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<dc:title>117 HR 4292 IH: COVID–19 and Pandemic Response Centers of Excellence Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2021-06-30</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">117th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 4292</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20210630">June 30, 2021</action-date><action-desc><sponsor name-id="V000081">Ms. Velázquez</sponsor> (for herself, <cosponsor name-id="K000386">Mr. Katko</cosponsor>, <cosponsor name-id="P000096">Mr. Pascrell</cosponsor>, <cosponsor name-id="J000126">Ms. Johnson of Texas</cosponsor>, <cosponsor name-id="M000087">Mrs. Carolyn B. Maloney of New York</cosponsor>, <cosponsor name-id="T000469">Mr. Tonko</cosponsor>, <cosponsor name-id="C001067">Ms. Clarke of New York</cosponsor>, <cosponsor name-id="S001185">Ms. Sewell</cosponsor>, <cosponsor name-id="C001072">Mr. Carson</cosponsor>, <cosponsor name-id="S001201">Mr. Suozzi</cosponsor>, <cosponsor name-id="M001188">Ms. Meng</cosponsor>, <cosponsor name-id="H001038">Mr. Higgins of New York</cosponsor>, <cosponsor name-id="A000376">Mr. Allred</cosponsor>, <cosponsor name-id="V000131">Mr. Veasey</cosponsor>, <cosponsor name-id="R000305">Ms. Ross</cosponsor>, <cosponsor name-id="F000468">Mrs. Fletcher</cosponsor>, and <cosponsor name-id="S001165">Mr. Sires</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To provide for the establishment of COVID–19 and pandemic response centers of excellence, and for other purposes.</official-title></form><legis-body id="HEAB4FE908F5448D18E97364F3E7EFF4E" style="OLC"><section id="H4C22B2E5E0764437A95893F3EA6A09EE" 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>COVID–19 and Pandemic Response Centers of Excellence Act</short-title></quote>.</text></section><section id="HBA90B5F1772F4729B5AA63F38BE4A8D0"><enum>2.</enum><header>COVID–19 and pandemic response centers of excellence</header><subsection id="H90D87186E33B4C84AF44628A6D1B3549"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Not later than 90 days after the date of enactment of this Act, the Secretary of Health and Human Services (referred to in this Act as the <quote>Secretary</quote>) shall award grants, contracts, or cooperative agreements to academic medical centers for the establishment or continued support of not less than 10 centers of excellence to address issues associated with—</text><paragraph id="H8412E9440F2B432BA87A6046953A68F1"><enum>(1)</enum><text>COVID–19, including—</text><subparagraph id="HE429ADC5A2334CF4B70E6BF9CEA0A417"><enum>(A)</enum><text>testing and diagnostics, including availability and accessibility;</text></subparagraph><subparagraph id="H18366FA2EDEF43FAAA4A9C2AC9064D0D"><enum>(B)</enum><text>patient care, including related follow-up care for COVID–19 survivors;</text></subparagraph><subparagraph id="H0A669D69F95A4AF186EC332858775535"><enum>(C)</enum><text>best practices in the use of supplies and therapeutics;</text></subparagraph><subparagraph id="H3238BC5B340540148F8382907EF32726"><enum>(D)</enum><text display-inline="yes-display-inline">mental health treatment of frontline health care workers and other caregivers;</text></subparagraph><subparagraph id="HDAD781C328E448DEBB57616F307171AD"><enum>(E)</enum><text>health, health care disparities, and best practices for promoting health equity;</text></subparagraph><subparagraph id="H1540181501514C4A8C6ECC365679688B"><enum>(F)</enum><text>research; and</text></subparagraph><subparagraph id="H19C62C86C9C44DCABC8CE920C5E6ADC1"><enum>(G)</enum><text>education and training, including for health professionals, scientists, and communities; and</text></subparagraph></paragraph><paragraph id="HA5F7B62D5E144C7D9C756FE991815F76"><enum>(2)</enum><text display-inline="yes-display-inline">future pandemic preparedness and response, including—</text><subparagraph id="H202571379EC34B62AEDE9864B5E20535"><enum>(A)</enum><text display-inline="yes-display-inline">the