<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="billres.xsl"?>
<!DOCTYPE bill PUBLIC "-//US Congress//DTDs/bill.dtd//EN" "bill.dtd">
<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public" slc-id="S1-BAI21447-D7K-WH-TV3"> 
<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>117 S2307 IS: COVID–19 and Pandemic Response Centers of Excellence Act of 2021</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2021-07-12</dc:date>
<dc:format>text/xml</dc:format>
<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>
</dublinCore>
</metadata>
<form>
<distribution-code display="yes">II</distribution-code> 
<congress>117th CONGRESS</congress><session>1st Session</session> 
<legis-num>S. 2307</legis-num> 
<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber> 
<action> 
<action-date date="20210712">July 12, 2021</action-date> 
<action-desc><sponsor name-id="S331">Mrs. Gillibrand</sponsor> (for herself, <cosponsor name-id="S373">Mr. Cassidy</cosponsor>, <cosponsor name-id="S307">Mr. Brown</cosponsor>, and <cosponsor name-id="S343">Mr. Boozman</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 the establishment of COVID–19 and pandemic response centers of excellence. </official-title> 
</form> 
<legis-body id="H120EAE8549A8486A90A48A0C016DB277"> 
<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>COVID–19 and Pandemic Response Centers of Excellence Act of 2021</short-title></quote>.</text></section> <section id="id75811D3B04AE42D39B15AB902C815B3E"><enum>2.</enum><header>COVID–19 and pandemic response centers of excellence</header> <subsection id="id76D217E6E7A04C949929B24F3DB69927"><enum>(a)</enum><header>In general</header><text>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="id1788bbeab6f9455ab83e1b01acd2fcf6"><enum>(1)</enum><text>COVID–19, including—</text> <subparagraph id="id51b1f9c6bb124255b736a6e69dd95fdd"><enum>(A)</enum><text>testing and diagnostics, including availability and accessibility;</text></subparagraph> 
<subparagraph id="id9fd84273d1824213a6954be3e9c6775b"><enum>(B)</enum><text>patient care, including related follow-up care for COVID–19 survivors;</text></subparagraph> <subparagraph id="id56d685e3e78442e595d11a99cd9a9c2d"><enum>(C)</enum><text>best practices in the use of supplies and therapeutics;</text></subparagraph> 
<subparagraph id="id6DBE96B4900644B285E36A1BBE7E8951"><enum>(D)</enum><text>mental health treatment of frontline health care workers and other caregivers;</text></subparagraph> <subparagraph id="id8c4ba3500ced461186b338ce6c8abd64"><enum>(E)</enum><text>health, health care disparities, and best practices for promoting health equity;</text></subparagraph> 
<subparagraph id="id7fe118f6010644459e122715e9ec7264"><enum>(F)</enum><text>research; and</text></subparagraph> <subparagraph id="idb715989579e84c0e8126cb79d6e8a501"><enum>(G)</enum><text>education and training, including for health professionals, scientists, and communities; and</text></subparagraph></paragraph> 
<paragraph id="id0e6d8e2fd43e43fca0e1162125cb9f55" commented="no"><enum>(2)</enum><text>future pandemic preparedness and response, including the priorities described in paragraph (1)— </text> <subparagraph id="idd29efc07fca5498ebf4e7c631e145dbb" commented="no"><enum>(A)</enum><text>working in a coordinated fashion with the advisory committee 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="idf48adfabc1884df0be298e922620d4ff" commented="no"><enum>(B)</enum><text>readiness to conduct or contribute to basic, clinical, and translational research into novel or existing public health threats to save lives, which is not limited to participating in diverse clinical trial research or vaccine, diagnostic, or therapeutic development, however appropriate. </text></subparagraph></paragraph></subsection> <subsection id="id8181715d0fd14bda8e5a5584002c4f2d"><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="id85a55ed17c29448fbf2ac4e995695785"><enum>(1)</enum><text>be an academic medical center; and</text></paragraph> <paragraph id="id883a8538b6fe418180d4357c9244cb59"><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="ide3b35f4ae9e947a7bb22dc1c49e6190b"><enum>(A)</enum><text>how the entity will conduct or contribute to the activities described in such subsection;</text></subparagraph> <subparagraph id="id8d24c4b0cbeb4eac90951cbe8cbafb19"><enum>(B)</enum><text>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, and reduces health inequities among such individuals;</text></subparagraph> 
<subparagraph id="id5e326c964c00405381fbc380ec9e97e6"><enum>(C)</enum><text>how the entity plans to comprehensively care for COVID–19 survivors;</text></subparagraph> <subparagraph id="id90aa13cc78444b9cb645cb7bf8087ea8"><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="id6d0da3dd8c0d4c3886a9225fe8c6c98d"><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="id6b364475b01248d9a53b5fa739f5a11e"><enum>(F)</enum><text>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="id9bd0ecedec6f4209925f33a1de587590"><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="id1a26a6562d144e8fab14d59068f9d621"><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="id971a4d9c53c24d508fe669c98690c131"><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="id11709a8e22aa42bd8877735fdcff7fe4"><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="id612555ebf0e54cd6948a3e3e6c2c6c0c"><enum>(K)</enum><text>how the entity will conduct research involving the unique pathophysiology of COVID–19 in children and adolescents and the unique needs of pregnant women; and</text></subparagraph> <subparagraph id="ida5f95939f3b7470d950d29d6e4365fc4"><enum>(L)</enum><text>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="id73658b5a766042fdb03fd76b05920092"><enum>(c)</enum><header>Advisory Committee</header> 
