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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public">
	<form>
		<distribution-code display="yes">II</distribution-code>
		<congress>111th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>S. 1269</legis-num>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action>
			<action-date date="20090616">June 16, 2009</action-date>
			<action-desc><sponsor name-id="S311">Ms. Klobuchar</sponsor> (for
			 herself, <cosponsor name-id="S290">Mr. Chambliss</cosponsor>, and
			 <cosponsor name-id="S253">Mr. Durbin</cosponsor>) introduced the following
			 bill; which was read twice and referred to the
			 <committee-name committee-id="SSHR00">Committee on Health, Education, Labor,
			 and Pensions</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To provide for enhanced foodborne illness surveillance
		  and food safety capacity, to establish regional food safety centers of
		  excellence, and for other purposes.</official-title>
	</form>
	<legis-body>
		<section id="S1" section-type="section-one"><enum>1.</enum><header>Short
			 title</header><text display-inline="no-display-inline">This Act may be cited as
			 the <quote><short-title>Food Safety Rapid Response
			 Act</short-title></quote>.</text>
		</section><section id="idEB7C9205D3454967B0479C351C20CF41"><enum>2.</enum><header>Enhanced
			 foodborne illness surveillance</header>
			<subsection id="ID1da050af746c4731b0e60a31c4d3e286"><enum>(a)</enum><header>In
			 general</header>
				<paragraph id="id9FBE86F26B4548829904BFC3CBB0FAF1"><enum>(1)</enum><header>Authority</header><text>The
			 Secretary of Health and Human Services (referred to in this Act as the
			 <quote>Secretary</quote>) shall strengthen and expand foodborne illness
			 surveillance systems to—</text>
					<subparagraph id="idA2BA540FC6144AC5865E9C0A5B4FAB8D"><enum>(A)</enum><text>inform and
			 evaluate efforts to prevent foodborne illness; and</text>
					</subparagraph><subparagraph id="id0EF51C27B431469992749D49BC18D95A"><enum>(B)</enum><text>enhance the
			 identification and investigation of, and response to, foodborne illness
			 outbreaks.</text>
					</subparagraph></paragraph><paragraph id="ID9b610b2e9b1946b2801994837ec00d57"><enum>(2)</enum><header>Foodborne
			 illness outbreak</header><text>For purposes of this section, the term
			 <term>foodborne illness outbreak</term> means the occurrence of cases of human
			 illness caused by a specific pathogen with matching subtype characteristics
			 which are—</text>
					<subparagraph id="idAAE7EBC06DD64BB49BED725DC8F2A2EE"><enum>(A)</enum><text>found in 2 or
			 more States; and</text>
					</subparagraph><subparagraph id="idC5DD5C5BDA7747B18D96B1625A4C7AFB"><enum>(B)</enum><text>temporally and
			 geographically distributed in a manner to suggest contamination of a
			 commercially distributed food product or ingredient.</text>
					</subparagraph></paragraph></subsection><subsection id="ID69c5e4f8f1dd40a98d166ee350f6a7b7"><enum>(b)</enum><header>Foodborne
			 illness surveillance systems</header><text>The Secretary, acting through the
			 Director of the Centers for Disease Control and Prevention, shall enhance
			 foodborne illness surveillance systems to improve the collection, analysis,
			 reporting, and usefulness of data on foodborne illnesses by—</text>
				<paragraph id="ID654c9e03f3b24916b18ad68ec1b8f7b7"><enum>(1)</enum><text>coordinating
			 foodborne illness surveillance and environmental assessment systems, including
			 complaint systems, in order to—</text>
					<subparagraph id="idB57899C26A894D02B7EDE07558B4B3B7"><enum>(A)</enum><text>produce better
			 information on illnesses associated with foods, including sources and risk
			 factors for infections by emerging pathogens; and</text>
					</subparagraph><subparagraph id="idAB74F3FA0EC64C5CA579F8153E644639"><enum>(B)</enum><text>facilitate