priorities specified in paragraph (1);</text></subparagraph><subparagraph id="H51ED0D1C78A04C78866AB468757B0FAB"><enum>(B)</enum><text>working in a coordinated fashion with the advisory committee established under subsection (c) and respective State and local health authorities for the purposes of disseminating information, best practices, and other such public health-related measures; and</text></subparagraph><subparagraph id="HFB3BF79F84F646E0B99D8D2FBFDD6D2B"><enum>(C)</enum><text display-inline="yes-display-inline">readiness to conduct or contribute to basic, clinical, translational, and implementation research into novel or existing public health threats, such as participating in diverse clinical trial research or vaccine, diagnostic, or therapeutic development, however appropriate.</text></subparagraph></paragraph></subsection><subsection id="HB7CF783712B44495986ECD8B17B1D702"><enum>(b)</enum><header>Eligibility</header><text>To be eligible to receive a grant, contract, or cooperative agreement under subsection (a), an entity shall—</text><paragraph id="H715C3FFEE85C4C14BD80C80C7FB4B57F"><enum>(1)</enum><text>be an academic medical center; and</text></paragraph><paragraph id="HAC19F9A0AE844D43B51924C59C2E2CCC"><enum>(2)</enum><text>submit to the Secretary of Health and Human Services an application at such time, in such manner, and containing such information as the Secretary may require, including a description of—</text><subparagraph id="H23FAD6E85B2145C8840F73284313BA5C"><enum>(A)</enum><text>how the entity will conduct or contribute to the activities described in such subsection;</text></subparagraph><subparagraph id="HDB7201F420CA4FF4BDB49A92E9FE5E0A"><enum>(B)</enum><text display-inline="yes-display-inline">how many individuals with COVID–19 the entity has cared for and the entity’s continued capacity and expertise to provide such care, and how the entity improves health outcomes for such individuals, and reduces health inequities among such individuals;</text></subparagraph><subparagraph id="HABEE78090D5A4933B701940D0E0C91E8"><enum>(C)</enum><text>how the entity plans to comprehensively care for COVID–19 survivors;</text></subparagraph><subparagraph id="HCA14E9C774FB4DAD9168CC8CFF36FAB4"><enum>(D)</enum><text>how the entity identifies and addresses the mental health needs of the frontline health care workforce to ensure the ability of such individuals to continue to care for the community, in addition to current and future COVID–19 patients;</text></subparagraph><subparagraph id="H99DD0B5B20144C08A9EC4536BB3B9681"><enum>(E)</enum><text>how the entity will conduct research and address health and health care inequities by identifying, implementing, or developing COVID–19 evidenced-based strategies and interventions and engaging the populations heavily impacted by COVID–19 in their community;</text></subparagraph><subparagraph id="H5768A63E1069459D94CC762295523B0D"><enum>(F)</enum><text display-inline="yes-display-inline">how the entity will engage with the community and share information concerning COVID–19 basic, clinical, translational, and implementation research, including vaccine research;</text></subparagraph><subparagraph id="H422AD89C3DFC4F67A86DC4D45F460AE5"><enum>(G)</enum><text>the most significant risk factors and comorbidities of COVID–19 patients observed by the entity and strategies employed by the entity to reduce the risk of COVID–19 transmission;</text></subparagraph><subparagraph id="H04353162456F47939CCDCF5B282B4713"><enum>(H)</enum><text>the long-term health effects of COVID–19 and effective treatments utilized by the entity to treat those infected with COVID–19;</text></subparagraph><subparagraph id="HCE1219E7797544DE8D50924B8A185DAC"><enum>(I)</enum><text>secondary factors in COVID–19 mobility and mortality identified by the entity, such as antibiotic resistant infections and blood clotting disorders;</text></subparagraph><subparagraph id="H6DE6BB2C87264372826AA773C4DB37ED"><enum>(J)</enum><text>how