>(B)</enum><header>Other
entities</header><text>An eligible entity described in paragraph (2)(A)(ii)
that receives a grant under this section shall use the funds awarded pursuant
to such grant to—</text>
<clause id="idfe9cfd81-f5a6-45ea-bf93-aad9243861fa"><enum>(i)</enum><text>improve the early detection,
surveillance, and investigative capabilities of poison control centers for
chemical, biological, radiological, and nuclear events by training poison
information personnel to improve the accuracy of surveillance data, improving
the definitions used by the poison control centers for surveillance, and
enhancing timely and efficient investigation of data anomalies;</text>
</clause><clause id="id19f5d86f-8dcd-4786-95fb-4fbc2d192f3a"><enum>(ii)</enum><text>improve the capabilities of poison
control centers to provide information to health care providers and the public
with regard to chemical, biological, radiological, or nuclear threats or
exposures, in consultation with the appropriate State, local, and tribal public
health entities; or</text>
</clause><clause id="ide59edeff-3d9d-4419-8ff9-b7ed380097d1"><enum>(iii)</enum><text>provide surge capacity in the
event of a chemical, biological, radiological, or nuclear event through the
establishment of alternative poison control center worksites and the training
of nontraditional personnel.</text>
</clause></subparagraph></paragraph></subsection><subsection commented="no" id="id6b3a28c7-89a0-45f2-9953-213501ba9de7"><enum>(g)</enum><header>Authorization
of appropriations</header>
<paragraph commented="no" id="idbacafbcd-fd31-4302-b534-ee16be862f72"><enum>(1)</enum><header>Fiscal year
2007</header><text>There are authorized to be appropriated to carry out
subsections (d), (e), and (f) $102,000,000 for fiscal year 2007, of which
$35,000,000 is authorized to be appropriated to carry out subsection
(f).</text>
</paragraph><paragraph commented="no" id="id1ff2e6b1-2372-4b53-8837-23f3c9b28305"><enum>(2)</enum><header>Subsequent
fiscal years</header><text>There are authorized to be appropriated such sums as
may be necessary to carry out subsections (d), (e), and (f) for each of fiscal
years 2008 through
2011.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section changed="added" committee-id="SSHR00" id="idd6170a2e-dc7c-4584-a091-6e80e89d7ebb" reported-display-style="italic"><enum>203.</enum><header>Public health
workforce enhancements</header>
<subsection id="iddfa69b11-d76e-42fe-b401-aa2223f04060"><enum>(a)</enum><header>Demonstration
project</header><text>Subpart III of part D of title III of the Public Health
Service Act (42 U.S.C. 254l) is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="id998914eb-6869-4377-a5b5-f8d0a1780ddd" style="OLC">
<section id="idd8d748d4-4b62-41be-be9d-b9cc74ba1f2a"><enum>338M.</enum><header>Public
health departments</header>
<subsection changed="added" committee-id="SSHR00" id="id85A902B205F34AE5A7F0CE9CDB5DA0C2" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text>To the extent that funds are appropriated under
subsection (e), the Secretary shall establish a demonstration project to
provide for the participation of individuals who are eligible for the Loan
Repayment Program described in section 338B and who agree to complete their
service obligation in a State health department that provides a significant
amount of service to health professional shortage areas or areas at risk of a
public health emergency, as determined by the Secretary, or in a local or
tribal health department that serves a health professional shortage area or an
area at risk of a public health emergency.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id7e6169b7-4d72-40c6-b76c-b58fe90deb45" reported-display-style="italic"><enum>(b)</enum><header>Procedure</header><text>To
be eligible to receive assistance under subsection (a), with respect to the
program described in section 338B, an individual shall—</text>
<paragraph id="id224b3a95-dc36-4ded-9f77-d623efdccdee"><enum>(1)</enum><text>comply with all rules and
requirements described in such section (other than section 338B(f)(1)(B)(iv));
and</text>
</paragraph><paragraph id="idab6c1b1e-d3cb-4f88-bd05-4da2b69d94ac"><enum>(2)</enum><text>agree to serve for a time period
equal to 2 years, or such longer period as the individual may agree to, in a
State, local, or tribal health department, described in subsection (a).</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="idbda0a677-2627-46a3-a1dd-f89e459a1dc7" reported-display-style="italic"><enum>(c)</enum><header>Designations</header><text>The
demonstration project described in subsection (a), and any healthcare providers
who are selected to participate in such project, shall not be considered by the
Secretary in the designation of health professional shortage areas under
section 332 during fiscal years 2007 through 2010.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idabec5d96-b18c-4236-879c-2ce3c1c1e351" reported-display-style="italic"><enum>(d)</enum><header>Report</header><text>Not
later than 3 years after the date of enactment of this section, the Secretary
shall submit a report to the relevant committees of Congress that evaluates the
participation of individuals in the demonstration project under subsection (a),
the impact of such participation on State, local, and tribal health
departments, and the benefit and feasibility of permanently allowing such
placements in the Loan Repayment Program.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id03dc1229-bd68-42f0-811e-bb8d2abb576d" reported-display-style="italic"><enum>(e)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section, such sums as may be necessary for each of fiscal years 2007
through
2010.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="added" committee-id="SSHR00" id="id478352b9-b224-4926-bddb-38e9d270c18f" reported-display-style="italic"><enum>(b)</enum><header>Grants for loan
repayment program</header><text>Section 338I of the Public Health Service Act
(42 U.S.C. 254q–1) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="ide3efbd16-f4dc-46d9-bb25-62841dcd72b6" style="OLC">
<subsection id="id61034209-2020-4954-b9c6-87b0bee88514"><enum>(j)</enum><header>Public
health loan repayment</header>
<paragraph changed="added" committee-id="SSHR00" id="idc2c55aa8-34b6-4000-a347-7ec8ed1b6f14" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>The Secretary may award grants to States for the purpose
of assisting such States in operating loan repayment programs under which such
States enter into contracts to repay all or part of the eligible loans borrowed
by, or on behalf of, individuals who agree to serve in State, local, or tribal
health departments that serve health professional shortage areas or other areas
at risk of a public health emergency, as designated by the Secretary.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id950009bc-24a1-4412-b1f7-3ac8314edb2b" reported-display-style="italic"><enum>(2)</enum><header>Loans eligible for
repayment</header><text>To be eligible for repayment under this subsection, a
loan shall be a loan made, insured, or guaranteed by the Federal Government
that is borrowed by, or on behalf of, an individual to pay the cost of
attendance for a program of education leading to a degree appropriate for
serving in a State, local, or tribal health department as determined by the
Secretary and the chief executive officer of the State in which the grant is
administered, at an institution of higher education (as defined in section 102
of the Higher Education Act of 1965), including principal, interest, and
related expenses on such loan.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id0c73acd7-aadc-418c-8523-24dbee073005" reported-display-style="italic"><enum>(3)</enum><header>Applicability of
existing requirements</header><text>With respect to awards made under paragraph
(1)—</text>
<subparagraph id="id2d69d4fb-a799-416a-ad58-60b73ee97946"><enum>(A)</enum><text>the requirements of subsections
(b), (f), and (g) shall apply to such awards; and</text>
</subparagraph><subparagraph id="id50a16b70-247e-45db-8eb8-45570220436d"><enum>(B)</enum><text>the requirements of subsection (c)
shall apply to such awards except that with respect to paragraph (1) of such
subsection, the State involved may assign an individual only to public and
nonprofit private entities that serve health professional shortage areas or
areas at risk of a public health emergency, as determined by the
Secretary.</text>
</subparagraph></paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id15f155fe-7384-41e9-a8bf-b7132276a576" reported-display-style="italic"><enum>(4)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this subsection, such sums as may be necessary for each of fiscal years
2007 through
2010.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section changed="added" committee-id="SSHR00" id="idc44e0afa-a658-4569-b8e4-4e0c157c182b" reported-display-style="italic"><enum>204.</enum><header>Vaccine tracking and
distribution</header><text display-inline="no-display-inline">Section 319A of
the Public Health Service Act (42 U.S.C. 247d–1) is amended to read as
follows:</text>
<quoted-block display-inline="no-display-inline" id="id278725e8-d9b2-4f3e-9c1b-13eaeb4454c3" style="OLC">
<section id="id0b8c0158-14b3-4094-a02b-2827b5c90751"><enum>319A.</enum><header>Vaccine
tracking and distribution</header>
<subsection changed="added" committee-id="SSHR00" id="idf30f6873-ed21-4391-8641-3affcf0a042f" reported-display-style="italic"><enum>(a)</enum><header>Tracking</header><text>The
Secretary, together with relevant manufacturers, wholesalers, and distributors
as may agree to cooperate, may track the initial distribution of federally
purchased influenza vaccine in an influenza pandemic. Such tracking information
shall be used to inform Federal, State, local, and tribal decision makers
during an influenza pandemic.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idcd013ebb-6ff9-4646-9096-4be03352092e" reported-display-style="italic"><enum>(b)</enum><header>Distribution</header><text>The