			 sharing of data acquisition and findings on a more timely basis—</text>
						<clause id="id5597A1C73292491FB61355ACDD958496"><enum>(i)</enum><text>among
			 governmental agencies, including the Food and Drug Administration, the Food
			 Safety and Inspection Service, and State and local agencies;</text>
						</clause><clause id="idB606DACD9EC74E6889068FCDA9A12D75"><enum>(ii)</enum><text>with relevant
			 persons in the food industry; and</text>
						</clause><clause id="idB6EE683DD73E4B43AFAB6C8E9F8160F4"><enum>(iii)</enum><text>with the
			 public;</text>
						</clause></subparagraph></paragraph><paragraph id="ID41ecde333f3d4fa9a312c7508aabe9a8"><enum>(2)</enum><text>augmenting
			 foodborne illness surveillance and environmental assessment systems to
			 improve—</text>
					<subparagraph id="idFA72130C9C4F46CB9F181932ECFC7B67"><enum>(A)</enum><text>attribution of a
			 foodborne illness outbreak to a specific food or food ingredient; and</text>
					</subparagraph><subparagraph id="id8BA9A0E5A1704EA58C977D2FA404135A"><enum>(B)</enum><text>identification
			 and reporting of contributing factors and environmental antecedents in
			 foodborne illness outbreak investigations;</text>
					</subparagraph></paragraph><paragraph id="id45AFF08524D34986BA0101B933F5FC1F"><enum>(3)</enum><text>developing
			 improved epidemiological tools and methods for obtaining quality exposure data,
			 microbiological methods for classifying cases and detecting clusters;</text>
				</paragraph><paragraph id="idE96C142AACDF4D0FA18CC10FDB7D275B"><enum>(4)</enum><text>developing
			 improved environmental assessment tools for obtaining data on contributing
			 factors and environmental antecedents in foodborne illness outbreaks;</text>
				</paragraph><paragraph id="IDca5df01d57e44df6aa7b9113c5d47455"><enum>(5)</enum><text>expanding
			 capacity of foodborne illness surveillance and environmental assessment
			 systems, including those owned and controlled by persons in industry, for
			 implementation of fingerprinting strategies for foodborne infectious agents,
			 including parasites and hepatitis A, in order to increase pathogen discovery
			 efforts to identify new or rarely documented causes of foodborne
			 illness;</text>
				</paragraph><paragraph id="IDf2dcc37056a3452cb73822221c2ea30f"><enum>(6)</enum><text>allowing timely
			 industry and public access to de-identified, aggregate surveillance
			 data;</text>
				</paragraph><paragraph id="ID68159b9711c14b28af563f5c4fc087cc"><enum>(7)</enum><text>at least
			 annually, publishing current reports on findings from foodborne illness
			 surveillance and environmental assessment systems;</text>
				</paragraph><paragraph id="ID03a9484179604ccbb4ba72f47b094c4c"><enum>(8)</enum><text>exploring
			 establishment of registries for long-term case follow-up to better characterize
			 late complications of foodborne illness;</text>
				</paragraph><paragraph id="IDedc78f3b3da3420eb466c052396cb492"><enum>(9)</enum><text>increasing the
			 participation of public health officials at the Federal, State, and local
			 levels in national networks of public health and food regulatory agencies and
			 laboratories to—</text>
					<subparagraph id="IDf775b2835d9d4323ad67047b48009575"><enum>(A)</enum><text>share and accept
			 laboratory analytic and environmental assessment findings; and</text>
					</subparagraph><subparagraph id="IDa72e810404154c56ae3ea28619296fc0"><enum>(B)</enum><text>identify
			 foodborne illness outbreaks and attribute such outbreaks to specific foods
			 through submission of standardized molecular subtypes (also known as
			 <quote>fingerprints</quote>) of foodborne illness pathogens to a centralized
			 database; and</text>
					</subparagraph></paragraph><paragraph id="IDb1963fea747c4f7e8fb2b5342ebead3d"><enum>(10)</enum><text>establishing a
