[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4420 Introduced in House (IH)]

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118th CONGRESS
  1st Session
                                H. R. 4420

  To reauthorize certain programs under the Public Health Service Act 
with respect to public health security and all-hazards preparedness and 
response related to the Centers for Disease Control and Protection, and 
                          for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 30, 2023

  Mr. Hudson introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
  To reauthorize certain programs under the Public Health Service Act 
with respect to public health security and all-hazards preparedness and 
response related to the Centers for Disease Control and Protection, and 
                          for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Preparedness and 
Response Reauthorization Act''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
TITLE I--PREPARING FOR AND RESPONDING TO PUBLIC HEALTH SECURITY THREATS

Sec. 101. Improving State and local public health security.
Sec. 102. Facilities and capacities of the Centers for Disease Control 
                            and Prevention to combat public health 
                            security threats.
Sec. 103. Monitoring and distribution of certain medical 
                            countermeasures.
Sec. 104. Enhanced control of dangerous biological agents and toxins.
Sec. 105. Mosquito-borne diseases.
Sec. 106. Epidemiology-laboratory capacity.
Sec. 107. Review of Federal public health data collection and sharing.
   TITLE II--ENSURING WORKFORCE TO PREPARE FOR AND RESPOND TO PUBLIC 
                        HEALTH SECURITY THREATS

Sec. 201. Temporary reassignment of State and local personnel during a 
                            public health emergency.
Sec. 202. Epidemic Intelligence Service.

TITLE I--PREPARING FOR AND RESPONDING TO PUBLIC HEALTH SECURITY THREATS

SEC. 101. IMPROVING STATE AND LOCAL PUBLIC HEALTH SECURITY.

    (a) Authorization of Appropriations.--Section 319C-1(h)(1)(A) of 
the Public Health Service Act (42 U.S.C. 247d-3a(h)(1)(A)) is amended 
by striking ``$685,000,000 for each of fiscal years 2019 through 2023'' 
and inserting ``$735,000,000 for each of fiscal years 2024 through 
2028''.
    (b) Elimination of Deadwood.--Section 319C-1(h) of the Public 
Health Service Act (42 U.S.C. 247d-3a(h)) is amended--
            (1) by striking paragraphs (4) and (5); and
            (2) by redesignating paragraphs (6) and (7) as paragraphs 
        (4) and (5).

SEC. 102. FACILITIES AND CAPACITIES OF THE CENTERS FOR DISEASE CONTROL 
              AND PREVENTION TO COMBAT PUBLIC HEALTH SECURITY THREATS.

    (a) Study.--Section 319D(a)(4) of the Public Health Service Act (42 
U.S.C. 247d-4(a)(4)) is amended by striking ``Not later than June 1, 
2022, the Comptroller General of the United States shall conduct a 
study on Federal spending in fiscal years 2013 through 2018'' and 
inserting ``Not later than June 1, 2027, the Comptroller General of the 
United States shall conduct a study on Federal spending in fiscal years 
2021 through 2026''.
    (b) Authorization of Appropriations.--Section 319D(h) of the Public 
Health Service Act (42 U.S.C. 247d-4(h)) is amended--
            (1) in paragraph (1), by striking ``$25,000,000 for each of 
        fiscal years 2022 and 2023'' and inserting ``$40,000,000 for 
        each of fiscal years 2024 through 2028''; and
            (2) in paragraph (2), by striking ``2022 and 2023'' and 
        inserting ``2024 through 2028''.

SEC. 103. MONITORING AND DISTRIBUTION OF CERTAIN MEDICAL 
              COUNTERMEASURES.

    Section 319A(e) of the Public Health Service Act (42 U.S.C. 247d-
1(e)) is amended by striking ``2019 through 2023'' and inserting ``2024 
through 2028''.

SEC. 104. ENHANCED CONTROL OF DANGEROUS BIOLOGICAL AGENTS AND TOXINS.

    Section 351A(m) of the Public Health Service Act (42 U.S.C. 
262a(m)) is amended by striking ``2027'' and inserting ``2028''.

SEC. 105. MOSQUITO-BORNE DISEASES.

    Section 317S(f) of the Public Health Service Act (42 U.S.C. 247b-
21(f)) is amended--
            (1) in paragraph (1), by striking ``2019 through 2023'' and 
        inserting ``2024 through 2028''; and
            (2) by striking paragraph (3).