Secretary shall promote communication between State, local, and tribal public
health officials and such manufacturers, wholesalers, and distributors as agree
to participate, regarding the effective distribution of seasonal influenza
vaccine. Such communication shall include estimates of high priority
populations, as determined by the Secretary, in State, local, and tribal
jurisdictions in order to inform Federal, State, local, and tribal decision
makers during vaccine shortages and supply disruptions.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id8fe4de7f-54c2-4f3e-9a38-785e314c6e7d" reported-display-style="italic"><enum>(c)</enum><header>Confidentiality</header><text>The
information submitted to the Secretary or its contractors, if any, under this
section or under any other section of this Act related to vaccine distribution
information shall remain confidential in accordance with the exception from the
public disclosure of trade secrets, commercial or financial information, and
information obtained from an individual that is privileged and confidential, as
provided for in section 552(b)(4) of title 5, United States Code, and subject
to the penalties and exceptions under sections 1832 and 1833 of title 18,
United States Code, relating to the protection and theft of trade secrets, and
subject to privacy protections that are consistent with the regulations
promulgated under section 264(c) of the Health Insurance Portability and
Accountability Act of 1996. None of such information provided by a
manufacturer, wholesaler, or distributor shall be disclosed without its consent
to another manufacturer, wholesaler, or distributor, or shall be used in any
manner to give a manufacturer, wholesaler, or distributor a proprietary
advantage.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id665b67e6-8d05-4831-b20c-f20845aff85c" reported-display-style="italic"><enum>(d)</enum><header>Guidelines</header><text>The
Secretary, in order to maintain the confidentiality of relevant information and
ensure that none of the information contained in the systems involved may be
used to provide proprietary advantage within the vaccine market, while allowing
State, local, and tribal health officials access to such information to
maximize the delivery and availability of vaccines to high priority
populations, during times of influenza pandemics, vaccine shortages, and supply
disruptions, in consultation with manufacturers, distributors, wholesalers and
State, local, and tribal health departments, shall develop guidelines for
subsections (a) and (b).</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id0c1be612-0cea-42f6-9951-7148961aadad" reported-display-style="italic"><enum>(e)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section, such sums for each of fiscal years 2007 through 2011.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idd3114637-e1f4-494b-bc15-01cb8e8b1d4d" reported-display-style="italic"><enum>(f)</enum><header>Report to
Congress</header><text>As part of the National Health Security Strategy
described in section 2802, the Secretary shall provide an update on the
implementation of subsections (a) through
(d).</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="added" committee-id="SSHR00" id="id220961f5-ec68-49ad-b27c-db00c1c427af" reported-display-style="italic"><enum>205.</enum><header>National Science
Advisory Board for Biosecurity</header><text display-inline="no-display-inline">The National Science Advisory Board for
Biosecurity shall, when requested by the Secretary of Health and Human
Services, provide to relevant Federal departments and agencies, advice,
guidance, or recommendations concerning—</text>
<paragraph id="idbf8eb64e-85a0-4ff4-a625-d6f33d02c617"><enum>(1)</enum><text>a
core curriculum and training requirements for workers in maximum containment
biological laboratories; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id2a60860f-07ea-4038-8cae-03e716aea509"><enum>(2)</enum><text>periodic evaluations of maximum
containment biological laboratory capacity nationwide and assessments of the
future need for increased laboratory capacity;</text>
</paragraph></section><enum>III</enum><header>All-Hazards medical
surge capacity</header>
<section changed="added" commented="no" committee-id="SSHR00" id="id090ae063-c08c-4e5e-b3af-ff9d54e3e016" reported-display-style="italic"><enum>301.</enum><header>National disaster
medical system</header>
<subsection changed="added" commented="no" committee-id="SSHR00" id="id6c986ea5-691d-421b-853a-d208e42059f5" reported-display-style="italic"><enum>(a)</enum><header>National Disaster
Medical System</header><text>Section 2812 of subtitle B of title XXVIII of the
Public Health Service Act (42 U.S.C. 300hh–11 et seq.), as redesignated by
section 102, is amended—</text>
<paragraph changed="added" commented="no" committee-id="SSHR00" id="iddda37145-ae5e-454c-b325-fea54af19012" reported-display-style="italic"><enum>(1)</enum><text>by striking the section
heading and inserting <quote><header-in-text level="section" style="OLC">National Disaster Medical System</header-in-text></quote>;</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="iddb495902-9331-4716-9af5-2212d541906e" reported-display-style="italic"><enum>(2)</enum><text>by striking subsection
(a);</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="idea202865-eec5-447e-b054-27f37f7473e3" reported-display-style="italic"><enum>(3)</enum><text>by redesignating
subsections (b) through (h) as subsections (a) through (g);</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="id8864a112-6f8d-4d83-836b-c17833dac639" reported-display-style="italic"><enum>(4)</enum><text>in subsection (a), as so
redesignated—</text>
<subparagraph commented="no" id="id6530da2c-02e7-4302-bd50-2db5807303b3"><enum>(A)</enum><text>in paragraph (2)(B), by striking
<quote>Federal Emergency Management Agency</quote> and inserting
<quote>Department of Homeland Security</quote>; and</text>
</subparagraph><subparagraph commented="no" id="id55323943-0cad-4b48-b49f-c8d1dfb0f8d0"><enum>(B)</enum><text>in paragraph (3)(C), by striking
<quote>Public Health Security and Bioterrorism Preparedness and Response Act of
2002</quote> and inserting <quote>Pandemic and All-Hazards Preparedness
Act</quote>;</text>
</subparagraph></paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="id23feb853-be6c-451a-8436-3491d934f2d3" reported-display-style="italic"><enum>(5)</enum><text>in subsection (b), as so
redesignated, by—</text>
<subparagraph commented="no" id="id5dc78afb-983c-430f-bac0-93aa639cbda0"><enum>(A)</enum><text>striking the subsection heading and
inserting <quote><header-in-text level="subsection" style="OLC">Modifications</header-in-text></quote>;</text>
</subparagraph><subparagraph commented="no" id="idd0e912ee-4c4a-4f4f-8333-f881edf481fa"><enum>(B)</enum><text>redesignating paragraph (2) as
paragraph (3); and</text>
</subparagraph><subparagraph commented="no" id="idd36df123-428a-43cb-81ce-a744d6217b2c"><enum>(C)</enum><text>striking paragraph (1) and
inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="ida08c9106-a6e3-4762-8d03-9e7d38020609" style="OLC">
<paragraph changed="added" commented="no" committee-id="SSHR00" id="id146cbdb5-684c-4f7f-a8e0-1a83c2b3f14b" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>Taking into account the findings from the joint review
described under paragraph (2), the Secretary shall modify the policies of the
National Disaster Medical System as necessary.</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="ided9bf628-de66-495b-9ab1-77c4c3e35823" reported-display-style="italic"><enum>(2)</enum><header>Joint review and
medical surge capacity strategic plan</header><text>Not later than 180 days
after the date of enactment of the Pandemic and All-Hazards Preparedness Act,
the Secretary, in coordination with the Secretary of Homeland Security, the
Secretary of Defense, and the Secretary of Veterans Affairs, shall conduct a
joint review of the National Disaster Medical System. Such review shall include
an evaluation of medical surge capacity, as described by section 2804(a). As
part of the National Health Security Strategy under section 2802, the Secretary
shall update the findings from such review and further modify the policies of
the National Disaster Medical System as
necessary.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="ided2ef029-59d0-42ba-9aba-326dd235ad6a" reported-display-style="italic"><enum>(6)</enum><text>by striking
<quote>subsection (b)</quote> each place it appears and inserting
<quote>subsection (a)</quote>;</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="iddc4ca3ed-af97-4067-acde-11ed40bf7f19" reported-display-style="italic"><enum>(7)</enum><text>by striking
<quote>subsection (d)</quote> each place it appears and inserting
<quote>subsection (c)</quote>; and</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="id3440ec04-560e-4424-87d9-3559c4b8765e" reported-display-style="italic"><enum>(8)</enum><text>in subsection (g), as so
redesignated, by striking <quote>2002 through 2006</quote> and inserting
<quote>2007 through 2011</quote>.</text>
</paragraph></subsection><subsection changed="added" commented="no" committee-id="SSHR00" id="id80616700-01a5-4e7a-ad03-3805450afd3f" reported-display-style="italic"><enum>(b)</enum><header>Transfer of National
Disaster Medical System to the Department of Health and Human
Services</header><text>There shall be transferred to the Secretary of Health
and Human Services the functions, personnel, assets, and liabilities of the
National Disaster Medical System of the Department of Homeland Security,
including the functions of the Secretary of Homeland Security and the Under
Secretary for Emergency Preparedness and Response relating thereto.</text>
</subsection><subsection changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idb8ab97f2-1a24-458f-8c29-4702dac7ff92" reported-display-style="italic"><enum>(c)</enum><header>Conforming amendments
to the Homeland Security Act of 2002</header><text display-inline="yes-display-inline">The Homeland Security Act of 2002 (6 U.S.C.
