Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Public Law 116–22 Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 22 116–22 Statute Compilation United States House of Representatives Office of the Legislative Counsel text/xml EN 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. GPO Statute Compilations USLM converter, version 20210527.1 2021-10-15 Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 15494 116 2019-06-24 Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 [(Public Law 116–22)] [This law has not been amended] [Currency: This publication is a compilation of the text of Public Law 116–22. It was last amended by the public law listed in the As Amended Through note above and below at the bottom of each page of the pdf version and reflects current law through the date of the enactment of the public law listed at https://www.govinfo.gov/app/collection/comps/] [Note: While this publication does not represent an official version of any Federal statute, substantial efforts have been made to ensure the accuracy of its contents. The official version of Federal law is found in the United States Statutes at Large and in the United States Code. The legal effect to be given to the Statutes at Large and the United States Code is established by statute (1 U.S.C. 112, 204).]
AN ACTTo reauthorize certain programs under the Public Health Service Act and the Federal Food, Drug, and Cosmetic Act with respect to public health security and all-hazards preparedness and response, 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. [42 U.S.C. 201 note] SHORT TITLE; TABLE OF CONTENTS. (a) Short Title.—This Act may be cited as the “Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019”. (b) Table of Contents.—The table of contents for this Act is as follows: Sec. 1. Sec. 2. TITLE I— Sec. 101. TITLE II— Sec. 201. Sec. 202. Sec. 203. Sec. 204. Sec. 205. Sec. 206. Sec. 207. Sec. 208. Sec. 209. Sec. 210. TITLE III— Sec. 301. Sec. 302. Sec. 303. Sec. 304. Sec. 305. Sec. 306. TITLE IV— Sec. 401. Sec. 402. Sec. 403. Sec. 404. Sec. 405. TITLE V— Sec. 501. Sec. 502. Sec. 503. Sec. 504. Sec. 505. TITLE VI— Sec. 601. Sec. 602. Sec. 603. Sec. 604. Sec. 605. Sec. 606. Sec. 607. TITLE VII— Sec. 701. Sec. 702. Sec. 703. Sec. 704. Sec. 705.
SEC. 2. REFERENCES IN ACT. Except as otherwise specified, amendments made by this Act to a section or other provision of law are amendments to such section or other provision of the Public Health Service Act (42 U.S.C. 201 et seq.).
<num style="-uslm-dtd:enum" value="I">TITLE I—</num><heading style="-uslm-dtd:header">STRENGTHENING THE NATIONAL HEALTH SECURITY STRATEGY </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tI/s101" styleType="OLC"> <num style="-uslm-dtd:enum" value="101">SEC. 101. </num><heading style="-uslm-dtd:header">NATIONAL HEALTH SECURITY STRATEGY. </heading><chapeau style="-uslm-dtd:text">Section 2802 (42 U.S.C. 300hh-1) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tI/s101/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (a)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tI/s101/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in paragraph (1)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tI/s101/1/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">2014</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2018</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tI/s101/1/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking the second sentence and inserting the following: “<quotedText style="-uslm-dtd:quote">Such National Health Security Strategy shall describe potential emergency health security threats and identify the process for achieving the preparedness goals described in subsection (b) to be prepared to identify and respond to such threats and shall be consistent with the national preparedness goal (as described in section 504(a)(19) of the Homeland Security Act of 2002), the National Incident Management System (as defined in section 501(7) of such Act), and the National Response Plan developed pursuant to section 504 of such Act, or any successor plan.</quotedText>”;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tI/s101/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (2), by inserting before the period at the end of the second sentence the following: “<quotedText style="-uslm-dtd:quote">, and an analysis of any changes to the evidence-based benchmarks and objective standards under sections 319C-1 and 319C-2</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tI/s101/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">in paragraph (3)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tI/s101/1/C/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">2009</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2022</quotedText>”;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tI/s101/1/C/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">(including gaps in the environmental health and animal health workforces, as applicable), describing the status of such workforce</quotedText>” after “<quotedText style="-uslm-dtd:quote">gaps in such workforce</quotedText>”;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tI/s101/1/C/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">and identifying strategies</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">identifying strategies</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tI/s101/1/C/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">by inserting before the period at the end “<quotedText style="-uslm-dtd:quote">, and identifying current capabilities to meet the requirements of section 2803</quotedText>”; and</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tI/s101/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (b)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tI/s101/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in paragraph (2)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tI/s101/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">and investigation</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">investigation, and related information technology activities</quotedText>”;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tI/s101/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in subparagraph (B), by striking “<quotedText style="-uslm-dtd:quote">and decontamination</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">decontamination, relevant health care services and supplies, and transportation and disposal of medical waste</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tI/s101/2/A/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">Response to environmental hazards.”</content> </subparagraph></quotedContent>;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tI/s101/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in paragraph (3)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tI/s101/2/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the matter preceding subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">including mental health</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">including pharmacies, mental health facilities,</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tI/s101/2/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in subparagraph (F), by inserting “<quotedText style="-uslm-dtd:quote">or exposures to agents that could cause a public health emergency</quotedText>” before the period;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tI/s101/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">in paragraph (5), by inserting “<quotedText style="-uslm-dtd:quote">and other applicable compacts</quotedText>” after “<quotedText style="-uslm-dtd:quote">Compact</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tI/s101/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="9">“(9) </num><heading style="-uslm-dtd:header">Zoonotic disease, food, and agriculture.—</heading><content style="-uslm-dtd:text">Improving coordination among Federal, State, local, Tribal, and territorial entities (including through consultation with the Secretary of Agriculture) to prevent, detect, and respond to outbreaks of plant or animal disease (including zoonotic disease) that could compromise national security resulting from a deliberate attack, a naturally occurring threat, the intentional adulteration of food, or other public health threats, taking into account interactions between animal health, human health, and animals’ and humans’ shared environment as directly related to public health emergency preparedness and response capabilities, as applicable.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="10">“(10) </num><heading style="-uslm-dtd:header">Global health security.—</heading><content style="-uslm-dtd:text">Assessing current or potential health security threats from abroad to inform domestic public health preparedness and response capabilities.”</content> </paragraph></quotedContent>.</content> </subparagraph> </paragraph> </section> <num style="-uslm-dtd:enum" value="II">TITLE II—</num><heading style="-uslm-dtd:header">IMPROVING PREPAREDNESS AND RESPONSE </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tII/s201" styleType="OLC"> <num style="-uslm-dtd:enum" value="201">SEC. 201. </num><heading style="-uslm-dtd:header">IMPROVING BENCHMARKS AND STANDARDS FOR PREPAREDNESS AND RESPONSE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s201/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Evaluating Measurable Evidence-Based Benchmarks and Objective Standards.—</heading><content style="-uslm-dtd:text">Section 319C-1 (42 U.S.C. 247d-3a) is amended by inserting after subsection (j) the following:<quotedContent style="-uslm-dtd:quoted-block"> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="k">“(k) </num><heading style="-uslm-dtd:header">Evaluation.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Not later than 2 years after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 and every 2 years thereafter, the Secretary shall conduct an evaluation of the evidence-based benchmarks and objective standards required under subsection (g). Such evaluation shall be submitted to the congressional committees of jurisdiction together with the National Health Security Strategy under section 2802, at such time as such strategy is submitted.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Content.—</heading><chapeau style="-uslm-dtd:text">The evaluation under this paragraph shall include—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">a review of evidence-based benchmarks and objective standards, and associated metrics and targets;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">a discussion of changes to any evidence-based benchmarks and objective standards, and the effect of such changes on the ability to track whether entities are meeting or making progress toward the goals under this section and, to the extent practicable, the applicable goals of the National Health Security Strategy under section 2802;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">a description of amounts received by eligible entities described in subsection (b) and section 319C-2(b), and amounts received by subrecipients and the effect of such funding on meeting evidence-based benchmarks and objective standards; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">recommendations, as applicable and appropriate, to improve evidence-based benchmarks and objective standards to more accurately assess the ability of entities receiving awards under this section to better achieve the goals under this section and section 2802.”</content> </subparagraph> </paragraph> </subsection></quotedContent>.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s201/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Evaluating the Partnership for State and Regional Hospital Preparedness.—</heading><content style="-uslm-dtd:text">Section 319C-2(i)(1) (42 U.S.C. 247-3b(i)(1)) is amended by striking “<quotedText style="-uslm-dtd:quote">section 319C-1(g), (i), and (j)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">section 319C-1(g), (i), (j), and (k)</quotedText>”.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tII/s202" styleType="OLC"> <num style="-uslm-dtd:enum" value="202">SEC. 202. </num><heading style="-uslm-dtd:header">AMENDMENTS TO PREPAREDNESS AND RESPONSE PROGRAMS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s202/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Cooperative Agreement Applications for Improving State and Local Public Health Security.—</heading><chapeau style="-uslm-dtd:text">Section 319C-1 (42 U.S.C. 247d-3a) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (a), by inserting “<quotedText style="-uslm-dtd:quote">, acting through the Director of the Centers for Disease Control and Prevention,</quotedText>” after “<quotedText style="-uslm-dtd:quote">the Secretary</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (b)(2)(A)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in clause (vi), by inserting “<quotedText style="-uslm-dtd:quote">, including public health agencies with specific expertise that may be relevant to public health security, such as environmental health agencies,</quotedText>” after “<quotedText style="-uslm-dtd:quote">stakeholders</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by redesignating clauses (vii) through (ix) as clauses (viii) through (x);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/a/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by inserting after clause (vi) the following:<quotedContent style="-uslm-dtd:quoted-block"> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="vii">“(vii) </num><content style="-uslm-dtd:text">a description of how, as applicable, such entity may integrate information to account for individuals with behavioral health needs following a public health emergency;”</content> </clause></quotedContent>;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/a/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">in clause (ix), as so redesignated, by striking “<quotedText style="-uslm-dtd:quote">; and</quotedText>” and inserting a semicolon; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/a/2/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="xi">“(xi) </num><content style="-uslm-dtd:text">a description of how the entity will partner with health care facilities, including hospitals and nursing homes and other long-term care facilities, to promote and improve public health preparedness and response; and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="xii">“(xii) </num><content style="-uslm-dtd:text">a description of how, as appropriate and practicable, the entity will include critical infrastructure partners, such as utility companies within the entity’s jurisdiction, in planning pursuant to this subparagraph to help ensure that critical infrastructure will remain functioning during, or return to function as soon as practicable after, a public health emergency;”</content> </clause></quotedContent>.