the entity will collaborate with other health care institutions, public health agencies, and community-based organizations to ensure equitable care to marginalized and underserved populations, including rural and ethnic minority communities; </text></subparagraph><subparagraph id="H2097757ED8054EA7A4378C0488BD1CEB"><enum>(K)</enum><text>how the entity will conduct research involving the unique pathophysiology of COVID–19 in children and adolescents and unique needs of pregnant women; and</text></subparagraph><subparagraph id="H2FB429A878294655BD9C15F064F4D189"><enum>(L)</enum><text display-inline="yes-display-inline">how the entity is prepared to contribute to advance planning and real-time response efforts for subsequent outbreaks that present a significant potential to imminently become a national public health emergency.</text></subparagraph></paragraph></subsection><subsection id="H23D4A6B4EA604D31A82F31FF41CF604B"><enum>(c)</enum><header>Advisory committee</header><paragraph id="H29D5E10902114863BBF03A694A2A0BE8"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">Not later than 1 year after the date of enactment of this Act, the Secretary shall establish an advisory committee to facilitate collaboration, information sharing, and the dissemination of best practices relating to the COVID–19 pandemic, in addition to preparing for, monitoring, mitigating, and responding to future pandemics. The advisory committee shall be composed of a designee of each of the following:</text><subparagraph id="HC3A29984B2944A349BBE042D7502BDEF"><enum>(A)</enum><text>The Director of the Centers for Disease Control and Prevention.</text></subparagraph><subparagraph id="H915016BF1EEF40B3895768AFF058EBFE"><enum>(B)</enum><text>The Director of the National Institutes of Health.</text></subparagraph><subparagraph id="HC8EBAA3B21D746809725934C2854A4A4"><enum>(C)</enum><text>The Commissioner of Food and Drugs.</text></subparagraph><subparagraph id="H5EC4AA76383D4138B690C37066B9585C"><enum>(D)</enum><text>The Assistant Secretary for Preparedness and Response.</text></subparagraph><subparagraph id="H8B2ED3D548804A52BEC7E9C140309ECF"><enum>(E)</enum><text>The Director of the Biomedical Advanced Research and Development Authority.</text></subparagraph><subparagraph id="H3C99C7454CAD450598918D7AB070F3AC"><enum>(F)</enum><text>The Secretary of Defense.</text></subparagraph><subparagraph id="H7424E4F0AE6B4DB4AF49B5D0C3AB82A0"><enum>(G)</enum><text>A representative from each center of excellence established under this section.</text></subparagraph><subparagraph id="H5148506917C648E78ADCDAA92143C378"><enum>(H)</enum><text display-inline="yes-display-inline">Not more than 20 representatives from national organizations that work with and can represent populations disproportionately impacted by COVID–19, populations vulnerable for disproportionate impact during a subsequent pandemic, and populations disproportionately impacted by other health disparities.</text></subparagraph></paragraph><paragraph id="HCDA7078F924A436C86269DF7F199E61C"><enum>(2)</enum><header>Meetings</header><text>The advisory committee under paragraph (1) shall convene not less than twice annually.</text></paragraph><paragraph id="H29FE78A61FF14048BA67AEAEAD02D87C"><enum>(3)</enum><header>Votes</header><text display-inline="yes-display-inline">In carrying out its duties pursuant to <external-xref legal-doc="usc-act" parsable-cite="usc-act/Federal Advisory Committee Act /9">section 9</external-xref> of the Federal Advisory Committee Act (5 U.S.C. App.), the advisory committee shall vote on which best practices with respect to COVID–19 and pandemic response to disseminate.</text></paragraph></subsection><subsection id="HEE53438E84464D5C8056941A5B39675B"><enum>(d)</enum><header>COVID–19 and pandemic response centers of excellence program fund</header><paragraph id="H7DF66749777F47ADA5F4F902869B5CD7"><enum>(1)</enum><header>Establishment of fund</header><text>There is established a fund to be known as the <quote>COVID–19 and Pandemic Response Centers of Excellence Program Fund</quote> (referred to in this section as the <quote>Fund</quote>) to provide awards under this section.