312(3)(B), 313(5))) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="ida56b737b-dc11-4423-a2bb-1b81c69b0221"><enum>(1)</enum><text>in
section 502(3)(B), by striking <term>, the National Disaster Medical
System,</term>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ide0666c5d-e22f-42ce-afb5-44cab976dd2d"><enum>(2)</enum><text>in
section 503(5), by striking <quote>, the National Disaster Medical
System</quote>.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id3eae60a2-0a98-4c5c-b150-0f041c7de6d0" reported-display-style="italic"><enum>(d)</enum><header>Update of certain
provision</header><text>Section 319F(b)(2) of the Public Health Service Act (42
U.S.C. 247d–6(b)(2)) is amended—</text>
<paragraph changed="added" committee-id="SSHR00" id="idcb8d0bba-f562-4f0d-8112-221be33f5c28" reported-display-style="italic"><enum>(1)</enum><text>in the paragraph heading,
by striking <quote><header-in-text level="paragraph" style="OLC">Children and
Terrorism</header-in-text></quote> and inserting <quote><header-in-text level="paragraph" style="OLC">At-Risk Individuals and Public Health
Emergencies</header-in-text></quote>;</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id99532623-33e9-4f1e-8da3-3e1e4625783c" reported-display-style="italic"><enum>(2)</enum><text>in subparagraph (A), by
striking <quote>Children and Terrorism</quote> and inserting <quote>At-Risk
Individuals and Public Health Emergencies</quote>;</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id21f17939-3872-401d-a8f8-195a5f6b673b" reported-display-style="italic"><enum>(3)</enum><text>in subparagraph
(B)—</text>
<subparagraph id="id58f013ba-db78-47d2-8b1e-9819e165ac22"><enum>(A)</enum><text>in
clause (i), by striking <quote>bioterrorism as it relates to children</quote>
and inserting <quote>public health emergencies as they relate to at-risk
individuals</quote>;</text>
</subparagraph><subparagraph id="id2558742e-063f-4fc6-bd94-da31e96d0142"><enum>(B)</enum><text>in
clause (ii), by striking <quote>children</quote> and inserting <quote>at-risk
individuals</quote>; and</text>
</subparagraph><subparagraph id="id7b9f785d-980f-43ea-9331-118af2bbade8"><enum>(C)</enum><text>in
clause (iii), by striking <quote>children</quote> and inserting <quote>at-risk
individuals</quote>;</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id2e29b6a5-6a8c-4b5c-a45c-5dc4a092b697" reported-display-style="italic"><enum>(4)</enum><text>in subparagraph (C), by
striking <quote>children</quote> and all that follows through the period and
inserting <quote>at-risk populations.</quote>; and</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idb81239b3-94a4-4bfc-a804-647afe1a3257" reported-display-style="italic"><enum>(5)</enum><text>in subparagraph (D), by
striking <quote>one year</quote> and inserting <quote>six years</quote>.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id79A20D853E434AEEA2C132A67B909C09" reported-display-style="italic"><enum>(e)</enum><header>Conforming
amendment</header><text>Section 319F(b)(3)(B) of the Public Health Service Act
(42 U.S.C. 247d–6(b)(3)(B)) is amended by striking <quote>and the working group
under subsection (a)</quote>.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="ida2805033-1cc5-4ec5-a299-82bc2222b38b" reported-display-style="italic"><enum>(f)</enum><header>Effective
date</header><text>The amendments made by subsections (b) and (c) shall take
effect on January 1, 2007.</text>
</subsection></section><section changed="added" committee-id="SSHR00" id="idfdc896d5-edfe-42df-b5e5-f98e5377b2bc" reported-display-style="italic"><enum>302.</enum><header>Enhancing medical
surge capacity</header>
<subsection id="id6ce1e548-c34b-471d-94a5-6743e62bfd72"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Title XXVIII of the Public Health Service
Act (300hh–11 et seq.), as amended by section 103, is amended by inserting
after section 2802 the following:</text>
<quoted-block display-inline="no-display-inline" id="idf11c3950-3620-43de-a68b-b86ccd8f3815" style="OLC">
<section id="id92db8d04-9413-43ae-b47a-87df3084075e"><enum>2804.</enum><header>Enhancing
medical surge capacity</header>
<subsection changed="added" committee-id="SSHR00" id="idd764c7a7-bd8e-4c5c-8bfa-a2d1417f2b04" reported-display-style="italic"><enum>(a)</enum><header>Study of enhancing
medical surge capacity</header><text>As part of the joint review described in
section 2812(b), the Secretary shall evaluate the benefits and feasibility of
improving the capacity of the Department of Health and Human Services to
provide additional medical surge capacity to local communities in the event of
a public health emergency. Such study shall include an assessment of the need
for and feasibility of improving surge capacity through—</text>
<paragraph id="idb2672cb8-d4bd-4661-8d7f-79bba8ad40d9"><enum>(1)</enum><text>acquisition and operation of mobile
medical assets by the Secretary to be deployed, on a contingency basis, to a
community in the event of a public health emergency; and</text>
</paragraph><paragraph id="id7b6a913f-8a1e-4de8-8b47-96228cc6d5ec"><enum>(2)</enum><text>other strategies to improve such
capacity as determined appropriate by the Secretary.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="idc7cead98-57a8-495b-920b-5e70bf26cb8a" reported-display-style="italic"><enum>(b)</enum><header>Authority to acquire
and operate mobile medical assets</header><text>In addition to any other
authority to acquire, deploy, and operate mobile medical assets, the Secretary
may acquire, deploy, and operate mobile medical assets if, taking into
consideration the evaluation conducted under subsection (a), such acquisition,
deployment, and operation is determined to be beneficial and feasible in
improving the capacity of the Department of Health and Human Services to
provide additional medical surge capacity to local communities in the event of
a public health emergency.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idccaf308e-28d5-4df4-a5b1-6e4d3025dc4d" reported-display-style="italic"><enum>(c)</enum><header>Using Federal
facilities to enhance medical surge capacity</header>
<paragraph id="idcaae1486-779b-4737-9629-5da095eda262"><enum>(1)</enum><header>Analysis</header><text>The
Secretary shall conduct an analysis of whether there are Federal facilities
which, in the event of a public health emergency, could practicably be used as
facilities in which to provide health care.</text>
</paragraph><paragraph id="id946c41c0-2001-43cd-a4be-6ae19eeeb567"><enum>(2)</enum><header>Memoranda of
understanding</header><text>If, based on the analysis conducted under paragraph
(1), the Secretary determines that there are Federal facilities which, in the
event of a public health emergency, could be used as facilities in which to
provide health care, the Secretary shall, with respect to each such facility,
seek to conclude a memorandum of understanding with the head of the Department
or agency that operates such facility that permits the use of such facility to
provide health care in the event of a public health
emergency.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="added" committee-id="SSHR00" id="id82112573-95c7-4ed3-84a1-130af0765a4e" reported-display-style="italic"><enum>(b)</enum><header>EMTALA</header>
<paragraph changed="added" committee-id="SSHR00" id="idef042912-619a-4391-96de-1efe0c3960fa" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>Section 1135(b) of the Social Security Act (42 U.S.C.