			 flexible mechanism for rapidly supporting scientific research by academic
			 centers of excellence, which may include staff representing academic clinical
			 researchers, food microbiologists, animal and plant disease specialists,
			 ecologists, and other allied disciplines.</text>
				</paragraph></subsection><subsection id="IDcc2e6962691d4c4696ef341c5b2c7132"><enum>(c)</enum><header>Improving State
			 surveillance capacity</header><text>The Secretary, acting through the Director
			 of the Centers for Disease Control and Prevention and the Commissioner of Food
			 and Drugs, shall improve capacity for surveillance in the States by—</text>
				<paragraph id="ID6c925ccfd96d498381f201463ff13751"><enum>(1)</enum><text>supporting
			 outbreak investigations with needed specialty expertise, including
			 epidemiological, microbiological, and environmental expertise, to assist
			 identification of underlying common sources and contributing factors;</text>
				</paragraph><paragraph id="id436D97A6AF9C4C2A99B3B4A56F4C92FE"><enum>(2)</enum><text>identifying,
			 disseminating, and supporting implementation of model practices at the State
			 and local level for—</text>
					<subparagraph id="ID50c87fec612147d8ba45a86d76a1451c"><enum>(A)</enum><text>facilitating
			 rapid shipment of clinical isolates from clinical laboratories to State public
			 health laboratories to avoid delays in testing;</text>
					</subparagraph><subparagraph id="ID06317624c48944f48dba036b9bcc98ad"><enum>(B)</enum><text>conducting rapid
			 and standardized interviewing of individuals associated with major enteric
			 pathogens, including prior to designation of clusters as foodborne illness
			 outbreaks;</text>
					</subparagraph><subparagraph id="IDbe8acfc49aae4cd38bfc1cbe14a3af1d"><enum>(C)</enum><text>conducting and
			 evaluating rapid and standardized interviews of healthy control persons;</text>
					</subparagraph><subparagraph id="id2751B87682FE478C8584CDD53F6349D8"><enum>(D)</enum><text>providing
			 environmental assessment tools for obtaining data regarding contributing
			 factors and environmental antecedents during foodborne illness outbreak
			 investigations; and</text>
					</subparagraph><subparagraph id="IDd3fcb49077034a83b79d22a8230122a6"><enum>(E)</enum><text>sharing
			 information on a timely basis—</text>
						<clause id="ID8af761d9f17b4a6f94a844a0a1554c3d"><enum>(i)</enum><text>within public
			 health and food regulatory agencies;</text>
						</clause><clause id="ID26da2eb930f24ffd9c6fa5cbdec99d3f"><enum>(ii)</enum><text>among such
			 agencies;</text>
						</clause><clause id="IDd37e4743ad5242cf9fa11564b3d2322d"><enum>(iii)</enum><text>with the food
			 industry;</text>
						</clause><clause id="ID85c32121f8d943c08976f755716badb4"><enum>(iv)</enum><text>with healthcare
			 providers; and</text>
						</clause><clause id="IDbce0ded135a54108a4431b3e0078f393"><enum>(v)</enum><text>with the
			 public;</text>
						</clause></subparagraph></paragraph><paragraph commented="no" id="id9D306C8C31884D87AE6BE6BB61D192A4"><enum>(3)</enum><text>conducting a
			 systematic review of the barriers to sharing data among the entities described
			 in paragraph (2)(E);</text>
				</paragraph><paragraph id="IDc65322c5a402481c81ec1a51895545ec"><enum>(4)</enum><text>developing,
			 regularly updating, and disseminating training curricula on foodborne illness
			 surveillance investigations, including standard sampling methods and laboratory
			 procedures and improved environmental assessment procedures;</text>
				</paragraph><paragraph id="ID1cd54b1c0d5f488188fee49a113d1dde"><enum>(5)</enum><text>integrating new
			 molecular diagnostic tools for parasites into Web-based consultation services
			 for parasitic infections to accelerate the identification of foodborne
			 infectious agents;</text>