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s202/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Exception Relating to Application of Certain Requirements.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Section 319C-1(g) (42 U.S.C. 247d-3a(g)) is amended—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in paragraph (5)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s202/b/1/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the matter preceding subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">Beginning with fiscal year 2009</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Beginning with fiscal year 2019</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s202/b/1/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><chapeau style="-uslm-dtd:text">in subparagraph (A)—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s202/b/1/A/ii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">for the immediately preceding fiscal year</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">for either of the 2 immediately preceding fiscal years</quotedText>”; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s202/b/1/A/ii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">2008</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2018</quotedText>”; and</content> </subclause> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (6), by amending subparagraph (A) to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The amounts described in this paragraph are the following amounts that are payable to an entity for activities described in this section or section 319C-2:</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">For no more than one of each of the first 2 fiscal years immediately following a fiscal year in which an entity experienced a failure described in subparagraph (A) or (B) of paragraph (5), an amount equal to 10 percent of the amount the entity was eligible to receive for the respective fiscal year.</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">For no more than one of the first 2 fiscal years immediately following the third consecutive fiscal year in which an entity experienced such a failure, in lieu of applying clause (i), an amount equal to 15 percent of the amount the entity was eligible to receive for the respective fiscal year.”</content> </clause> </subparagraph></quotedContent>.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s247d-3a">42 U.S.C. 247d-3a note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Effective date.—</heading><content style="-uslm-dtd:text">The amendments made by paragraph (1) shall apply with respect to cooperative agreements awarded on or after the date of enactment of this Act.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s202/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Partnership for State and Regional Hospital Preparedness To Improve Surge Capacity.—</heading><chapeau style="-uslm-dtd:text">Section 319C-2 (42 U.S.C. 247d-3b) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (a)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">, acting through the Assistant Secretary for Preparedness and Response,</quotedText>” after “<quotedText style="-uslm-dtd:quote">The Secretary</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">preparedness for public health emergencies</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">preparedness for, and response to, 133 STAT. 910 public health emergencies in accordance with subsection (c)</quotedText>”;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (b)(1)(A)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">partnership consisting of</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">coalition that includes</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in clause (ii), by striking “<quotedText style="-uslm-dtd:quote">; and</quotedText>” and inserting a semicolon; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <clause style="-uslm-dtd:clause" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">one or more emergency medical service organizations or emergency management organizations; and”</content> </clause></quotedContent>;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">in subsection (d)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in paragraph (1)(B), by striking “<quotedText style="-uslm-dtd:quote">partnership</quotedText>” each place it appears and inserting “<quotedText style="-uslm-dtd:quote">coalition</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (2)(C), by striking “<quotedText style="-uslm-dtd:quote">medical preparedness</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">preparedness and response</quotedText>”;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/c/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">in subsection (f), by striking “<quotedText style="-uslm-dtd:quote">partnership</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">coalition</quotedText>”;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/c/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><chapeau style="-uslm-dtd:text">in subsection (g)(2)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/5/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">Partnerships</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Coalitions</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/5/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">partnerships</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">coalitions</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/5/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">and response</quotedText>” after “<quotedText style="-uslm-dtd:quote">preparedness</quotedText>”; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/c/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><chapeau style="-uslm-dtd:text">in subsection (i)(1)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/6/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">An entity</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">A coalition</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s202/c/6/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">such partnership</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">such coalition</quotedText>”.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s202/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Public Health Security Grants Authorization of Appropriations.—</heading><content style="-uslm-dtd:text">Section 319C-1(h)(1)(A) (42 U.S.C. 247d-3a(h)(1)(A)) is amended by striking “<quotedText style="-uslm-dtd:quote">$641,900,000 for fiscal year 2014</quotedText>” and all that follows through the period at the end and inserting “<quotedText style="-uslm-dtd:quote">$685,000,000 for each of fiscal years 2019 through 2023 for awards pursuant to paragraph (3) (subject to the authority of the Secretary to make awards pursuant to paragraphs (4) and (5)).</quotedText>”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s202/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Partnership for State and Regional Hospital Preparedness Authorization of Appropriations.—</heading><chapeau style="-uslm-dtd:text">Section 319C-2(j) (42 U.S.C. 247d-3b(j)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by amending paragraph (1) to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">Authorization of appropriations.—</heading><content style="-uslm-dtd:text">For purposes of carrying out this section and section 319C-3, in accordance with subparagraph (B), there is authorized to be appropriated $385,000,000 for each of fiscal years 2019 through 2023.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Reservation of amounts for regional systems.—</heading> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Subject to clause (ii), of the amount appropriated under subparagraph (A) for a fiscal year, the Secretary may reserve up to 5 percent for the purpose of carrying out section 319C-3.</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Reservation contingent on continued appropriations for this section.—</heading><content style="-uslm-dtd:text">If for fiscal year 2019 or a subsequent fiscal year, the amount appropriated under subparagraph (A) is such that, after application of clause (i), the amount remaining for the purpose of carrying out this section would be less than the amount available for such purpose for the previous fiscal year, the amount that may be reserved under clause (i) shall be reduced such that the amount remaining for the purpose of carrying out this section is not less than the amount available for such purpose for the previous fiscal year.</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><heading style="-uslm-dtd:header">Sunset.—</heading><content style="-uslm-dtd:text">The authority to reserve amounts under clause (i) shall expire on September 30, 2023.”</content> </clause> </subparagraph> </paragraph></quotedContent>;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in paragraph (2), by striking “<quotedText style="-uslm-dtd:quote">paragraph (1) for a fiscal year</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">paragraph (1)(A) for a fiscal year and not reserved for the purpose described in paragraph (1)(B)(i)</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s202/e/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">in paragraph (3)(A), by striking “<quotedText style="-uslm-dtd:quote">paragraph (1) and not reserved under paragraph (2)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">paragraph (1)(A) and not reserved under paragraph (1)(B)(i) or (2)</quotedText>”.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tII/s203" styleType="OLC"> <num style="-uslm-dtd:enum" value="203">SEC. 203. </num><heading style="-uslm-dtd:header">REGIONAL HEALTH CARE EMERGENCY PREPAREDNESS AND RESPONSE SYSTEMS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s203/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">Part B of title III (42 U.S.C. 243 et seq.) is amended by inserting after section 319C-2 the following:<quotedContent style="-uslm-dtd:quoted-block"> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="319C-3">“SEC. 319C-3. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s247d-3c">42 U.S.C. 247d-3c</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">GUIDELINES FOR REGIONAL HEALTH CARE EMERGENCY PREPAREDNESS AND RESPONSE SYSTEMS </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">Purpose.—</heading><content style="-uslm-dtd:text">It is the purpose of this section to identify and provide guidelines for regional systems of hospitals, health care facilities, and other public and private sector entities, with varying levels of capability to treat patients and increase medical surge capacity during, in advance of, and immediately following a public health emergency, including threats posed by one or more chemical, biological, radiological, or nuclear agents, including emerging infectious diseases.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Guidelines.—</heading><chapeau style="-uslm-dtd:text">The Assistant Secretary for Preparedness and Response, in consultation with the Director of the Centers for Disease Control and Prevention, the Administrator of the Centers for Medicare & Medicaid Services, the Administrator of the Health Resources and Services Administration, the Commissioner of Food and Drugs, the Assistant Secretary for Mental Health and Substance Use, the Assistant Secretary of Labor for Occupational Safety and Health, the Secretary of Veterans Affairs, the heads of such other Federal agencies as the Secretary determines to be appropriate, and State, local, Tribal, and territorial public health officials, shall, not later than 2 years after the date of enactment of this section—</chapeau> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><chapeau style="-uslm-dtd:text">identify and develop a set of guidelines relating to practices and protocols for all-hazards public health emergency preparedness and response for hospitals and health care facilities to provide appropriate patient care during, in advance of, or immediately following, a public health emergency, resulting from one or more chemical, biological, radiological, or nuclear agents, including emerging infectious diseases (which may include existing practices, such as trauma care and medical surge capacity and capabilities), with respect to—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><chapeau style="-uslm-dtd:text">a regional approach to identifying hospitals and health care facilities based on varying capabilities and capacity to treat patients affected by such emergency, including—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">the manner in which the system will coordinate with and integrate the partnerships and health care coalitions established under section 319C-2(b); and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">informing and educating appropriate first responders and health care supply chain partners of the regional emergency preparedness and response capabilities and medical surge capacity of such hospitals and health care facilities in the community;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">physical and technological infrastructure, laboratory capacity, staffing, blood supply, and other supply chain needs, taking into account resiliency, geographic considerations, and rural considerations;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">protocols or best practices for the safety and personal protection of workers who handle human remains and health care workers (including with respect to protective equipment and supplies, waste management processes, and decontamination), sharing of specialized experience among the health care workforce, behavioral health, psychological resilience, and training of the workforce, as applicable;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">in a manner that allows for disease containment (within the meaning of section 2802(b)(2)(B)), coordinated medical triage, treatment, and transportation of patients, based on patient medical need (including patients in rural areas), to the appropriate hospitals or health care facilities within the regional system or, as applicable and appropriate, between systems in different States or regions; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">the needs of children and other at-risk individuals;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">make such guidelines available on the internet website of the Department of Health and Human Services in a manner that does not compromise national security; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><content style="-uslm-dtd:text">update such guidelines as appropriate, including based on input received pursuant to subsections (c) and (e) and information resulting from applicable reports required under the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 (including any amendments made by such Act), to address new and emerging public health threats.