1320b–5(b)) is amended—</text>
<subparagraph id="id23d165f1-40c6-4d0e-8164-486c9963b2ac"><enum>(A)</enum><text>in
paragraph (3), by striking subparagraph (B) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idf738a703-5cad-45bd-bed8-c48f66506447" style="OLC">
<subparagraph id="id5474b099-fd02-4481-bf33-f2a759c6d646"><enum>(B)</enum><text>the direction
or relocation of an individual to receive medical screening in an alternative
location—</text>
<clause changed="added" committee-id="SSHR00" id="ida26a998f-cc3e-4c5b-a1c6-96c46d08ebc7" reported-display-style="italic"><enum>(i)</enum><text>pursuant to an
appropriate State emergency preparedness plan; or</text>
</clause><clause changed="added" committee-id="SSHR00" id="ida0230b0f-e7b9-4d41-a698-69a74c9cf277" reported-display-style="italic"><enum>(ii)</enum><text>in the case of a public
health emergency described in subsection (g)(1)(B) that involves a pandemic
infectious disease, pursuant to a State pandemic preparedness plan or a plan
referred to in clause (i), whichever is applicable in the
State;</text>
</clause></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="iddc6eb91e-b19c-48e4-943b-5138b9399eec" reported-display-style="italic"><enum>(B)</enum><text>in the third sentence, by
striking <quote>and shall be limited to</quote> and inserting <quote>and,
except in the case of a waiver or modification to which the fifth sentence of
this subsection applies, shall be limited to</quote>; and</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id44732db3-c82c-47de-a7f2-0710927ed855" reported-display-style="italic"><enum>(C)</enum><text>by adding at the end the
following: <quote>If a public health emergency described in subsection
(g)(1)(B) involves a pandemic infectious disease (such as pandemic influenza),
the duration of a waiver or modification under paragraph (3) shall be
determined in accordance with subsection (e) as such subsection applies to
public health emergencies.</quote>.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="idf3831e5c-ed99-4656-b5c3-ce96d7ec18c5" reported-display-style="italic"><enum>(2)</enum><header>Effective
date</header><text>The amendments made by paragraph (1) shall take effect on
the date of the enactment of this Act and shall apply to public health
emergencies declared pursuant to section 319 of the Public Health Service Act
(42 U.S.C. 247d) on or after such date.</text>
</paragraph></subsection></section><section changed="added" committee-id="SSHR00" id="id503efaa6-46dc-456f-9212-097230911bc0" reported-display-style="italic"><enum>303.</enum><header>Encouraging health
professional volunteers</header>
<subsection id="idb74e3b64-ec3e-4171-8762-23aa66a64a47"><enum>(a)</enum><header>Volunteer medical reserve
corps</header><text display-inline="yes-display-inline">Title XXVIII of the
Public Health Service Act (42 U.S.C. 300hh–11 et seq.), as amended by this Act,
is amended by inserting after section 2812 the following:</text>
<quoted-block display-inline="no-display-inline" id="idb5d5f378-98bc-489c-9ab8-18ee887dc9ed" style="OLC">
<section id="id26a4f64d-6c8b-41f1-8bff-a5582157a474"><enum>2813.</enum><header>Volunteer
Medical Reserve Corps</header>
<subsection changed="added" committee-id="SSHR00" id="idcd6136b6-4615-4084-8ba3-4328dae7ea20" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text>Not later than 180 days after the date of enactment of
the <short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary, in collaboration with State, local, and
tribal officials, shall build on State, local, and tribal programs in existence
on the date of enactment of such Act to establish and maintain a Medical
Reserve Corps (referred to in this section as the <quote>Corps</quote>) to
provide for an adequate supply of volunteers in the case of a Federal, State,
local, or tribal public health emergency. The Corps shall be headed by a
Director who shall be appointed by the Secretary and shall oversee the
activities of the Corps chapters that exist at the State, local, and tribal
levels.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id77b68b8c-e767-441a-a902-d865abddbc84" reported-display-style="italic"><enum>(b)</enum><header>State, local, and
tribal coordination</header><text>The Corps shall be established using existing
State, local, and tribal teams and shall not alter such teams.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="ida4cbdea7-8f02-49f4-b6df-4360c1d9d099" reported-display-style="italic"><enum>(c)</enum><header>Composition</header><text>The
Corps shall be composed of individuals who—</text>
<paragraph id="idcaa7415c-bd3e-44a0-b772-5522f917ba37"><enum>(1)(A)</enum><text>are health professionals who
have appropriate professional training and expertise as determined appropriate
by the Director of the Corps; or</text>
</paragraph><paragraph id="id0f5e34ab-691f-443a-8210-c2a0ad154b5b"><enum>(B)</enum><text>are
non-health professionals who have an interest in serving in an auxiliary or
support capacity to facilitate access to health care services in a public
health emergency;</text>
</paragraph><paragraph id="id84aa7cef-07da-45ed-968d-ac1f5e688e80"><enum>(2)</enum><text>are
certified in accordance with the certification program developed under
subsection (d);</text>
</paragraph><paragraph id="id8c590c47-88cf-4a1d-ae25-dbc0478768d6"><enum>(3)</enum><text>are
geographically diverse in residence;</text>
</paragraph><paragraph id="ida15d5b67-c3b7-4799-8e25-321f59404133"><enum>(4)</enum><text>have registered and carry out
training exercises with a local chapter of the Medical Reserve Corps;
and</text>
</paragraph><paragraph id="idf13392bd-d74f-4d81-9cc8-e23b02d57fc8"><enum>(5)</enum><text>indicate whether they are willing
to be deployed outside the area in which they reside in the event of a public
health emergency.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id4778ec1c-d58c-4840-9ed0-f7ff6c0857f0" reported-display-style="italic"><enum>(d)</enum><header>Certification;
drills</header>
<paragraph id="idfa6e911b-9a28-470a-a545-22f5989ce175"><enum>(1)</enum><header>Certification</header><text>The
Director, in collaboration with State, local, and tribal officials, shall
establish a process for the periodic certification of individuals who volunteer
for the Corps, as determined by the Secretary, which shall include the
completion by each individual of the core training programs developed under
section 319F, as required by the Director. Such certification shall not
supercede State licensing or credentialing requirements.</text>
</paragraph><paragraph id="id34f18fa5-a5a7-402c-b939-881c22dc136c"><enum>(2)</enum><header>Drills</header><text>In
conjunction with the core training programs referred to in paragraph (1), and
in order to facilitate the integration of trained volunteers into the health
care system at the local level, Corps members shall engage in periodic training
exercises to be carried out at the local level.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="id9495bea8-8358-438c-8728-0143f467604c" reported-display-style="italic"><enum>(e)</enum><header>Deployment</header><text>During
a public health emergency, the Secretary shall have the authority to activate
and deploy willing members of the Corps to areas of need, taking into
consideration the public health and medical expertise required, with the
concurrence of the State, local, or tribal officials from the area where the
members reside.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="ida0f7412a-8826-452c-8a6a-30a649b873f5" reported-display-style="italic"><enum>(f)</enum><header>Expenses and
transportation</header><text>While engaged in performing duties as a member of
the Corps pursuant to an assignment by the Secretary (including periods of
travel to facilitate such assignment), members of the Corps who are not
otherwise employed by the Federal Government shall be allowed travel or
transportation expenses, including per diem in lieu of subsistence.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idcf3d9469-ca5e-4e9c-abf4-788460fca28d" reported-display-style="italic"><enum>(g)</enum><header>Identification</header><text>The
Secretary, in cooperation and consultation with the States, shall develop a
Medical Reserve Corps Identification Card that describes the licensure and
certification information of Corps members, as well as other identifying
information determined necessary by the Secretary.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id8c189c2c-34ca-411b-9f18-4a77c57a623f" reported-display-style="italic"><enum>(h)</enum><header>Intermittent
disaster-response personnel</header>
<paragraph id="iddffab2db-33dd-4a2f-827a-3de6bc7d1dfa"><enum>(1)</enum><header>In general</header><text>For the
purpose of assisting the Corps in carrying out duties under this section,
during a public health emergency, the Secretary may appoint selected
individuals to serve as intermittent personnel of such Corps in accordance with
applicable civil service laws and regulations. In all other cases, members of
the Corps are subject to the laws of the State in which the activities of the
Corps are undertaken.</text>
</paragraph><paragraph commented="no" id="idee2f338a-07ab-4863-9b4c-1feaef11c882"><enum>(2)</enum><header>Applicable
protections</header><text>Subsections (c)(2), (d), and (e) of section 2812
shall apply to an individual appointed under paragraph (1) in the same manner
as such subsections apply to an individual appointed under section
2812(c).</text>
</paragraph><paragraph id="idb0bc23ef-5578-4c0d-bfae-9fd9b8209894"><enum>(3)</enum><header>Limitation</header><text>State,