				</paragraph><paragraph id="ID0fd90cd404594a3981630a1ac418ca40"><enum>(6)</enum><text>supporting
			 research to develop and deploy new subtyping methods for salmonella, E. coli,
			 campylobacter, and other pathogens, to increase the speed and accuracy of
			 diagnoses;</text>
				</paragraph><paragraph id="ID316d8482ba684ee198d29de4448a45c8"><enum>(7)</enum><text>determining
			 minimum core competencies for public health laboratories, and developing
			 self-evaluation and proficiency-testing tools for such laboratories;</text>
				</paragraph><paragraph id="ID566b40269fe044088df3d31f31fecac6"><enum>(8)</enum><text>facilitating
			 regional public health laboratory partnerships to leverage resources, including
			 equipment and physical space, and increase surge capacity;</text>
				</paragraph><paragraph id="IDb39e1358c1444d588a1b1ee224d8c11d"><enum>(9)</enum><text>providing
			 technical assistance, which may include the detailing of officers and employees
			 of the Secretary, to State and local public health and food regulatory
			 agencies;</text>
				</paragraph><paragraph id="IDdd8f8fb5588e47b78f175c6800acdf01"><enum>(10)</enum><text>partnering with
			 the Food and Drug Administration to increase communication, coordination, and
			 integration of foodborne illness surveillance and outbreak investigation
			 activities; and</text>
				</paragraph><paragraph id="id1D84A1406C514100938F1110414FD30C"><enum>(11)</enum><text>developing and
			 periodically updating response and interview procedures so that such procedures
			 are standardized and tested.</text>
				</paragraph></subsection></section><section id="id3885BACE9E0E4710B3115EDE248ACFBC"><enum>3.</enum><header>Food safety
			 centers of excellence</header>
			<subsection id="idBBAF54D67964423AA7279F444322CE36"><enum>(a)</enum><header>Establishment</header><text display-inline="yes-display-inline">Not later than 1 year after the date of
			 enactment of this Act, the Secretary, in consultation with the working group
			 described in subsection (b)(2), shall establish 5 regional Food Safety Centers
			 of Excellence (referred to in this section as the <quote>Centers of
			 Excellence</quote>) to serve as regional resources for State and local public
			 health professionals. The Centers of Excellence shall be established at
			 selected State health departments.</text>
			</subsection><subsection id="id576AD89359A048CFA015CE95986E9929"><enum>(b)</enum><header>Selection of
			 the Centers of Excellence</header>
				<paragraph commented="no" id="id15BE5E35C17C4C198DE04885DDFB933B"><enum>(1)</enum><header>Eligible
			 entities</header><text>To be eligible to be designated as a Food Safety Center
			 of Excellence under subsection (a), an entity shall—</text>
					<subparagraph commented="no" id="idFF059FF69C54465A939D1A932DC6E7FE"><enum>(A)</enum><text>be a State health
			 department;</text>
					</subparagraph><subparagraph commented="no" id="id1AA5C8110BE34DAC9B82859696EA43F1"><enum>(B)</enum><text>partner with 1 or
			 more institutions of higher education that have demonstrated knowledge,
			 expertise, and meaningful experience with regional or national food production,
			 processing, and distribution, as well as leadership in the laboratory,
			 epidemiological, and environmental detection and investigation of foodborne
			 illness; and</text>
					</subparagraph><subparagraph commented="no" id="id5DB8661131AC4EC1B989C247593F8AF4"><enum>(C)</enum><text>provide to the
			 Secretary such information, at such time, and in such manner, as the Secretary
			 may require.</text>
					</subparagraph></paragraph><paragraph id="idE75DCB07435C402ABE0DD2052DDFC456"><enum>(2)</enum><header>Working
			 group</header><text display-inline="yes-display-inline">Not later than 180 days
			 after the date of enactment of this Act, the Secretary shall establish a