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Considerations.—</heading><chapeau style="-uslm-dtd:text">In identifying, developing, and updating guidelines under subsection (b), the Assistant Secretary for Preparedness and Response shall—</chapeau> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">include input from hospitals and health care facilities (including health care coalitions under section 319C-2), State, local, Tribal, and territorial public health departments, and health care or subject matter experts (including experts with relevant expertise in chemical, biological, radiological, or nuclear threats, including emerging infectious diseases), as the Assistant Secretary determines appropriate, to meet the goals under section 2802(b)(3);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">consult and engage with appropriate health care providers and professionals, including physicians, nurses, first responders, health care facilities (including hospitals, primary care clinics, community health centers, mental health facilities, ambulatory care facilities, and dental health facilities), pharmacies, emergency medical providers, trauma care providers, environmental health agencies, public health laboratories, poison control centers, blood banks, tissue banks, and other experts that the Assistant Secretary determines appropriate, to meet the goals under section 2802(b)(3);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><content style="-uslm-dtd:text">consider feedback related to financial implications for hospitals, health care facilities, public health agencies, laboratories, blood banks, tissue banks, and other entities engaged in regional preparedness planning to implement and follow such guidelines, as applicable; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">“(4) </num><content style="-uslm-dtd:text">consider financial requirements and potential incentives for entities to prepare for, and respond to, public health emergencies as part of the regional health care emergency preparedness and response system.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">“(d) </num><heading style="-uslm-dtd:header">Technical Assistance.—</heading><content style="-uslm-dtd:text">The Assistant Secretary for Preparedness and Response, in consultation with the Director of the Centers for Disease Control and Prevention and the Assistant Secretary of Labor for Occupational Safety and Health, may provide technical assistance and consultation toward meeting the guidelines described in subsection (b).</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">“(e) </num><heading style="-uslm-dtd:header">Demonstration Project for Regional Health Care Preparedness and Response Systems.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Assistant Secretary for Preparedness and Response may establish a demonstration project pursuant to the development and implementation of guidelines under subsection (b) to award grants to improve medical surge capacity for all hazards, build and integrate regional medical response capabilities, improve specialty care expertise for all-hazards response, and coordinate medical preparedness and response across State, local, Tribal, territorial, and regional jurisdictions.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Sunset.—</heading><content style="-uslm-dtd:text">The authority under this subsection shall expire on September 30, 2023.”</content> </paragraph> </subsection> </section></quotedContent>.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s203/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">GAO Report to Congress.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s203/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Report.—</heading><content style="-uslm-dtd:text">Not later than 3 years after the date of enactment of this Act, the Comptroller General of the United States (referred to in this subsection as the “Comptroller General”) shall submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Finance of the Senate and the Committee on Energy and Commerce and the Committee on Ways and Means of the House of Representatives, a report on the extent to which hospitals and health care facilities have implemented the recommended guidelines under section 319C-3(b) of the Public Health Service Act (as added by subsection (a)), including an analysis and evaluation of any challenges hospitals or health care facilities experienced in implementing such guidelines.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s203/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Content.—</heading><chapeau style="-uslm-dtd:text">The Comptroller General shall include in the report under paragraph (1)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s203/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">data on the preparedness and response capabilities that have been informed by the guidelines under section 319C-3(b) of the Public Health Service Act to improve regional emergency health care preparedness and response capability, including hospital and health care facility capacity and medical surge capabilities to prepare for, and respond to, public health emergencies; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s203/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">recommendations to reduce gaps in incentives for regional health partners, including hospitals and health care facilities, to improve capacity and medical surge capabilities to prepare for, and respond to, public health emergencies, consistent with subsection (a), which may include consideration of facilities participating in programs under section 319C-2 of the Public Health Service Act (42 U.S.C. 247d-3b) or in programs under the Centers for Medicare & Medicaid Services (including innovative health care delivery and payment models), and input from private sector financial institutions.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s203/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Consultation.—</heading><chapeau style="-uslm-dtd:text">In carrying out paragraphs (1) and (2), the Comptroller General shall consult with the heads of appropriate Federal agencies, including—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s203/b/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the Assistant Secretary for Preparedness and Response;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s203/b/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the Director of the Centers for Disease Control and Prevention;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s203/b/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the Administrator of the Centers for Medicare & Medicaid Services;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s203/b/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the Assistant Secretary for Mental Health and Substance Use;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s203/b/3/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">the Assistant Secretary of Labor for Occupational Safety and Health; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s203/b/3/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">the Secretary of Veterans Affairs.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s203/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Annual Reports.—</heading><content style="-uslm-dtd:text">Section 319C-2(i)(1) (42 U.S.C. 247d-3b(i)(1)) is amended by inserting after the first sentence the following: “<quotedText style="-uslm-dtd:quote">In submitting reports under this paragraph, a coalition shall include information on the progress that the coalition has made toward the implementation of section 319C-3 (or barriers to progress, if any).</quotedText>”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s203/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">National Health Security Strategy Incorporation of Regionalized Emergency Preparedness and Response.—</heading><content style="-uslm-dtd:text">Subparagraph (G) of section 2802(b)(3) (42 U.S.C. 300hh-1(b)(3)) is amended to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">“(G) </num><content style="-uslm-dtd:text">Optimizing a coordinated and flexible approach to the emergency response and medical surge capacity of hospitals, other health care facilities, critical care, trauma care (which may include trauma centers), and emergency medical systems.”</content> </subparagraph></quotedContent>.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s203/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Improving State and Local Public Health Security.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s203/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">State and local security.—</heading><content style="-uslm-dtd:text">Section 319C-1(e) (42 U.S.C. 247d-3a(e)) is amended by striking “<quotedText style="-uslm-dtd:quote">, and local emergency plans.</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">, local emergency plans, and any regional health care emergency preparedness and response system established pursuant to the applicable guidelines under section 319C-3.</quotedText>”.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s203/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Partnerships.—</heading><chapeau style="-uslm-dtd:text">Section 319C-2(d)(1)(A) (42 U.S.C. 247d-3b(d)(1)(A)) is amended—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s203/e/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in clause (i), by striking “<quotedText style="-uslm-dtd:quote">; and</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">;</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s203/e/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by redesignating clause (ii) as clause (iii); and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s203/e/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by inserting after clause (i) the following:<quotedContent style="-uslm-dtd:quoted-block"> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">among one or more facilities in a regional health care emergency system under section 319C-3; and”</content> </subsection></quotedContent>.</content> </subparagraph> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tII/s204" styleType="OLC"> <num style="-uslm-dtd:enum" value="204">SEC. 204. </num><heading style="-uslm-dtd:header">MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS. </heading><content style="-uslm-dtd:text">Title XII (42 U.S.C. 300d et seq.) is amended by adding at the end the following new part:<quotedContent style="-uslm-dtd:quoted-block"> <part style="-uslm-dtd:part"> <num style="-uslm-dtd:enum" value="I">“PART I—</num><heading style="-uslm-dtd:header">MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS GRANT PROGRAM </heading> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="1291">“SEC. 1291. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s300d-91">42 U.S.C. 300d-91</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS GRANT PROGRAM </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">Military Trauma Team Placement Program.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Secretary, acting through the Assistant Secretary for Preparedness and Response and in consultation with the Secretary of Defense, shall award grants to not more than 20 eligible high-acuity trauma centers to enable military trauma teams to provide, on a full-time basis, trauma care and related acute care at such trauma centers.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Limitations.—</heading><chapeau style="-uslm-dtd:text">In the case of a grant awarded under paragraph (1) to an eligible high-acuity trauma center, such grant—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">shall be for a period of at least 3 years and not more than 5 years (and may be renewed at the end of such period); and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">shall be in an amount that does not exceed $1,000,000 per year.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Availability of funds.—</heading><content style="-uslm-dtd:text">Notwithstanding section 1552 of title 31, United States Code, or any other provision of law, funds available to the Secretary for obligation for a grant under this subsection shall remain available for expenditure for 100 days after the last day of the performance period of such grant.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Military Trauma Care Provider Placement Program.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Secretary, acting through the Assistant Secretary for Preparedness and Response and in consultation with the Secretary of Defense, shall award grants to eligible trauma centers to enable military trauma care providers to provide trauma care and related acute care at such trauma centers.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Limitations.—</heading><chapeau style="-uslm-dtd:text">In the case of a grant awarded under paragraph (1) to an eligible trauma center, such grant—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">shall be for a period of at least 1 year and not more than 3 years (and may be renewed at the end of such period); and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><chapeau style="-uslm-dtd:text">shall be in an amount that does not exceed, in a year—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">$100,000 for each military trauma care provider that is a physician at such eligible trauma center; and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">$50,000 for each other military trauma care provider at such eligible trauma center.</content> </clause> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Grant Requirements.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">Deployment and public health emergencies.—</heading><chapeau style="-uslm-dtd:text">As a condition of receipt of a grant under this section, a grant recipient shall agree to allow military trauma care providers providing care pursuant to such grant to—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">be deployed by the Secretary of Defense for military operations, for training, or for response to a mass casualty incident; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">be deployed by the Secretary of Defense, in consultation with the Secretary of Health and Human Services, for response to a public health emergency pursuant to section 319.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Use of funds.