</text></paragraph><paragraph id="HA7FF1B8048644878B89C66B22547182E"><enum>(2)</enum><header>Appropriations</header><text>Out of any funds in the Treasury not otherwise appropriated, there are authorized to be appropriated, and there are appropriated, to the Fund, $500,000,000 for the second calendar quarter of fiscal year 2022.</text></paragraph></subsection><subsection id="H30008AB4EFAF4AD8BE165D1AAF81EB21"><enum>(e)</enum><header>Amount of award</header><text>The amount of an award to a center of excellence under subsection (a) shall be not less than $10,000,000 for the first calendar quarter of fiscal year 2022, and $5,000,000 for each of fiscal years 2023, 2024, 2025, 2026, and 2027.</text></subsection><subsection id="H941779270B3A4AF09CFB662BD5D1651E"><enum>(f)</enum><header>Condition</header><text>Each center of excellence shall, as a condition of receipt of funds under subsection (a), submit to the Secretary a budget that describes the activities to be funded under the award, which may include the purchasing of equipment, costs related to construction, and other such activities that contribute to the center’s ability to address the issues described in subsection (a) and to address and prepare for future pandemics.</text></subsection><subsection id="H554D8DF69FBD47C8A5C85BC8C94CD81E"><enum>(g)</enum><header>Reporting process</header><text>An entity that receives an award under this section shall work with an office within the Department of Health and Human Services, as designated by the Secretary, to submit annual progress reports and other such annual reports determined necessary by the Secretary.</text></subsection><subsection id="H14FBB0AAEC9747BE9B8B2714568A8AFC"><enum>(h)</enum><header>Distribution</header><text display-inline="yes-display-inline">In awarding grants under this section, the Secretary shall, to the extent practicable, ensure an equitable national geographic distribution of the grants, contracts, or cooperative agreements, including areas of the United States where the incidence of COVID–19 cases or cases of a disease responsible for a subsequent pandemic, is highest.</text></subsection><subsection id="H9642EC90EB8345B3A08AB2EE5C3B060D"><enum>(i)</enum><header>Advisory committee reporting</header><text display-inline="yes-display-inline">Not later than 1 year after the date of enactment of this Act, and every year thereafter, the advisory committee established under subsection (c) shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report which shall include a synthesized analysis of all Centers of Excellence grantees findings, best practices determined for each item specified under paragraphs (1) and (2) of subsection (a), policy recommendations, and other reports determined necessary by the Secretary.</text></subsection><subsection id="HDF26E7C54FE54C10AFCFC6EC9AC4F08A"><enum>(j)</enum><header>Academic medical center defined</header><text display-inline="yes-display-inline">In this section, the term <term>academic medical center</term> means—</text><paragraph id="H0F5BBED6324A4F8186317381E9892C0C"><enum>(1) </enum><text>an institutition with—</text><subparagraph id="H0815E35EE04B4C278A5CB0A6277C6485"><enum>(A)</enum><text>integrated health care delivery;</text></subparagraph><subparagraph id="H16A3A4084DFA4CCBA67EDEC3C9A29209"><enum>(B)</enum><text>medical education and training; and</text></subparagraph><subparagraph id="H2F6B0F6F5EAE4CCEA0E3E7EB86E0E96F"><enum>(C)</enum><text>basic, clinical, translational, and implementation research operations; and</text></subparagraph></paragraph><paragraph id="H3D7F1A2918BC48BDA7040DCBAA49ADC2"><enum>(2)</enum><text>an institution that meets such other criteria as the Secretary may establish. </text></paragraph></subsection></section></legis-body></bill> 