			 diverse working group of experts and stakeholders from Federal, State, and
			 local food safety and health agencies, the food industry, including food
			 retailers and food manufacturers, consumer organizations, and academia to make
			 recommendations to the Secretary regarding designations of the Regional Centers
			 of Excellence.</text>
				</paragraph><paragraph id="idA2ACD250AAC0415F88B1E359F1C5F07C"><enum>(3)</enum><header>Additional
			 Centers of Excellence</header><text>The Secretary may designate eligible
			 entities to be regional Food Safety Centers of Excellence, in addition to the 5
			 designated under subsection (a).</text>
				</paragraph></subsection><subsection id="id003D4F1871984DC4B89B2C05BA449B51"><enum>(c)</enum><header>Activities</header><text display-inline="yes-display-inline">Under the leadership of the Director of the
			 Centers for Disease Control and Prevention, each Center of Excellence shall be
			 based out of a selected State health department, which shall provide assistance
			 to other regional, State, and local departments of health through activities
			 that include—</text>
				<paragraph id="id8E0E2E886C60416489EE2E0F35647297"><enum>(1)</enum><text display-inline="yes-display-inline">providing resources for interviewing
			 individuals as part of routine surveillance and outbreak investigations;</text>
				</paragraph><paragraph id="idA1C4B3D1B4B64D47B0BF2666B1733579"><enum>(2)</enum><text>providing
			 analysis of the timeliness and effectiveness of foodborne disease surveillance
			 and outbreak response activities;</text>
				</paragraph><paragraph id="id22CA143AB31E42DA9C327BEB3C7CDD5D"><enum>(3)</enum><text display-inline="yes-display-inline">providing training for epidemiological and
			 environmental investigation of foodborne illness, including suggestions for
			 streamlining and standardizing the investigation process;</text>
				</paragraph><paragraph id="idC61A68E225D041B9A0487279F2E7F91B"><enum>(4)</enum><text display-inline="yes-display-inline">establishing fellowships, stipends, and
			 scholarships to train future epidemiological and food-safety leaders and to
			 address critical workforce shortages;</text>
				</paragraph><paragraph id="id11CF43953C09479089202E3817CFC5F7"><enum>(5)</enum><text display-inline="yes-display-inline">training and coordinating State and local
			 personnel;</text>
				</paragraph><paragraph id="idCB7F5EECF449490CB88EE8C8BAF06457"><enum>(6)</enum><text display-inline="yes-display-inline">strengthening capacity to participate in
			 existing or new foodborne illness surveillance and environmental assessment
			 information systems; and</text>
				</paragraph><paragraph id="id50F2E1D8333448AE926AA3EB56CF223B"><enum>(7)</enum><text>conducting
			 research and outreach activities focused on increasing prevention,
			 communication, and education regarding food safety.</text>
				</paragraph></subsection><subsection id="id5AEF8B9B3BCE434CBDD7CA87A2DE029F"><enum>(d)</enum><header>Report to
			 Congress</header><text>Not later than 2 years after the date of enactment of
			 this Act, the Secretary shall submit to Congress a report that—</text>
				<paragraph id="id93847B3E08C344A5B2093900CC44F0A7"><enum>(1)</enum><text>describes the
			 effectiveness of Centers of Excellence; and</text>
				</paragraph><paragraph id="id64D7DF2A0B714CE18915F9C3BE13A948"><enum>(2)</enum><text>provides
			 legislative recommendations or describes additional resources required by the
			 Centers of Excellence.</text>
				</paragraph></subsection><subsection id="id678A592E4E974256BF159F127E48DA4A"><enum>(e)</enum><header>Authorization
			 of appropriations</header><text display-inline="yes-display-inline">There is
			 authorized to be appropriated to carry out this section $20,000,000, which
			 shall remain available until expended.</text>
			</subsection></section></legis-body>
</bill>