—</heading><content style="-uslm-dtd:text">Grants awarded under this section to an eligible trauma center may be used to train and incorporate military trauma care providers into such trauma center, including incorporation into operational exercises and training drills related to public health emergencies, expenditures for malpractice insurance, office space, information technology, specialty education and supervision, trauma programs, research, and applicable license fees for such military trauma care providers.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">“(d) </num><heading style="-uslm-dtd:header">Rule of Construction.—</heading><content style="-uslm-dtd:text">Nothing in this section shall be construed to affect any other provision of law that preempts State licensing requirements for health care professionals, including with respect to military trauma care providers.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">“(e) </num><heading style="-uslm-dtd:header">Reporting Requirements.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">Report to the secretary and the secretary of defense.—</heading><chapeau style="-uslm-dtd:text">Each eligible trauma center or eligible high-acuity trauma center awarded a grant under subsection (a) or (b) for a year shall submit to the Secretary and the Secretary of Defense a report for such year that includes information on—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">the number and types of trauma cases managed by military trauma teams or military trauma care providers pursuant to such grant during such year;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">the ability to maintain the integration of the military trauma providers or teams of providers as part of the trauma center, including the financial effect of such grant on the trauma center;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">the educational effect on resident trainees in centers where military trauma teams are assigned;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">any research conducted during such year supported by such grant; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">any other information required by the Secretaries for the purpose of evaluating the effect of such grant.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Report to congress.—</heading><chapeau style="-uslm-dtd:text">Not less than once every 2 years, the Secretary, in consultation with the Secretary of Defense, shall submit a report to the congressional committees of jurisdiction that includes information on the effect of placing military trauma care providers in trauma centers awarded grants under this section on—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">maintaining military trauma care providers’ readiness and ability to respond to and treat battlefield injuries;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">providing health care to civilian trauma patients in urban and rural settings;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">the capability of trauma centers and military trauma care providers to increase medical surge capacity, including as a result of a large-scale event;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">the ability of grant recipients to maintain the integration of the military trauma providers or teams of providers as part of the trauma center;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">efforts to incorporate military trauma care providers into operational exercises and training and drills for public health emergencies; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">“(F) </num><content style="-uslm-dtd:text">the capability of military trauma care providers to participate as part of a medical response during or in advance of a public health emergency, as determined by the Secretary, or a mass casualty incident.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">“(f) </num><heading style="-uslm-dtd:header">Definitions.—</heading><chapeau style="-uslm-dtd:text">For purposes of this part:</chapeau> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">Eligible high-acuity trauma center.—</heading><chapeau style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">eligible high-acuity trauma center</quotedText>’ means a Level I trauma center that satisfies each of the following:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">Such trauma center has an agreement with the Secretary of Defense to enable military trauma teams to provide trauma care and related acute care at such trauma center.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">At least 20 percent of patients treated at such trauma center in the most recent 3-month period for which data are available are treated for a major trauma at such trauma center.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">Such trauma center utilizes a risk-adjusted benchmarking system and metrics to measure performance, quality, and patient outcomes.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><chapeau style="-uslm-dtd:text">Such trauma center is an academic training center—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">affiliated with a medical school;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">that maintains residency programs and fellowships in critical trauma specialties and subspecialties, and provides education and supervision of military trauma team members according to those specialties and subspecialties; and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">that undertakes research in the prevention and treatment of traumatic injury.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">Such trauma center serves as a medical and public health preparedness and response leader for its community, such as by participating in a partnership for State and regional hospital preparedness established under section 319C-2 or 319C-3.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Eligible trauma center.—</heading><chapeau style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">eligible trauma center</quotedText>’ means a Level I, II, or III trauma center that satisfies each of the following:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">Such trauma center has an agreement with the Secretary of Defense to enable military trauma care providers to provide trauma care and related acute care at such trauma center.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">Such trauma center utilizes a risk-adjusted benchmarking system and metrics to measure performance, quality, and patient outcomes.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">Such trauma center demonstrates a need for integrated military trauma care providers to maintain or improve the trauma clinical capability of such trauma center.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Major trauma.—</heading><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">major trauma</quotedText>’ means an injury that is greater than or equal to 15 on the injury severity score.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Military trauma team.—</heading><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">military trauma team</quotedText>’ means a complete military trauma team consisting of military trauma care providers.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">“(5) </num><heading style="-uslm-dtd:header">Military trauma care provider.—</heading><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">military trauma care provider</quotedText>’ means a member of the Armed Forces who furnishes emergency, critical care, and other trauma acute care services (including a physician, surgeon, physician assistant, nurse, nurse practitioner, respiratory therapist, flight paramedic, combat medic, or enlisted medical technician) or other military trauma care provider as the Secretary determines appropriate.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">“(g) </num><heading style="-uslm-dtd:header">Authorization of Appropriations.—</heading><content style="-uslm-dtd:text">To carry out this section, there is authorized to be appropriated $11,500,000 for each of fiscal years 2019 through 2023.”</content> </subsection> </section> </part></quotedContent>.</content> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tII/s205" styleType="OLC"> <num style="-uslm-dtd:enum" value="205">SEC. 205. </num><heading style="-uslm-dtd:header">PUBLIC HEALTH AND HEALTH CARE SYSTEM SITUATIONAL AWARENESS AND BIOSURVEILLANCE CAPABILITIES. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s205/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Facilities, Capacities, and Biosurveillance Capabilities.—</heading><chapeau style="-uslm-dtd:text">Section 319D (42 U.S.C. 247d-4) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in the section heading, by striking “<quotedText style="-uslm-dtd:quote">revitalizing</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">facilities and capacities of</quotedText>”;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (a)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the subsection heading, by striking “<quotedText style="-uslm-dtd:quote">Facilities; Capacities</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">In General</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (1), by striking “<quotedText style="-uslm-dtd:quote">and improved</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">, improved, and appropriately maintained</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">in paragraph (3), in the matter preceding subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">expand, enhance, and improve</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">expand, improve, enhance, and appropriately maintain</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Study of resources for facilities and capacities.—</heading><content style="-uslm-dtd:text">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 for activities authorized under this subsection. Such study shall include a review and assessment of obligations and expenditures directly related to each activity under paragraphs (2) and (3), including a specific accounting of, and delineation between, obligations and expenditures incurred for the construction, renovation, equipping, and security upgrades of facilities and associated contracts under this subsection, and the obligations and expenditures incurred to establish and improve the situational awareness and biosurveillance network under subsection (b), and shall identify the agency or agencies incurring such obligations and expenditures.”</content> </paragraph></quotedContent>;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">in subsection (b)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in the subsection heading, by striking “<quotedText style="-uslm-dtd:quote">National</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Establishment of Systems of Public Health</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (1)(B), by inserting “<quotedText style="-uslm-dtd:quote">immunization information systems,</quotedText>” after “<quotedText style="-uslm-dtd:quote">centers,</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">in paragraph (2)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/3/C/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">develop a plan to, and</quotedText>” after “<quotedText style="-uslm-dtd:quote">The Secretary shall</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/3/C/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">and in a form readily usable for analytical approaches</quotedText>” after “<quotedText style="-uslm-dtd:quote">in a secure manner</quotedText>”; and</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">by amending paragraph (3) to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Standards.—</heading> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Not later than 1 year after the date of the enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, the Secretary, in cooperation with health care providers, State, local, Tribal, and territorial public health officials, and relevant Federal agencies (including the Office of the National Coordinator for Health Information Technology and the National Institute of Standards and Technology), shall, as necessary, adopt technical and reporting standards, including standards for interoperability as defined by section 3000, for networks under paragraph (1) and update such standards as necessary. Such standards shall be made available on the internet website of the Department of Health and Human Services, in a manner that does not compromise national security.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Deference to standards development organizations.—</heading><content style="-uslm-dtd:text">In adopting and implementing standards under this subsection and subsection (c), the Secretary shall give deference to standards published by standards development organizations and voluntary consensus-based standards entities.”</content> </subparagraph> </paragraph></quotedContent>;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/a/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><chapeau style="-uslm-dtd:text">in subsection (c)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in paragraph (1)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">Not later than 2 years after the date of enactment of the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013, the Secretary</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">The Secretary</quotedText>”;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">, and improve as applicable and appropriate,</quotedText>” after “<quotedText style="-uslm-dtd:quote">shall establish</quotedText>”;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/A/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">of rapid</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">of, rapid</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/A/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">such connectivity</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">such interoperability</quotedText>”;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by amending paragraph (2) to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Coordination and consultation.