local, and tribal officials shall have no authority to designate a member of
the Corps as Federal intermittent disaster-response personnel, but may request
the services of such members.</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="idb069c200-a790-4576-8937-4591a1cac30e" reported-display-style="italic"><enum>(i)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated to carry
out this section, $22,000,000 for fiscal year 2007, and such sums as may be
necessary for each of fiscal years 2008 through
2011.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="added" committee-id="SSHR00" id="id9babd90d-68c7-4812-9cdb-4127a4f4a6ea" reported-display-style="italic"><enum>(b)</enum><header>Encouraging health
professions volunteers</header><text>Section 319I of the Public Health Service
Act (42 U.S.C. 247d–7b) is amended—</text>
<paragraph id="id6d15aee2-27fa-47a5-a925-d081fc9178cd"><enum>(1)</enum><text>by
redesignating subsections (e) and (f) as subsections (j) and (k),
respectively;</text>
</paragraph><paragraph id="idac51da34-fbf2-45ab-a934-dc84d487ef83"><enum>(2)</enum><text>by
striking subsections (a) and (b) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id9fb43115-7655-47ca-8b68-c1f79594970b" style="OLC">
<subsection changed="added" committee-id="SSHR00" id="idc4ad9d6b-aabc-477a-aa49-61481afd17b9" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text>Not later than 12 months after the date of enactment of
the <short-title>Pandemic and All-Hazards Preparedness
Act</short-title>, the Secretary shall link existing State verification systems
to maintain a single national interoperable network of systems, each system
being maintained by a State or group of States, for the purpose of verifying
the credentials and licenses of health care professionals who volunteer to
provide health services during a public health emergency (such network shall be
referred to in this section as the <quote>verification network</quote>).</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id5f14287d-1d67-4e78-8c68-775b159e8709" reported-display-style="italic"><enum>(b)</enum><header>Requirements</header><text>The
interoperable network of systems established under subsection (a) shall
include—</text>
<paragraph changed="added" committee-id="SSHR00" id="id2d3d5689-8e5d-40f9-8746-cbe96e614dbf" reported-display-style="italic"><enum>(1)</enum><text>with respect to each
volunteer health professional included in the system—</text>
<subparagraph id="id521defed-cc10-4817-b66a-9cd0ef08fefa"><enum>(A)</enum><text>information necessary for the rapid
identification of, and communication with, such professionals; and</text>
</subparagraph><subparagraph id="id605f254e-db04-4679-91e0-63d612aec145"><enum>(B)</enum><text>the credentials, certifications,
licenses, and relevant training of such individuals; and</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="ida6ef7861-a40b-4642-8e30-c619e0eb1aea" reported-display-style="italic"><enum>(2)</enum><text>the name of each member
of the Medical Reserve Corps, the National Disaster Medical System, and any
other relevant federally-sponsored or administered programs determined
necessary by the
Secretary.</text>
</paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id3049F77DA1184DC199FE7967F85D16AE" reported-display-style="italic"><enum>(3)</enum><text>in subsection (c), strike
<quote>system</quote> and insert <quote>network</quote>;</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id84d6b8f5-90e2-4074-8059-6be24d407d50" reported-display-style="italic"><enum>(4)</enum><text>by striking subsection
(d) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idfa72fed1-5f79-4b98-8313-7e4bbd43a022" style="OLC">
<subsection changed="added" committee-id="SSHR00" id="idf804274e-ad6d-4100-abbf-cb3e40065866" reported-display-style="italic"><enum>(d)</enum><header>Accessibility</header><text>The
Secretary shall ensure that the network established under subsection (a) is
electronically accessible by State, local, and tribal health departments and
can be linked with the identification cards under section 2813.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id4f891560-90d5-4b38-bb04-1326717244f3" reported-display-style="italic"><enum>(e)</enum><header>Confidentiality</header><text>The
Secretary shall establish and require the application of and compliance with
measures to ensure the effective security of, integrity of, and access to the
data included in the network.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id6e813ed3-dd6a-4a4c-ad47-2b61b550964e" reported-display-style="italic"><enum>(f)</enum><header>Coordination</header><text>The
Secretary shall coordinate with the Secretary of Veterans Affairs and the
Secretary of Homeland Security to assess the feasibility of integrating the
verification network under this section with the VetPro system of the
Department of Veterans Affairs and the National Emergency Responder
Credentialing System of the Department of Homeland Security. The Secretary
shall, if feasible, integrate the verification network under this section with
such VetPro system and the National Emergency Responder Credentialing
System.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id550a0121-32b4-4523-841e-e557e484096c" reported-display-style="italic"><enum>(g)</enum><header>Updating of
information</header><text>The States that are participants in the network
established under subsection (a) shall, on at least a quarterly basis, work
with the Director to provide for the updating of the information contained in
such network.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idd06bc9b3-7ae8-434c-b5ac-b50b798a4136" reported-display-style="italic"><enum>(h)</enum><header>Clarification</header><text>Inclusion
of a health professional in the verification network established pursuant to
this section shall not constitute appointment of such individual as a Federal
employee for any purpose, either under section 2812(c) or otherwise. Such
appointment may only be made under section 2812 or 2813.</text>
</subsection><subsection changed="added" commented="no" committee-id="SSHR00" id="id852eaba7-5298-4a5a-bc60-4adc7d66f2b5" reported-display-style="italic"><enum>(i)</enum><header>Health care provider
licenses</header><text>The Secretary shall encourage States to establish and
implement mechanisms to waive the application of licensing requirements
applicable to health professionals, who are seeking to provide medical services
(within their scope of practice), during a national, State, local, or tribal
public health emergency upon verification that such health professionals are
licensed and in good standing in another State and have not been disciplined by
any State health licensing or disciplinary
board.</text>
</subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="idfd641670-d4bf-45da-acbe-731b14eb204b" reported-display-style="italic"><enum>(5)</enum><text>in subsection (k) (as so
redesignated), by striking <quote>2006</quote> and inserting
<quote>2011</quote>.</text>
</paragraph></subsection></section><section changed="added" committee-id="SSHR00" id="id0488f1d8-5f35-4727-bee6-9229403c8aa5" reported-display-style="italic"><enum>304.</enum><header>Core education and
training</header><text display-inline="no-display-inline">Section 319F of the
Public Health Service Act (42 U.S.C. 247d–6) is amended—</text>
<paragraph id="idf548b38c-9749-4903-99f3-aae2b908043c"><enum>(1)</enum><text>by
striking subsection (a) and inserting the following;</text>
<quoted-block display-inline="no-display-inline" id="ida9c49859-8d6b-4385-9f36-f1bbb2b348f3" style="OLC">
<subsection id="id6e9a69b4-0716-4452-85c2-02720bc0eee2"><enum>(a)</enum><header>All-Hazards
public health and medical response curricula and training</header>
<paragraph changed="added" commented="no" committee-id="SSHR00" id="id2595f7af-d119-4f40-90d0-4ab4d7acacd4" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>The Secretary, in collaboration with the Secretary of
Defense, and in consultation with relevant public and private entities, shall
develop core health and medical response curricula and trainings by adapting
applicable existing curricula and training programs to improve responses to
public health emergencies.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idcb5608c0-f93a-4a11-a704-c065be3ff517" reported-display-style="italic"><enum>(2)</enum><header>Curriculum</header><text>The
public health and medical response training program may include course work
related to—</text>
<subparagraph id="id20d4e123-4831-4a50-89fd-886bff1c3dad"><enum>(A)</enum><text>medical management of casualties,
taking into account the needs of at-risk individuals;</text>
</subparagraph><subparagraph id="idc6ba6640-5cb4-443c-adab-5b07eeb165dd"><enum>(B)</enum><text>public health aspects of public
health emergencies;</text>
</subparagraph><subparagraph id="id65bca9c5-73d3-46c4-9877-60580ff6b7f2"><enum>(C)</enum><text>mental health aspects of public
health emergencies;</text>
</subparagraph><subparagraph id="ide4ba1830-b123-49e4-a964-fabbc3b9bfc1"><enum>(D)</enum><text>national incident management,
including coordination among Federal, State, local, tribal, international
agencies, and other entities; and</text>
</subparagraph><subparagraph commented="no" id="idb68dff9e-ce12-4cb4-afac-b53e3d32ed85"><enum>(E)</enum><text>protecting health care workers and
health care first responders from workplace exposures during a public health
emergency.</text>
</subparagraph></paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idcc98b972-d1f8-4dfe-8ab0-fa7b46eda2a7" reported-display-style="italic"><enum>(3)</enum><header>Peer