<paragraph id="id32983B5C8E644B489B23696D8D967F3D"><enum>(1)</enum><header>In general</header><text>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="idfa9fad9b682047d4bc262c9b435d65ee"><enum>(A)</enum><text>The Director of the Centers for Disease Control and Prevention.</text></subparagraph> 
<subparagraph id="idbb993dd3159f4dc2ae683991412fc42a"><enum>(B)</enum><text>The Director of the National Institutes of Health.</text></subparagraph> <subparagraph id="idf5a1d60466a1412fa8e73657c9f832c3"><enum>(C)</enum><text>The Commissioner of Food and Drugs.</text></subparagraph> 
<subparagraph id="id5c5e546599234bd2a2de0102018385c1"><enum>(D)</enum><text>The Assistant Secretary for Preparedness and Response.</text></subparagraph> <subparagraph id="id4dd47b81a6a74732a9d18a60585bd410"><enum>(E)</enum><text>The Director of the Biomedical Advanced Research and Development Authority.</text></subparagraph> 
<subparagraph id="id460b959a5d224211813a054eae1bdbbc"><enum>(F)</enum><text>The Secretary of Defense.</text></subparagraph> <subparagraph id="id7f38c826195a44dd928a0a75d7f2e3c1"><enum>(G)</enum><text>A representative from each center of excellence under this section.</text></subparagraph> 
<subparagraph id="id4b830cafda42409aa6d2c0869d713e6f"><enum>(H)</enum><text>Not more than 20 representatives from national organizations that work with and are able to represent populations dis­pro­por­tion­al­ly impacted by COVID–19, and populations vulnerable for disproportionate impact during a subsequent pandemic, and other health disparities. </text></subparagraph></paragraph> <paragraph id="idd139d102b6ba471b9088d442378122ff"><enum>(2)</enum><header>Meetings</header><text>The advisory committee under paragraph (1) shall convene not less than twice annually.</text></paragraph></subsection> 
<subsection id="id82a4177aa25e4ef8ad77033859a524d2"><enum>(d)</enum><header>COVID–19 and Pandemic Response Centers of Excellence Program Fund</header> 
<paragraph id="ida96425c3d9b34da691e9610b462f1d17"><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="id1fc57c36bda3497086e75f0d74b5c759"><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.</text></paragraph></subsection> 
<subsection id="id1631247444374e34ab59b6dbb1d4e124"><enum>(e)</enum><header>Amount of award</header><text>With respect to each center that receives an award under subsection (a), the amount of such award shall be not less than $10,000,000 for fiscal year 2021, and $5,000,000 for each of fiscal years 2022, 2023, 2024, 2025, and 2026.</text></subsection> <subsection id="id7D70C64DF52F40A5A0697A0CA45360BE"><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="idef0b3848d9084601b4a1efccaada8242"><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 progress reports and other such reports determined necessary by the Secretary.</text></subsection> <subsection id="idaa55c53919bf41c5a24f2b77cd0314af"><enum>(h)</enum><header>Advisory committee reporting</header><text>Not later than 1 year after the date of enactment of this Act, and every year thereafter, the Advisory Committee 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 grantee findings, best practices determined for each item under paragraph (1) and (2) of subsection (a), policy recommendations, and other reports determined necessary by the Secretary.</text></subsection> 
<subsection id="id2333d9580b534e6a8767fe7112beaf10"><enum>(i)</enum><header>FACA</header><text>The Federal Advisory Committee Act (5 U.S.C. App.) shall apply to this Act. </text></subsection> <subsection id="idd9e691ba335646179479aa23931cc242"><enum>(j)</enum><header>Distribution</header><text>In awarding grants, contracts, and cooperative agreements under this section, the Secretary shall, to the extent practicable, ensure an equitable national geographic distribution of such grants, contracts, and cooperative agreement 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="id42d36bb70461410e83e3d7695dbfe429"><enum>(k)</enum><header>Academic medical center defined</header><text>In this section, the term <term>academic medical center</term> means an institution—</text> <paragraph id="idfa3235bc2732497283bc583e56007da5"><enum>(1)</enum><text>with—</text> 
<subparagraph id="iddd18687bcb9241a1b3d4ba19a48e749c"><enum>(A)</enum><text>integrated health care delivery;</text></subparagraph> <subparagraph id="ide61372332d3649f694f7434788a828fc"><enum>(B)</enum><text>medical education and training;</text></subparagraph> 
<subparagraph id="id7d643f3ac3ff47718ecfd652845ed4c9"><enum>(C)</enum><text>basic, clinical, translational, and implementation research operations; and</text></subparagraph></paragraph> <paragraph id="id8d42ccab2df34e50bc1d1ad85de8896e"><enum>(2)</enum><text>that meets such other criteria as the Secretary may establish. </text></paragraph></subsection></section> 
</legis-body> 
</bill> 