—</heading><chapeau style="-uslm-dtd:text">In establishing and improving the network under paragraph (1), the Secretary shall—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">facilitate coordination among agencies within the Department of Health and Human Services that provide, or have the potential to provide, information and data to, and analyses for, the situational awareness and biosurveillance network under paragraph (1), including coordination among relevant agencies related to health care services, the facilitation of health information exchange (including the Office of the National Coordinator for Health Information Technology), and public health emergency preparedness and response; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">consult with the Secretary of Agriculture, the Secretary of Commerce (and the Director of the National Institute of Standards and Technology), the Secretary of Defense, the Secretary of Homeland Security, the Secretary of Veterans Affairs, and the heads of other Federal agencies, as the Secretary determines appropriate.”</content> </subparagraph> </paragraph></quotedContent>;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/4/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">in paragraph (3)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/C/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by redesignating subparagraphs (A) through (E) as clauses (i) through (v), respectively, and adjusting the margins accordingly;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/C/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><chapeau style="-uslm-dtd:text">in clause (iv), as so redesignated—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s205/a/4/C/ii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">immunization information systems,</quotedText>” after “<quotedText style="-uslm-dtd:quote">poison control,</quotedText>”; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s205/a/4/C/ii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">and clinical laboratories</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">, clinical laboratories, and public environmental health agencies</quotedText>”;</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/C/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">The network</quotedText>” and inserting the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The network”</content> </subparagraph></quotedContent>; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/C/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Review.—</heading><content style="-uslm-dtd:text">Not later than 2 years after the date of the enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 and every 6 years thereafter, the Secretary shall conduct a review of the elements described in subparagraph (A). Such review shall include a discussion of the addition of any elements pursuant to clause (v), including elements added to advancing new technologies, and identify any challenges in the incorporation of elements under subparagraph (A). The Secretary shall provide such review to the congressional committees of jurisdiction.”</content> </subparagraph></quotedContent>;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/4/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><chapeau style="-uslm-dtd:text">in paragraph (5)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/D/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by redesignating subparagraphs (A) through (D) as clauses (i) through (iv), respectively, and adjusting the margins accordingly;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/D/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">In establishing</quotedText>” and inserting the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In establishing”</content> </subparagraph></quotedContent>;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/D/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Public meeting.—</heading> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Not later than 180 days after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, the Secretary shall convene a public meeting for purposes of discussing and providing input on the potential goals, functions, and uses of the network described in paragraph (1) and incorporating the elements described in paragraph (3)(A).</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Experts.—</heading><content style="-uslm-dtd:text">The public meeting shall include representatives of relevant Federal agencies (including representatives from the Office of the National Coordinator for Health Information Technology and the National Institute of Standards and Technology); State, local, Tribal, and territorial public health officials; stakeholders with expertise in biosurveillance and situational awareness; stakeholders with expertise in capabilities relevant to biosurveillance and situational awareness, such as experts in informatics and data analytics (including experts in prediction, modeling, or forecasting); and other representatives as the Secretary determines appropriate.</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><heading style="-uslm-dtd:header">Topics.—</heading><chapeau style="-uslm-dtd:text">Such public meeting shall include a discussion of—</chapeau> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">data elements, including minimal or essential data elements, that are voluntarily provided for such network, which may include elements from public health and public and private health care entities, to the extent practicable;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">standards and implementation specifications that may improve the collection, analysis, and interpretation of data during a public health emergency;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">strategies to encourage the access, exchange, and use of information;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">considerations for State, local, Tribal, and territorial capabilities and infrastructure related to data exchange and interoperability;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="V">“(V) </num><content style="-uslm-dtd:text">privacy and security protections provided at the Federal, State, local, Tribal, and territorial levels, and by nongovernmental stakeholders; and</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="VI">“(VI) </num><content style="-uslm-dtd:text">opportunities for the incorporation of innovative technologies to improve the network.”</content> </subclause> </clause> </subparagraph></quotedContent>; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/D/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><chapeau style="-uslm-dtd:text">in subparagraph (A), as so designated by clause (ii)—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s205/a/4/D/iv/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><chapeau style="-uslm-dtd:text">in clause (i), as so redesignated—</chapeau> <item style="-uslm-dtd:item" identifier="/us/sComp/116/22/tII/s205/a/4/D/iv/I/aa" styleType="OLC"> <num style="-uslm-dtd:enum" value="aa">(aa) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">as determined</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">as adopted</quotedText>”; and</content> </item> <item style="-uslm-dtd:item" identifier="/us/sComp/116/22/tII/s205/a/4/D/iv/I/bb" styleType="OLC"> <num style="-uslm-dtd:enum" value="bb">(bb) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">and the National Institute of Standards and Technology</quotedText>” after “<quotedText style="-uslm-dtd:quote">Office of the National Coordinator for Health Information Technology</quotedText>”;</content> </item> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s205/a/4/D/iv/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">in clause (iii), as so redesignated, by striking “<quotedText style="-uslm-dtd:quote">; and</quotedText>” and inserting a semicolon;</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s205/a/4/D/iv/III" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">(III) </num><content style="-uslm-dtd:text">in clause (iv), as so redesignated, by striking the period and inserting “<quotedText style="-uslm-dtd:quote">; and</quotedText>”; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s205/a/4/D/iv/IV" styleType="OLC"> <num style="-uslm-dtd:enum" value="IV">(IV) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">“(v) </num><content style="-uslm-dtd:text">pilot test standards and implementation specifications, consistent with the process described in section 3002(b)(3)(C), which State, local, Tribal, and territorial public health entities may utilize, on a voluntary basis, as a part of the network.”</content> </subsection></quotedContent>;</content> </subclause> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/4/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">by redesignating paragraph (6) as paragraph (7);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/4/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">by inserting after paragraph (5) the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">“(6) </num><heading style="-uslm-dtd:header">Strategy and implementation plan.—</heading> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Not later than 18 months after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, the Secretary shall submit to the congressional committees of jurisdiction a coordinated strategy and an accompanying implementation plan that—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">is informed by the public meeting under paragraph (5)(B);</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">includes a review and assessment of existing capabilities of the network and related infrastructure, including input provided by the public meeting under paragraph (5)(B);</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><chapeau style="-uslm-dtd:text">identifies and demonstrates the measurable steps the Secretary will carry out to—</chapeau> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">develop, implement, and evaluate the network described in paragraph (1), utilizing elements described in paragraph (3)(A);</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">modernize and enhance biosurveillance activities, including strategies to include innovative technologies and analytical approaches (including prediction and forecasting for pandemics and all-hazards) from public and private entities;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">improve information sharing, coordination, and communication among disparate biosurveillance systems supported by the Department of Health and Human Services, including the identification of methods to improve accountability, better utilize resources and workforce capabilities, and incorporate innovative technologies within and across agencies; and</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">test and evaluate capabilities of the interoperable network of systems to improve situational awareness and biosurveillance capabilities;</content> </subclause> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">includes performance measures and the metrics by which performance measures will be assessed with respect to the measurable steps under clause (iii); and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">“(v) </num><content style="-uslm-dtd:text">establishes dates by which each measurable step under clause (iii) will be implemented.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Annual budget plan.—</heading><chapeau style="-uslm-dtd:text">Not later than 2 years after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 and on an annual basis thereafter, in accordance with the strategy and implementation plan under this paragraph, the Secretary shall, taking into account recommendations provided by the National Biodefense Science Board, develop a budget plan based on the strategy and implementation plan under this section. Such budget plan shall include—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">a summary of resources previously expended to establish, improve, and utilize the nationwide public health situational awareness and biosurveillance network under paragraph (1);</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">estimates of costs and resources needed to establish and improve the network under paragraph (1) according to the strategy and implementation plan under subparagraph (A);</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">the identification of gaps and inefficiencies in nationwide public health situational awareness and biosurveillance capabilities, resources, and authorities needed to address such gaps; and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">a strategy to minimize and address such gaps and improve inefficiencies.”</content> </clause> </subparagraph> </paragraph></quotedContent>;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/4/G" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><chapeau style="-uslm-dtd:text">in paragraph (7), as so redesignated—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/G/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in subparagraph (A), by inserting “<quotedText style="-uslm-dtd:quote">(taking into account zoonotic disease, including gaps in scientific understanding of the interactions between human, animal, and environmental health)</quotedText>” after “<quotedText style="-uslm-dtd:quote">human health</quotedText>”;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/G/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><chapeau style="-uslm-dtd:text">in subparagraph (B)—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s205/a/4/G/ii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">and gaps in surveillance programs</quotedText>” after “<quotedText style="-uslm-dtd:quote">surveillance programs</quotedText>”; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s205/a/4/G/ii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">; and</quotedText>” and inserting a semicolon;</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/G/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><chapeau style="-uslm-dtd:text">in subparagraph (C)—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s205/a/4/G/iii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">, animal health organizations related to zoonotic disease,</quotedText>” after “<quotedText style="-uslm-dtd:quote">health care entities</quotedText>”; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tII/s205/a/4/G/iii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">by striking the period and inserting “<quotedText style="-uslm-dtd:quote">; and</quotedText>”; and</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/4/G/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">provide recommendations to the Secretary on policies and procedures to complete the steps described in this paragraph in a manner that is consistent with section 2802.”</content> </subparagraph></quotedContent>; and</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/4/H" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="8">“(8) </num><heading style="-uslm-dtd:header">Situational awareness and biosurveillance as a national security priority.