review</header><text display-inline="yes-display-inline">On a periodic basis,
products prepared as part of the program shall be rigorously tested and
peer-reviewed by experts in the relevant fields.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id60dbec97-e948-432f-a38b-a5c5efe0d68f" reported-display-style="italic"><enum>(4)</enum><header>Credit</header><text>The
Secretary and the Secretary of Defense shall—</text>
<subparagraph id="id936e2950-50ff-48c0-8f6d-32f42ec181a8"><enum>(A)</enum><text>take into account continuing
professional education requirements of public health and healthcare
professions; and</text>
</subparagraph><subparagraph id="idca8192de-3dab-436e-a7b9-9963aa52755c"><enum>(B)</enum><text>cooperate with State, local, and
tribal accrediting agencies and with professional associations in arranging for
students enrolled in the program to obtain continuing professional education
credit for program courses.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="idcb7da171-e7ae-493b-adc5-34f189cc803c" reported-display-style="italic"><enum>(5)</enum><header>Dissemination and
training</header>
<subparagraph id="idc953aeaa-b28e-4e4c-81c3-7140967cfd23"><enum>(A)</enum><header>In general</header><text>The
Secretary may provide for the dissemination and teaching of the materials
described in paragraphs (1) and (2) by appropriate means, as determined by the
Secretary.</text>
</subparagraph><subparagraph id="id571e9d61-6753-482f-8258-0dccb049d899"><enum>(B)</enum><header>Certain
entities</header><text>The education and training activities described in
subparagraph (A) may be carried out by Federal public health or medical
entities, appropriate educational entities, professional organizations and
societies, private accrediting organizations, and other nonprofit institutions
or entities meeting criteria established by the Secretary.</text>
</subparagraph><subparagraph id="id85d2bc9a-3903-4d6e-bf99-a776fe27ddc5"><enum>(C)</enum><header>Grants and
contracts</header><text>In carrying out this subsection, the Secretary may
carry out activities directly or through the award of grants and contracts, and
may enter into interagency agreements with other Federal
agencies.</text>
</subparagraph></paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id83C0E9EAA6D443C68C09BD9729D514A7" reported-display-style="italic"><enum>(2)</enum><text>by striking subsections
(c) through (g) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id473CD249FE3C414186175FE7E6DA10AE" style="OLC">
<subsection changed="added" commented="no" committee-id="SSHR00" id="idc366c13a-afd9-4501-8c69-08d9e31e6067" reported-display-style="italic"><enum>(c)</enum><header>Expansion of Epidemic
Intelligence Service Program</header><text display-inline="yes-display-inline">The Secretary may establish 20 officer
positions in the Epidemic Intelligence Service Program, in addition to the
number of the officer positions offered under such Program in 2006, for
individuals who agree to participate, for a period of not less than 2 years, in
the Career Epidemiology Field Officer program in a State, local, or tribal
health department that serves a health professional shortage area (as defined
under section 332(a)), a medically underserved population (as defined under
section 330(b)(3)), or a medically underserved area or area at high risk of a
public health emergency as designated by the Secretary.</text>
</subsection><subsection changed="added" commented="no" committee-id="SSHR00" id="id290e44b8-6862-4e31-8347-ab28bb8da39d" reported-display-style="italic"><enum>(d)</enum><header>Centers for public
health preparedness; core curricula and training</header>
<paragraph changed="added" committee-id="SSHR00" id="id2f6fdac8-eeb4-4c85-8c6b-d400d554ae0b" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>The Secretary may establish at accredited schools of
public health, Centers for Public Health Preparedness (hereafter referred to in
this section as the <quote>Centers</quote>).</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id83859925-8a91-4cf0-ba3d-3b96cc4ac4bb" reported-display-style="italic"><enum>(2)</enum><header>Eligibility</header><text>To
be eligible to receive an award under this subsection to establish a Center, an
accredited school of public health shall agree to conduct activities consistent
with the requirements of this subsection.</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="idfaf0345d-e7af-47f3-9544-f22dd646b994" reported-display-style="italic"><enum>(3)</enum><header>Core
curricula</header><text>The Secretary, in collaboration with the Centers and
other public or private entities shall establish core curricula based on
established competencies leading to a 4-year bachelor's degree, a graduate
degree, a combined bachelor and master's degree, or a certificate program, for
use by each Center. The Secretary shall disseminate such curricula to other
accredited schools of public health and other health professions schools
determined appropriate by the Secretary, for voluntary use by such
schools.</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="id65338506-c9f4-4aab-84f9-7143a79076d8" reported-display-style="italic"><enum>(4)</enum><header>Core competency-based
training program</header><text>The Secretary, in collaboration with the Centers
and other public or private entities shall facilitate the development of a
competency-based training program to train public health practitioners. The
Centers shall use such training program to train public health practitioners.
The Secretary shall disseminate such training program to other accredited
schools of public health, health professions schools, and other public or
private entities as determined by the Secretary, for voluntary use by such
entities.</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="id3fcf04ec-cd22-4752-a8a3-67d349ed6b1a" reported-display-style="italic"><enum>(5)</enum><header>Content of core
curricula and training program</header><text>The Secretary shall ensure that
the core curricula and training program established pursuant to this subsection
respond to the needs of State, local, and tribal public health authorities and
integrate and emphasize essential public health security capabilities
consistent with section 2802(b)(2).</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" id="id46b2e379-c249-422e-a96a-ffbb3da9dd75" reported-display-style="italic"><enum>(6)</enum><header>Academic-workforce
communication</header><text display-inline="yes-display-inline">As a condition
of receiving funding from the Secretary under this subsection, a Center shall
collaborate with a State, local, or tribal public health department to—</text>
<subparagraph commented="no" id="ide6dd73cc-b679-460c-85b2-96ffcbf5f2e7"><enum>(A)</enum><text>define the public health
preparedness and response needs of the community involved;</text>
</subparagraph><subparagraph commented="no" id="idf67ef39b-130d-473d-9c30-32b3dc9317fe"><enum>(B)</enum><text>assess the extent to which such
needs are fulfilled by existing preparedness and response activities of such
school or health department, and how such activities may be improved;</text>
</subparagraph><subparagraph id="ide5e7bf11-7c9b-4e8e-a98b-a8dfdeadbe85"><enum>(C)</enum><text>prior to developing new materials
or trainings, evaluate and utilize relevant materials and trainings developed
by others Centers; and</text>
</subparagraph><subparagraph id="ide1502056-c44d-41ee-9fbf-de7ba17b7cff"><enum>(D)</enum><text>evaluate community impact and the
effectiveness of any newly developed materials or trainings.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id75c2f605-6e5a-43b4-958d-bc3da8dfd39b" reported-display-style="italic"><enum>(7)</enum><header>Public health systems
research</header><text>In consultation with relevant public and private
entities, the Secretary shall define the existing knowledge base for public
health preparedness and response systems, and establish a research agenda based
on Federal, State, local, and tribal public health preparedness priorities. As
a condition of receiving funding from the Secretary under this subsection, a
Center shall conduct public health systems research that is consistent with the
agenda described under this
paragraph.</text>
</paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id4b3e08ef-ff9c-4178-abce-0cd31c574902" reported-display-style="italic"><enum>(3)</enum><text>by redesignating
subsection (h) as subsection (e);</text>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="id50a4ee0f-da29-415b-b493-961c3c9d8558" reported-display-style="italic"><enum>(4)</enum><text>by inserting after
subsection (e) (as so redesignated), the following:</text>
<quoted-block display-inline="no-display-inline" id="id9cce70eb-d87b-4c29-aa64-6e2d700161eb" style="OLC">
<subsection commented="no" id="id0f49eb4e-a447-4fe1-a680-1c5a9d15e6df"><enum>(f)</enum><header>Authorization
of appropriations</header>
<paragraph changed="added" commented="no" committee-id="SSHR00" id="ida7593b2a-5d0a-4dff-989c-48d9c3a1d0c3" reported-display-style="italic"><enum>(1)</enum><header>Fiscal year
2007</header><text>There are authorized to be appropriated to carry out this
section for fiscal year 2007—</text>
<subparagraph changed="added" commented="no" committee-id="SSHR00" id="idb9005fbe-e06e-4b63-b49f-01075227d3b8" reported-display-style="italic"><enum>(A)</enum><text>to carry out subsection
(a)—</text>
<clause id="id2D665537D987414CB6305D390252C37F"><enum>(i)</enum><text>$5,000,000 to carry out paragraphs
(1) through (4); and</text>