SEC. 106. EPIDEMIOLOGY-LABORATORY CAPACITY.

    Section 2821(b) (42 U.S.C. 300hh-31(b)) is amended by striking 
``2019 through 2023'' and inserting ``2024 through 2028''.

SEC. 107. REVIEW OF FEDERAL PUBLIC HEALTH DATA COLLECTION AND SHARING.

    (a) In General.--The Comptroller General of the United States shall 
evaluate the Federal Government's collection and sharing of public 
health data to respond to public health emergencies involving 
infectious disease outbreaks or biological threats, such as the COVID-
19 pandemic, and provide as appropriate recommendations to address the 
collection and sharing of public health data.
    (b) Topics.--The evaluation under subsection (a) shall include a 
review of what is known about--
            (1) the authorities, policies, and operational tools used 
        by the Secretary of Health and Human Services to collect public 
        health data from, and share public health data with, other 
        Federal agencies, State, local, territorial, and Tribal 
        governments, and other partners, including--
                    (A) how those authorities, policies, and tools were 
                used during the COVID-19 public health emergency;
                    (B) how Federal funds were expended for the purpose 
                of public health data collection and sharing during the 
                COVID-19 public health emergency;
                    (C) any challenges posed by redundant data 
                reporting requirements placed on State, local, 
                territorial, and Tribal governments and other partners 
                during the COVID-19 public health emergency, including 
                whether these requirements conflicted with the needs of 
                State, local, territorial, or Tribal communities or 
                other partners; and
                    (D) any publicly available resources to track how 
                public health data is being collected, shared, and used 
                with other Federal agencies, State, local, territorial, 
                and Tribal governments, and other partners;
            (2) any limitations on the authorities, policies, and tools 
        used during declared public health emergencies, including 
        throughout the COVID-19 public health emergency, that affect 
        the Federal Government's ability to respond to declared public 
        health emergencies;
            (3) any redundancy or overutilization in the authorities, 
        policies, and tools used during declared public health 
        emergencies, including throughout the COVID-19 public health 
        emergency, including whether any redundant data reporting 
        requirements conflicted with the needs of State, local, 
        territorial, or Tribal communities or other partners; and
            (4) the Federal Government's data collection, sharing, and 
        epidemiological modeling during the COVID-19 public health 
        emergency compared with the data collection, sharing, and 
        epidemiological modeling of nonprofit and private sector 
        stakeholders, including how the Secretary developed tools, or 
        used already existing tools, to collect, share, model, and 
        disseminate public health data in comparison to the development 
        of tools and use of existing tools for such purposes by the 
        nonprofit and private sectors.
    (c) Report to Congress.--Not later than 18 months after the date of 
enactment of this Act, the Comptroller General of the United States 
shall submit a report to the Congress on the results of the evaluation 
under subsection (a).
    (d) Definition.--In this section, the term ``other partners'' 
includes--
            (1) hospitals and physician practices;
            (2) health systems and health plans;
            (3) manufacturers and distributors; and
            (4) clinical laboratories.

   TITLE II--ENSURING WORKFORCE TO PREPARE FOR AND RESPOND TO PUBLIC 
                        HEALTH SECURITY THREATS

SEC. 201. TEMPORARY REASSIGNMENT OF STATE AND LOCAL PERSONNEL DURING A 
              PUBLIC HEALTH EMERGENCY.

    (a) Report to Congress.--Section 319(e)(6) of the Public Health 
Service Act (42 U.S.C. 247d(e)(6)) is amended by striking ``Not later 
than 4 years after the date of enactment of the Pandemic and All-
Hazards Preparedness Reauthorization Act of 2013, the Comptroller 
General of the United States shall'' and inserting ``Not later than 4 
years after the date of enactment of the Preparedness and Response 
Reauthorization Act, the Comptroller General of the United States 
shall''.
    (b) Sunset.--Section 319(e)(8) of the Public Health Service Act (42 
U.S.C. 247d(e)(8)) is amended by striking ``2023'' and inserting 
``2028''.

SEC. 202. EPIDEMIC INTELLIGENCE SERVICE.

    Section 317F(c)(2) of the Public Health Service Act (42 U.S.C. 
247b-7(c)(2)) is amended by striking ``2019 through 2023'' and 
inserting ``2024 through 2028''.
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