—</heading><content style="-uslm-dtd:text">The Secretary, on a periodic basis as applicable and appropriate, shall meet with the Director of National Intelligence to inform the development and capabilities of the nationwide public health situational awareness and biosurveillance network.”</content> </paragraph></quotedContent>;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/a/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><chapeau style="-uslm-dtd:text">in subsection (d)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/5/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in paragraph (1)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/5/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">environmental health agencies,</quotedText>” after “<quotedText style="-uslm-dtd:quote">public health agencies,</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/5/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">immunization programs,</quotedText>” after “<quotedText style="-uslm-dtd:quote">poison control centers,</quotedText>”;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/5/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in paragraph (2)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/5/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in subparagraph (B), by striking “<quotedText style="-uslm-dtd:quote">and</quotedText>” at the end;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/5/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in subparagraph (C), by striking the period and inserting “<quotedText style="-uslm-dtd:quote">; and</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s205/a/5/B/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by adding after subparagraph (C) the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">an implementation plan that may include measurable steps to achieve the purposes described in paragraph (1).”</content> </subparagraph></quotedContent>; and</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/a/5/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by striking paragraph (5) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">“(5) </num><heading style="-uslm-dtd:header">Technical assistance.—</heading><content style="-uslm-dtd:text">The Secretary may provide technical assistance to States, localities, Tribes, and territories or a consortium of States, localities, Tribes, and territories receiving an award under this subsection regarding interoperability and the technical standards set forth by the Secretary.”</content> </paragraph></quotedContent>;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/a/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">by redesignating subsections (f) and (g) as subsections (i) and (j), respectively; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/a/7" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">(7) </num><content style="-uslm-dtd:text">by inserting after subsection (e) the following:<quotedContent style="-uslm-dtd:quoted-block"> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">“(f) </num><heading style="-uslm-dtd:header">Personnel Authorities.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">Specially qualified personnel.—</heading><chapeau style="-uslm-dtd:text">In addition to any other personnel authorities, to carry out subsections (b) and (c), the Secretary may—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">appoint highly qualified individuals to scientific or professional positions at the Centers for Disease Control and Prevention, not to exceed 30 such employees at any time (specific to positions authorized by this subsection), with expertise in capabilities relevant to biosurveillance and situational awareness, such as experts in informatics and data analytics (including experts in prediction, modeling, or forecasting), and other related scientific or technical fields; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">compensate individuals appointed under subparagraph (A) in the same manner and subject to the same terms and conditions in which individuals appointed under 9903 of title 5, United States Code, are compensated, without regard to the provisions of chapter 51 and subchapter III of chapter 53 of such title relating to classification and General Schedule pay rates.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Limitations.—</heading><content style="-uslm-dtd:text">The Secretary shall exercise the authority under paragraph (1) in a manner that is consistent with the limitations described in section 319F-1(e)(2).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">“(g) </num><heading style="-uslm-dtd:header">Timeline.—</heading><content style="-uslm-dtd:text">The Secretary shall accomplish the purposes under subsections (b) and (c) no later than September 30, 2023, and shall provide a justification to the congressional committees of jurisdiction for any missed or delayed implementation of measurable steps identified under subsection (c)(6)(A)(iii).</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="h">“(h) </num><heading style="-uslm-dtd:header">Independent Evaluation.—</heading><content style="-uslm-dtd:text">Not later than 3 years after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, the Comptroller General of the United States shall conduct an independent evaluation and submit to the Secretary and the congressional committees of jurisdiction a report concerning the activities conducted under subsections (b) and (c), and provide recommendations, as applicable and appropriate, on necessary improvements to the biosurveillance and situational awareness network.”</content> </subsection></quotedContent>.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s205/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Authorization of Appropriations.—</heading><content style="-uslm-dtd:text">Subsection (i) of section 319D (42 U.S.C. 247d-4), as redesignated by subsection (a)(6), is amended by striking “<quotedText style="-uslm-dtd:quote">$138,300,000 for each of fiscal years 2014 through 2018</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$161,800,000 for each of fiscal years 2019 through 2023</quotedText>”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s205/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Biological Threat Detection Report.—</heading><chapeau style="-uslm-dtd:text">The Secretary of Health and Human Services shall, in coordination with the Secretary of Defense and the Secretary of Homeland Security, not later than 180 days after the date of enactment of this Act, report to the Committee on Energy and Commerce, the Committee on Armed Services, and the Committee on Homeland Security of the House of Representatives and the Committee on Health, Education, Labor, and Pensions, the Committee on Armed Services, and the Committee on Homeland Security and Governmental Affairs of the Senate on the state of Federal biological threat detection efforts, including the following:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">An identification of technological, operational, and programmatic successes and failures of domestic detection programs supported by Federal departments and agencies for intentionally introduced or accidentally released biological threat agents and naturally occurring infectious diseases.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">A description of Federal efforts to facilitate the exchange of information related to the information described in paragraph (1) among Federal departments and agencies that utilize biological threat detection technology.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">A description of the capabilities of detection systems in use by Federal departments and agencies including the capability to—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/c/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">rapidly detect, identify, characterize, and confirm the presence of biological threat agents;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/c/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">recover live biological agents from collection devices;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/c/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">determine the geographical distribution of biological agents;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/c/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">determine the extent of environmental contamination and persistence of biological agents; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/c/3/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">provide advanced molecular diagnostics to State, local, Tribal, and territorial public health and other laboratories that support biological threat detection activities.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/c/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">A description of Federal interagency coordination related to biological threat detection.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/c/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><chapeau style="-uslm-dtd:text">A description of efforts by Federal departments and agencies that utilize biological threat detection technology to collaborate with State, local, Tribal, and territorial public health laboratories and other users of biological threat detection systems, including collaboration regarding the development of—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/c/5/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">biological threat detection requirements or standards;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/c/5/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">a standardized integration strategy;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/c/5/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">training requirements or guidelines;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/c/5/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">guidelines for a coordinated public health response, including preparedness capabilities, and, as applicable, for coordination with public health surveillance systems; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s205/c/5/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">a coordinated environmental remediation plan, as applicable.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s205/c/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">Recommendations related to research, advanced research, development, and procurement for Federal departments and agencies to improve and enhance biological threat detection systems, including recommendations on the transfer of biological threat detection technology among Federal departments and agencies, as necessary and appropriate.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tII/s206" styleType="OLC"> <num style="-uslm-dtd:enum" value="206">SEC. 206. </num><heading style="-uslm-dtd:header">STRENGTHENING AND SUPPORTING THE PUBLIC HEALTH EMERGENCY RAPID RESPONSE FUND. </heading><chapeau style="-uslm-dtd:text">Section 319 (42 U.S.C. 247d) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s206/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (b)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s206/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in paragraph (1)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s206/1/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the first sentence, by inserting “<quotedText style="-uslm-dtd:quote">or if the Secretary determines there is the significant potential for a public health emergency, to allow the Secretary to rapidly respond to the immediate needs resulting from such public health emergency or potential public health emergency</quotedText>” before the period; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s206/1/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">The Secretary shall plan for the expedited distribution of funds to appropriate agencies and entities.</quotedText>” after the first sentence;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s206/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by redesignating paragraph (2) as paragraph (3);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s206/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by inserting after paragraph (1) the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Uses.—</heading><chapeau style="-uslm-dtd:text">The Secretary may use amounts in the Fund established under paragraph (1), to—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">facilitate coordination between and among Federal, State, local, Tribal, and territorial entities and public and private health care entities that the Secretary determines may be affected by a public health emergency or potential public health emergency referred to in paragraph (1) (including communication of such entities with relevant international entities, as applicable);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">make grants, provide for awards, enter into contracts, and conduct supportive investigations pertaining to a public health emergency or potential public health emergency, including further supporting programs under section 319C-1, 319C-2, or 319C-3;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">facilitate and accelerate, as applicable, advanced research and development of security countermeasures (as defined in section 319F-2), qualified countermeasures (as defined in section 319F-1), or qualified pandemic or epidemic products (as defined in section 319F-3), that are applicable to the public health emergency or potential public health emergency under paragraph (1);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">strengthen biosurveillance capabilities and laboratory capacity to identify, collect, and analyze information regarding such public health emergency or potential public health emergency, including the systems under section 319D;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">support initial emergency operations and assets related to preparation and deployment of intermittent disaster response personnel under section 2812 and the Medical Reserve Corps under section 2813; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">“(F) </num><content style="-uslm-dtd:text">carry out other activities, as the Secretary determines applicable and appropriate.”</content> </subparagraph> </paragraph></quotedContent>; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s206/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">by inserting after paragraph (3), as so redesignated, the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Review.