</clause><clause id="id712F653D33404A4D92BF1E12D5AA0441"><enum>(ii)</enum><text>$7,000,000 to carry out paragraph
(5);</text>
</clause></subparagraph><subparagraph changed="added" commented="no" committee-id="SSHR00" id="id82acac49-76a4-4713-b86e-acc60d225495" reported-display-style="italic"><enum>(B)</enum><text>to carry out subsection
(c), $3,000,000; and</text>
</subparagraph><subparagraph changed="added" commented="no" committee-id="SSHR00" id="iddd046427-7f33-49d5-b2a3-069184a2d22f" reported-display-style="italic"><enum>(C)</enum><text>to carry out subsection
(d), $31,000,000, of which $5,000,000 shall be used to carry out paragraphs (3)
through (5) of such subsection.</text>
</subparagraph></paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idf064fb55-f243-4e9c-be1f-9d2f8faaf42c" reported-display-style="italic"><enum>(2)</enum><header>Subsequent fiscal
years</header><text>There are authorized to be appropriated such sums as may be
necessary to carry out this section for fiscal year 2008 and each subsequent
fiscal year.</text>
</paragraph></subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="idddfc5717-8f5f-4dde-a40f-7bbd1d16b46d" reported-display-style="italic"><enum>(5)</enum><text>by striking subsections
(i) and (j).</text>
</paragraph></section><section changed="added" committee-id="SSHR00" id="idb297d701-5669-49d6-882f-573f8cfcdf7b" reported-display-style="italic"><enum>305.</enum><header>Partnerships for state
and regional hospital preparedness to improve surge capacity</header><text display-inline="no-display-inline">Section 319C–2 of the Public Health Service
Act (42 U.S.C. 247d–3b) is amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="id5f88e796-1e76-4ebf-96be-a50f9813f3f7" style="OLC">
<section id="id09f7f039-5a03-4256-9561-ec184412684b"><enum>319C–2.</enum><header>Partnerships
for state and regional hospital preparedness to improve surge capacity</header>
<subsection changed="added" committee-id="SSHR00" id="ida2e66768-383f-47f4-8932-fe4da53d5493" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text>The Secretary shall award competitive grants or
cooperative agreements to eligible entities to enable such entities to improve
surge capacity and enhance community and hospital preparedness for public
health emergencies.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idfc2aa74f-d2d3-4a4a-8b3c-b9f16e739662" reported-display-style="italic"><enum>(b)</enum><header>Eligibility</header><text>To
be eligible for an award under subsection (a), an entity shall—</text>
<paragraph changed="added" committee-id="SSHR00" id="id34389688-a595-4aa1-8079-bd4c0faa85f7" reported-display-style="italic"><enum>(1)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id7e6a90a6-5979-4cfc-b4b5-6aa0c0ecf6c8"><enum>(A)</enum><text>be a partnership
consisting of—</text>
<clause changed="added" committee-id="SSHR00" id="id020c975e-9d26-42ed-9f3b-bae09e26a3c4" indent="up1" reported-display-style="italic"><enum>(i)</enum><text>one or more hospitals, at
least one of which shall be a designated trauma center, consistent with section
1213(c);</text>
</clause><clause changed="added" committee-id="SSHR00" id="idbc79017a-6f2d-4803-b9e5-05cce8467904" indent="up1" reported-display-style="italic"><enum>(ii)</enum><text>one or more other local
health care facilities, including clinics, health centers, primary care
facilities, mental health centers, mobile medical assets, or nursing homes;
and</text>
</clause><clause changed="added" committee-id="SSHR00" id="id37047a28-4311-4508-bdf9-f0fd298a6487" indent="up1" reported-display-style="italic"><enum>(iii)</enum><subclause commented="no" display-inline="yes-display-inline" id="id5abb84d4-b01d-43f8-adf9-89e7acdfc52d"><enum>(I)</enum><text>one or more
political subdivisions;</text>
</subclause><subclause id="id6f7cf035-a392-42ff-8411-137065c97f23" indent="up1"><enum>(II)</enum><text>one or more States; or</text>
</subclause><subclause id="id10532350-2af7-493b-9e1b-8790a4f0a5dd" indent="up1"><enum>(III)</enum><text>one or more States and one or
more political subdivisions; and</text>
</subclause></clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="idf29317ff-54cc-4db2-ab60-4cd31408829b" indent="up1" reported-display-style="italic"><enum>(B)</enum><text>prepare, in consultation
with the Chief Executive Officer and the lead health officials of the State,
District, or territory in which the hospital and health care facilities
described in subparagraph (A) are located, and submit to the Secretary, an
application at such time, in such manner, and containing such information as
the Secretary may require; or</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id5746b7fe-349c-40ec-b629-660d422d9149" reported-display-style="italic"><enum>(2)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="idb3acb040-a3e9-4375-aa78-2527ed77bf59"><enum>(A)</enum><text>be an entity
described in section 319C–1(b)(1); and</text>
</subparagraph><subparagraph id="id6a88c1db-dbce-4efa-86a3-c8497bbb5e3b" indent="up1"><enum>(B)</enum><text>submit an application at such time,
in such manner, and containing such information as the Secretary may require,
including the information or assurances required under section 319C–1(b)(2) and
an assurance that the State will retain not more than 25 percent of the funds
awarded for administrative and other support functions.</text>
</subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="idfb86ece9-2d84-4461-a248-2428b450a892" reported-display-style="italic"><enum>(c)</enum><header>Use of
funds</header><text>An award under subsection (a) shall be expended for
activities to achieve the preparedness goals described under paragraphs (1),
(3), (4), (5), and (6) of section 2802(b).</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id4c8e0a7e-fdd0-4bab-a955-3496a6bb73b9" reported-display-style="italic"><enum>(d)</enum><header>Preferences</header>
<paragraph changed="added" committee-id="SSHR00" id="id12e2f30b-622d-4353-8169-d03372541098" reported-display-style="italic"><enum>(1)</enum><header>Regional
coordination</header><text>In making awards under subsection (a), the Secretary
shall give preference to eligible entities that submit applications that, in
the determination of the Secretary—</text>
<subparagraph changed="added" committee-id="SSHR00" id="idb66e2948-b6c3-497b-bce9-a6772d997890" reported-display-style="italic"><enum>(A)</enum><text>will enhance
coordination—</text>
<clause id="id58eab9ac-8cf6-4a49-8d79-e3d413ac531c"><enum>(i)</enum><text>among the entities described in
subsection (b)(1)(A)(i); and</text>
</clause><clause id="idbf9492e0-70a9-497c-bfaf-d6b48a2d5bec"><enum>(ii)</enum><text>between such entities and the
entities described in subsection (b)(1)(A)(ii); and</text>
</clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id67b0fd87-980a-42fb-b9b6-5f3dcb1a7f39" reported-display-style="italic"><enum>(B)</enum><text>include, in the
partnership described in subsection (b)(1)(A), a significant percentage of the
hospitals and health care facilities within the geographic area served by such
partnership.</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id40b682a5-3df3-41de-be85-b2b90a220570" reported-display-style="italic"><enum>(2)</enum><header>Other
preferences</header><text>In making awards under subsection (a), the Secretary
shall give preference to eligible entities that, in the determination of the
Secretary—</text>
<subparagraph id="id088f1fae-a4f8-4895-9448-9c0bc0d6e47c"><enum>(A)</enum><text>include one or more hospitals that
are participants in the National Disaster Medical System;</text>
</subparagraph><subparagraph id="id36616489-a85a-423a-91b3-75da4b1d413b"><enum>(B)</enum><text>are located in a geographic area
that faces a high degree of risk, as determined by the Secretary in
consultation with the Secretary of Homeland Security; or</text>
</subparagraph><subparagraph id="id724e39a4-a31f-4a18-93b1-5586f5c8e49d"><enum>(C)</enum><text>have a significant need for funds
to achieve the medical preparedness goals described in section
2802(b)(3).</text>
</subparagraph></paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="iddc8f268b-5995-474b-ba6c-8f69a8126fa9" reported-display-style="italic"><enum>(e)</enum><header>Consistency of planned
activities</header><text>The Secretary may not award a cooperative agreement to
an eligible entity described in subsection (b)(1) unless the application
submitted by the entity is coordinated and consistent with an applicable State
All-Hazards Public Health Emergency Preparedness and Response Plan and relevant
local plans, as determined by the Secretary in consultation with relevant State
health officials.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idd854252c-df60-4e06-937d-968e3d8114b5" reported-display-style="italic"><enum>(f)</enum><header>Limitation on
awards</header><text>A political subdivision shall not participate in more than
one partnership described in subsection (b)(1).</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id2023a93a-b573-4530-adc4-a60ee73ebd11" reported-display-style="italic"><enum>(g)</enum><header>Coordination with local
response capabilities</header><text>An eligible entity shall, to the extent
practicable, ensure that activities carried out under an award under subsection
(a) are coordinated with activities of relevant local Metropolitan Medical
Response Systems, local Medical Reserve Corps, the Cities Readiness Initiative,
and local emergency plans.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="idf3bc6649-e48a-4b86-82c7-e41b5352c0d1" reported-display-style="italic"><enum>(h)</enum><header>Maintenance of
funding</header>
<paragraph id="idd0e998a5-9e02-47aa-b6b9-91c95e7c375e"><enum>(1)</enum><header>In general</header><text>An
entity that receives an award under this section shall maintain expenditures
for health care preparedness at a level that is not less than the average level
of such expenditures maintained by the entity for the preceding 2 year
period.</text>
</paragraph><paragraph id="ided6d33e5-42b1-4cc0-9cf7-a15c0e6091c3"><enum>(2)</enum><header>Rule of
construction</header><text>Nothing in this section shall be construed to
prohibit the use of awards under this section to pay salary and related
expenses of public health and other professionals employed by State, local, or
tribal agencies who are carrying out activities supported by such awards
(regardless of whether the primary assignment of such personnel is to carry out
such activities).</text>
</paragraph></subsection><subsection changed="added" committee-id="SSHR00" id="ide5c408eb-38ab-4464-a0b6-95b89e0d1460" reported-display-style="italic"><enum>(i)</enum><header>Performance and
accountability</header><text>The requirements of section 319C–1(g) and (i)
shall apply to entities receiving awards under this section (regardless of
whether such entities are described under subsection (b)(1)(A) or (b)(2)(A)) in
the same manner as such requirements apply to entities under section 319C–1. An
entity described in subsection (b)(1)(A) shall make such reports available to
the lead health official of the State in which such partnership is
located.</text>
</subsection><subsection changed="added" committee-id="SSHR00" id="id658b2052-6303-4d1b-9448-76a123ba1cb7" reported-display-style="italic"><enum>(j)</enum><header>Authorization of
appropriations</header>
<paragraph changed="added" committee-id="SSHR00" id="id0b1ee30d-61c3-48e5-b4bf-a09e9412acee" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>For the purpose of carrying out this section, there is
authorized to be appropriated $474,000,000 for fiscal year 2007, and such sums
as may be necessary for each of fiscal years 2008 through 2011.</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="id775c7edd-6266-431e-b175-93273a54b99e" reported-display-style="italic"><enum>(2)</enum><header>Reservation of amounts
for partnerships</header><text>Prior to making awards described in paragraph
(3), the Secretary may reserve from the amount appropriated under paragraph (1)
for a fiscal year, an amount determined appropriate by the Secretary for making
awards to entities described in subsection (b)(1)(A).</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="ide7009fc4-b126-479e-a9c4-123e6b723fd1" reported-display-style="italic"><enum>(3)</enum><header>Awards to states and
political subdivisions</header>
<subparagraph id="id7d257211-e0bd-4abf-b6da-383d9e116b9d"><enum>(A)</enum><header>In general</header><text>From
amounts appropriated for a fiscal year under paragraph (1) and not reserved
under paragraph (2), the Secretary shall make awards to entities described in
subsection (b)(2)(A) that have completed an application as described in
subsection (b)(2)(B).</text>
</subparagraph><subparagraph id="idc5bf0ce6-d8de-40b5-ade0-cc7347e544ec"><enum>(B)</enum><header>Amount</header><text>The
Secretary shall determine the amount of an award to each entity described in
subparagraph (A) in the same manner as such amounts are determined under
section
319C–1(h).</text>
</subparagraph></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section changed="added" committee-id="SSHR00" id="idb28284ea-7bb3-4196-ab03-eb9bdf08e87e" reported-display-style="italic"><enum>306.</enum><header>Enhancing the role of
the Department of Veterans Affairs</header>
<subsection changed="added" committee-id="SSHR00" id="idfeda4a34-3c7b-4c82-a394-ff1bed476d5b" reported-display-style="italic"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 8117 of title
38, United States Code, is amended—</text>
<paragraph changed="added" committee-id="SSHR00" id="id6046f1ca-fb82-4b65-a9a4-b0bf1d5f8176" reported-display-style="italic"><enum>(1)</enum><text>in subsection (a)—</text>
<subparagraph changed="added" committee-id="SSHR00" id="id885cf700-0a38-4660-b7c5-255b4f286ca4" reported-display-style="italic"><enum>(A)</enum><text>in paragraph (1),
by—</text>
<clause id="id49b57f89-a68f-4a4b-9dea-1d7ac28a5b5e"><enum>(i)</enum><text>striking <quote>chemical or
biological attack</quote> and inserting <quote>a public health emergency (as
defined in section 2801 of the Public Health Service Act)</quote>;</text>
</clause><clause id="idf78722d9-b3c7-4286-870c-32b7cea0980e"><enum>(ii)</enum><text>striking <quote>an attack</quote>
and inserting <quote>such an emergency</quote>; and</text>
</clause><clause id="id8fc962f7-577b-422b-8fe6-3dc6fbfb397f"><enum>(iii)</enum><text>striking <quote>public health
emergencies</quote> and inserting <quote>such emergencies</quote>; and</text>
</clause></subparagraph><subparagraph changed="added" committee-id="SSHR00" id="idf84c850a-0fbd-474e-9670-588de470241a" reported-display-style="italic"><enum>(B)</enum><text>in paragraph (2)—</text>
<clause id="idce4fb503-81b5-4703-a302-938ff204cecd"><enum>(i)</enum><text>in
subparagraph (A), by striking <quote>; and</quote> and inserting a
semicolon;</text>
</clause><clause id="id7cfd5481-6d19-4399-ab24-560bc236322b"><enum>(ii)</enum><text>in
subparagraph (B), by striking the period and inserting a semicolon; and</text>
</clause><clause id="id02a02b7f-aace-4284-ab48-2d100170bb76"><enum>(iii)</enum><text>by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="id6a6518b7-18f0-4698-b4b2-8bdae5a12619" style="OLC">
<subparagraph changed="added" committee-id="SSHR00" id="id1352cf2e-25f2-4584-b4a2-599902373cc6" reported-display-style="italic"><enum>(C)</enum><text>organizing, training, and
equipping the staff of such centers to support the activities carried out by
the Secretary of Health and Human Services under section 2801 of the Public
Health Service Act in the event of a public health emergency and incidents
covered by the National Response Plan developed pursuant to section 502(6) of
the Homeland Security Act of 2002, or any successor plan; and</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="id68c6a560-da89-4135-b286-91dcdd5a22fe" reported-display-style="italic"><enum>(D)</enum><text>providing medical
logistical support to the National Disaster Medical System and the Secretary of
Health and Human Services as necessary, on a reimbursable basis, and in
coordination with other designated Federal
agencies.</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="idb46f4603-a645-4d1a-9bb9-aafbfec43100" reported-display-style="italic"><enum>(2)</enum><text>in subsection (c), by
striking <quote>a chemical or biological attack or other terrorist
attack.</quote> and inserting <quote>a public health emergency. The Secretary
shall, through existing medical procurement contracts, and on a reimbursable
basis, make available as necessary, medical supplies, equipment, and
pharmaceuticals in response to a public health emergency in support of the
Secretary of Health and Human Services.</quote>;</text>
</paragraph><paragraph changed="added" committee-id="SSHR00" id="idfdacbbd6-34da-4ee2-b398-cb99de905e37" reported-display-style="italic"><enum>(3)</enum><text>in subsection (d),
by—</text>
<subparagraph id="id3240bfaa-63e6-42c8-ae20-8cfb241497a2"><enum>(A)</enum><text>striking <quote>develop
and</quote>;</text>
</subparagraph><subparagraph id="idb82e4e9a-62a6-4161-b173-a46341f2ac34"><enum>(B)</enum><text>striking <quote>biological,
chemical, or radiological attacks</quote> and inserting <quote>public health
emergencies</quote>; and</text>
</subparagraph><subparagraph id="idc14201dd-6ead-40f5-ab5e-2aa8a41b5f9a"><enum>(C)</enum><text>by
inserting <quote>consistent with section 319F(a) of the Public Health Service
Act</quote> before the period; and</text>
</subparagraph></paragraph><paragraph changed="added" committee-id="SSHR00" id="id35def0e5-f0f9-4f89-b07d-3935f68dc748" reported-display-style="italic"><enum>(4)</enum><text>in subsection (e)—</text>
<subparagraph changed="added" committee-id="SSHR00" id="idec365814-8e32-4482-9678-fe87d941ab43" reported-display-style="italic"><enum>(A)</enum><text>in paragraph (1), by
striking <quote>2811(b)</quote> and inserting <quote>2812</quote>; and</text>
</subparagraph><subparagraph changed="added" committee-id="SSHR00" id="idede72b95-f7aa-496d-8953-93f653427d16" reported-display-style="italic"><enum>(B)</enum><text>in paragraph (2)—</text>
<clause id="id3a288d5b-fb47-481b-bc87-67b1ab49ab99"><enum>(i)</enum><text>by
striking <quote>bioterrorism and other</quote>; and</text>
</clause><clause id="id4149106c-4222-4ba0-8bf7-d0663030fa63"><enum>(ii)</enum><text>by
striking <quote>319F(a)</quote> and inserting <quote>319F</quote>.</text>
</clause></subparagraph></paragraph></subsection><subsection changed="added" commented="no" committee-id="SSHR00" id="id4a0bca65-e3bf-4cbd-90d8-b32f2e968238" reported-display-style="italic"><enum>(b)</enum><header>Authorization of
appropriations</header><text>Section 8117 of title 38, United States Code, is
amended by adding at the end the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="idc39817de-b48e-451f-9726-159a2869817c" reported-display-style="italic" style="OLC">
<subsection commented="no" id="id276fe7d3-9e00-4410-8b79-406362b22b2d"><enum>(g)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated, such sums
as may be necessary to carry out this section for each of fiscal years 2007
through
2011.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section>
August 3, 2006
Reported with an amendment