—</heading><content style="-uslm-dtd:text">Not later than 2 years after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, the Secretary, in coordination with the Assistant Secretary for Preparedness and Response, shall conduct a review of the Fund under this section and provide recommendations to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Energy and Commerce and the Committee on Appropriations of the House of Representatives on policies to improve such Fund for the uses described in paragraph (2).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">“(5) </num><heading style="-uslm-dtd:header">GAO report.—</heading><chapeau style="-uslm-dtd:text">Not later than 4 years after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, the Comptroller General of the United States shall—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">conduct a review of the Fund under this section, including its uses and the resources available in the Fund; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">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 on such review, including recommendations related to such review, as applicable.”</content> </subparagraph> </paragraph></quotedContent>; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s206/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (c)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s206/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">rapidly respond to public health emergencies or potential public health emergencies and</quotedText>” after “<quotedText style="-uslm-dtd:quote">used to</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s206/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">section.</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Act or funds otherwise provided for emergency response.</quotedText>”.</content> </subparagraph> </paragraph> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tII/s207" styleType="OLC"> <num style="-uslm-dtd:enum" value="207">SEC. 207. </num><heading style="-uslm-dtd:header">IMPROVING ALL-HAZARDS PREPAREDNESS AND RESPONSE BY PUBLIC HEALTH EMERGENCY VOLUNTEERS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s207/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">Section 319I (42 U.S.C. 247d-7b) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s207/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in the section heading, by striking “<quotedText style="-uslm-dtd:quote">health professions volunteers</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">volunteer health professional</quotedText>”;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s207/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in subsection (a), by adding at the end the following: “<quotedText style="-uslm-dtd:quote">Such health care professionals may include members of the National Disaster Medical System, members of the Medical Reserve Corps, and individual health care professionals.</quotedText>”;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s207/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">in subsection (i), by adding at the end the following: “<quotedText style="-uslm-dtd:quote">In order to inform the development of such mechanisms by States, the Secretary shall make available information and material provided by States that have developed mechanisms to waive the application of licensing requirements to applicable health professionals seeking to provide medical services during a public health emergency.Public information. Such information shall be made publicly available in a manner that does not compromise national security.</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s207/a/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">in subsection (k), by striking “<quotedText style="-uslm-dtd:quote">2014 through 2018</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2019 through 2023</quotedText>”.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s207/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">All-Hazards Public Health Emergency Preparedness and Response Plan.—</heading><content style="-uslm-dtd:text">Section 319C-1(b)(2)(A)(iv) (42 U.S.C. 247d-3a(b)(2)(A)(iv)) is amended to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <clause style="-uslm-dtd:clause" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="iv">“(iv) </num><chapeau style="-uslm-dtd:text">a description of the mechanism the entity will implement to utilize the Emergency Management Assistance Compact, or other mutual aid agreement, for medical and public health mutual aid, and, as appropriate, the activities such entity will implement pursuant to section 319I to improve enrollment and coordination of volunteer health care professionals seeking to provide medical services during a public health emergency, which may include—</chapeau> <subclause style="-uslm-dtd:subclause" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">providing a public method of communication for purposes of volunteer coordination (such as a phone number);</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">providing for optional registration to participate in volunteer services during processes related to State medical licensing, registration, or certification or renewal of such licensing, registration, or certification; or</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">other mechanisms as the State determines appropriate;”</content> </subclause> </clause></quotedContent>.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tII/s208" styleType="OLC"> <num style="-uslm-dtd:enum" value="208">SEC. 208. </num><heading style="-uslm-dtd:header">CLARIFYING STATE LIABILITY LAW FOR VOLUNTEER HEALTH CARE PROFESSIONALS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s208/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">Title II (42 U.S.C. 202 et seq.) is amended by inserting after section 224 the following:<quotedContent style="-uslm-dtd:quoted-block"> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="225">“SEC. 225. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s234">42 U.S.C. 234</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">HEALTH CARE PROFESSIONALS ASSISTING DURING A PUBLIC HEALTH EMERGENCY </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">Limitation on Liability.—</heading><chapeau style="-uslm-dtd:text">Notwithstanding any other provision of law, a health care professional who is a member of the Medical Reserve Corps under section 2813 or who is included in the Emergency System for Advance Registration of Volunteer Health Professionals under section 319I and who—</chapeau> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><chapeau style="-uslm-dtd:text">is responding—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">to a public health emergency determined under section 319(a), during the initial period of not more than 90 days (as determined by the Secretary) of the public health emergency determination (excluding any period covered by a renewal of such determination); or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">to a major disaster or an emergency as declared by the President under section 401 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5170) or under section 201 of the National Emergencies Act (50 U.S.C. 1621) during the initial period of such declaration;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><chapeau style="-uslm-dtd:text">is alleged to be liable for an act or omission—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">during the initial period of a determination or declaration described in paragraph (1) and related to the treatment of individuals in need of health care services due to such public health emergency, major disaster, or emergency;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">in the State or States for which such determination or declaration is made;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">in the health care professional’s capacity as a member of the Medical Reserve Corps or a professional included in the Emergency System for Advance Registration of Volunteer Health Professionals under section 319I; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">in the course of providing services that are within the scope of the license, registration, or certification of the professional, as defined by the State of licensure, registration, or certification; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><content style="-uslm-dtd:text">prior to the rendering of such act or omission, was authorized by the State’s authorization of deploying such State’s Emergency System for Advance Registration of Volunteer Health Professionals described in section 319I or the Medical Reserve Corps established under section 2813, to provide health care services,</content> </paragraph><continuation style="-uslm-dtd:continuation-text">shall be subject only to the State liability laws of the State in which such act or omission occurred, in the same manner and to the same extent as a similar health care professional who is a resident of such State would be subject to such State laws, except with respect to the licensure, registration, and certification of such individual.</continuation> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Volunteer Protection Act.—</heading><content style="-uslm-dtd:text">Nothing in this section shall be construed to affect an individual’s right to protections under the Volunteer Protection Act of 1997.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Preemption.—</heading><content style="-uslm-dtd:text">This section shall supersede the laws of any State that would subject a health care professional described in subsection (a) to the liability laws of any State other than the State liability laws to which such individual is subject pursuant to such subsection.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">“(d) </num><heading style="-uslm-dtd:header">Definitions.—</heading><chapeau style="-uslm-dtd:text">In this section:</chapeau> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">health care professional</quotedText>’ means an individual licensed, registered, or certified under Federal or State laws or regulations to provide health care services.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><chapeau style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">health care services</quotedText>’ means any services provided by a health care professional, or by any individual working under the supervision of a health care professional, that relate to—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">the diagnosis, prevention, or treatment of any human disease or impairment; or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">the assessment or care of the health of human beings.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">“(e) </num><heading style="-uslm-dtd:header">Effective Date.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">This section shall take effect 90 days after the date of the enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Application.—</heading><content style="-uslm-dtd:text">This section shall apply to a claim for harm only if the act or omission that caused such harm occurred on or after the effective date described in paragraph (1).”</content> </paragraph> </subsection> </section></quotedContent>.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s208/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">GAO Study.—</heading><chapeau style="-uslm-dtd:text">Not later than one year after the date of enactment of this Act, the Comptroller General of the United States shall conduct a review of—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s208/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the number of health care providers who register under the Emergency System for Advance Registration of Volunteer Health Professionals under section 319I of the Public Health Service Act (42 U.S.C. 247d-7b) in advance to provide services during a public health emergency;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s208/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the number of health care providers who are credentialed to provide services during the period of a public health emergency declaration, including those who are credentialed though programs established in the Emergency System for Advance Registration of Volunteer Health Professionals under such section 319I and those credentialed by authorities within the State in which the emergency occurred;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s208/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the average time to verify the credentials of a health care provider during the period of a public health emergency declaration, including the average time pursuant to the Emergency System for Advance Registration of Volunteer Health Professionals under such section 319I and for an individual’s credentials to be verified by an authority within the State; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s208/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">the Emergency System for Advance Registration of Volunteer Health Professionals program in States, including whether physician or medical groups, associations, or other relevant provider organizations utilize such program for purposes of volunteering during public health emergencies.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tII/s209" styleType="OLC"> <num style="-uslm-dtd:enum" value="209">SEC. 209. </num><heading style="-uslm-dtd:header">REPORT ON ADEQUATE NATIONAL BLOOD SUPPLY. </heading><chapeau style="-uslm-dtd:text">Not later than 1 year after the date of the enactment of this Act, the Secretary of Health and Human Services shall submit to Congress a report containing recommendations related to maintaining an adequate national blood supply, including—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s209/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">challenges associated with the continuous recruitment of blood donors (including those newly eligible to donate);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s209/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">ensuring the adequacy of the blood supply in the case of public health emergencies;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s209/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">implementation of the transfusion transmission monitoring system; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s209/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">other measures to promote safety and innovation, such as the development, use, or implementation of new technologies, processes, and procedures to improve the safety and reliability of the blood supply.</content> </paragraph> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tII/s210" styleType="OLC"> <num style="-uslm-dtd:enum" value="210">SEC. 210. </num><heading style="-uslm-dtd:header">REPORT ON THE PUBLIC HEALTH PREPAREDNESS AND RESPONSE CAPABILITIES AND CAPACITIES OF HOSPITALS, LONG-TERM CARE FACILITIES, AND OTHER HEALTH CARE FACILITIES. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s210/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Study.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s210/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Not later than one year after the date of enactment of this Act, the Secretary of Health and Human Services shall enter into an agreement with an appropriate entity to conduct a study regarding the public health preparedness and response capabilities and medical surge capacities of hospitals, long-term care facilities, and other health care facilities to prepare for, and respond to, public health emergencies, including natural disasters.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s210/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Consultation.—</heading><content style="-uslm-dtd:text">In conducting the study under paragraph (1), the entity shall consult with Federal, State, local, Tribal, and territorial public health officials (as appropriate), and health care providers and facilities with experience in public health preparedness and response activities.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s210/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Evaluation.—</heading><chapeau style="-uslm-dtd:text">The study under paragraph (1) shall include—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s210/a/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">an evaluation of the current benchmarks and objective standards, as applicable, related to programs that support hospitals, long-term care facilities, and other health care facilities, and their effect on improving public health preparedness and response capabilities and medical surge capacities, including the Hospital Preparedness Program, the Public Health Emergency Preparedness cooperative agreements, and the Regional Health Care Emergency Preparedness and Response Systems under section 319C-3 of the Public Health Service Act (as added by section 203);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s210/a/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the identification of gaps in preparedness, including with respect to such benchmarks and objective standards, such as those identified during recent public health emergencies, for hospitals, long-term care facilities, and other health care facilities to address future potential public health threats;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s210/a/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">an evaluation of coordination efforts between the recipients of Federal funding for programs described in subparagraph (A) and entities with expertise in emergency power systems and other critical infrastructure partners during a public health emergency, to ensure a functioning critical infrastructure, to the greatest extent practicable, during a public health emergency;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s210/a/3/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">an evaluation of coordination efforts between the recipients of Federal funding for programs described in subparagraph (A) and environmental health agencies with expertise in emergency preparedness and response planning for hospitals, long-term care facilities, and other health care facilities; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s210/a/3/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">an evaluation of current public health preparedness and response capabilities and medical surge capacities related to at-risk individuals during public health emergencies, including an identification of gaps in such preparedness as they relate to such individuals.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tII/s210/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Report.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s210/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The agreement under subsection (a) shall require the entity to submit to the Secretary of Health and Human Services and the congressional committees of jurisdiction, not later than 3 years after the date of enactment of this Act, a report on the results of the study conducted pursuant to this section.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tII/s210/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Contents.—</heading><chapeau style="-uslm-dtd:text">The report under paragraph (1) shall—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s210/b/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">describe the findings and conclusions of the evaluation conducted pursuant to subsection (a); and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tII/s210/b/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">provide recommendations for improving public health preparedness and response capability and medical surge capacity for hospitals, long-term care facilities, and other health care facilities, including—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s210/b/2/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">improving the existing benchmarks and objective standards for the Federal grant programs described in subsection (a)(3)(A) or developing new benchmarks and standards for such programs; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tII/s210/b/2/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">identifying best practices for improving public health preparedness and response programs and medical surge capacity at hospitals, long-term care facilities, and other health care facilities, including recommendations for the evaluation under subparagraphs (C) and (D) of subsection (a)(3).</content> </clause> </subparagraph> </paragraph> </subsection> </section> <num style="-uslm-dtd:enum" value="III">TITLE III—</num><heading style="-uslm-dtd:header">REACHING ALL COMMUNITIES </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tIII/s301" styleType="OLC"> <num style="-uslm-dtd:enum" value="301">SEC. 301. </num><heading style="-uslm-dtd:header">STRENGTHENING AND ASSESSING THE EMERGENCY RESPONSE WORKFORCE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s301/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">National Disaster Medical System.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Strengthening the national disaster medical system.—</heading><content style="-uslm-dtd:text">Clause (ii) of section 2812(a)(3)(A) (42 U.S.C. 300hh-11(a)(3)(A)) is amended to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">be present at locations, and for limited periods of time, specified by the Secretary on the basis that the Secretary has determined that a location is at risk of a public health emergency during the time specified, or there is a significant potential for a public health emergency.”</content> </subsection></quotedContent>.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Review of the national disaster medical system.—</heading><content style="-uslm-dtd:text">Section 2812(b)(2) (42 U.S.C. 300hh-11(b)(2)) is amended to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Joint review and medical surge capacity strategic plan.—</heading> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">Review.—</heading><chapeau style="-uslm-dtd:text">Not later than 180 days after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, 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—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">an evaluation of medical surge capacity, as described in section 2803(a);</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">an assessment of the available workforce of the intermittent disaster response personnel described in subsection (c);</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">the capacity of the workforce described in clause (ii) to respond to all hazards, including capacity to simultaneously respond to multiple public health emergencies and the capacity to respond to a nationwide public health emergency;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">the effectiveness of efforts to recruit, retain, and train such workforce; and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">“(v) </num><content style="-uslm-dtd:text">gaps that may exist in such workforce and recommendations for addressing such gaps.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Updates.—</heading><content style="-uslm-dtd:text">As part of the National Health Security Strategy under section 2802, the Secretary shall update the findings from the review under subparagraph (A) and provide recommendations to modify the policies of the National Disaster Medical System as necessary.”</content> </subparagraph> </paragraph></quotedContent>.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Notification of shortage.—</heading><content style="-uslm-dtd:text">Section 2812(c) (42 U.S.C. 300hh-11(c)) is amended by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Notification.—</heading><chapeau style="-uslm-dtd:text">Not later than 30 days after the date on which the Secretary determines the number of intermittent disaster-response personnel of the National Disaster Medical System is insufficient to address a public health emergency or potential public health emergency, the Secretary shall submit to the congressional committees of jurisdiction a notification detailing—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">the impact such shortage could have on meeting public health needs and emergency medical personnel needs during a public health emergency; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">any identified measures to address such shortage.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Certain appointments.—</heading> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">If the Secretary determines that the number of intermittent disaster response personnel within the National Disaster Medical System under this section is insufficient to address a public health emergency or potential public health emergency, the Secretary may appoint candidates directly to personnel positions for intermittent disaster response within such system. The Secretary shall provide updates on the number of vacant or unfilled positions within such system to the congressional committees of jurisdiction each quarter for which this authority is in effect.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Sunset.—</heading><content style="-uslm-dtd:text">The authority under this paragraph shall expire on September 30, 2021.”</content> </subparagraph> </paragraph></quotedContent>.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/a/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Authorization of appropriations.—</heading><content style="-uslm-dtd:text">Section 2812(g) (42 U.S.C. 300hh-11(g)) is amended by striking “<quotedText style="-uslm-dtd:quote">$52,700,000 for each of fiscal years 2014 through 2018</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$57,400,000 for each of fiscal years 2019 through 2023</quotedText>”.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s301/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Volunteer Medical Reserve Corps.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Section 2813(a) (42 U.S.C. 42 U.S.C. 300hh-15(a)) is amended by striking the second sentence and inserting “<quotedText style="-uslm-dtd:quote">The Secretary may appoint a Director to head the Corps and oversee the activities of the Corps chapters that exist at the State, local, Tribal, and territorial levels.</quotedText>”.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Authorization of appropriations.—</heading><content style="-uslm-dtd:text">Section 2813(i) (42 U.S.C. 300hh-15(i)) is amended by striking “<quotedText style="-uslm-dtd:quote">2014 through 2018</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2019 through 2023</quotedText>”.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s301/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Strengthening the Epidemic Intelligence Service.—</heading><chapeau style="-uslm-dtd:text">Section 317F (42 U.S.C. Sec. 247b-7) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (a)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/c/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in paragraph (1)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tIII/s301/c/1/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">or preparedness and response activities, including rapid response to public health emergencies and significant public health threats</quotedText>” after “<quotedText style="-uslm-dtd:quote">conduct prevention activities</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tIII/s301/c/1/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">$35,000</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$50,000</quotedText>”; and</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/c/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (2)(B), by striking “<quotedText style="-uslm-dtd:quote">3 years</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2 years</quotedText>”; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (c)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/c/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">For the purpose of carrying out this section</quotedText>” and inserting the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">For the purpose of carrying out this section, except as described in paragraph (2)”</content> </paragraph></quotedContent>; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/c/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Epidemic intelligence service program.—</heading><content style="-uslm-dtd:text">For purposes of carrying out this section with respect to qualified health professionals serving in the Epidemic Intelligence Service, as authorized under section 317G, there is authorized to be appropriated $1,000,000 for each of fiscal years 2019 through 2023.”</content> </paragraph></quotedContent>.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s301/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Service Benefit for National Disaster Medical System Volunteers.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Section 2812(c) (42 U.S.C. 300hh-11(c)), as amended by subsection (a)(3), is further amended by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">“(5) </num><heading style="-uslm-dtd:header">Service benefit.—</heading><content style="-uslm-dtd:text">Individuals appointed to serve under this subsection shall be considered eligible for benefits under part L of title I of the Omnibus Crime Control and Safe Streets Act of 1968. The Secretary shall provide notification to any eligible individual of any effect such designation may have on other benefits for which such individual is eligible, including benefits from private entities.”</content> </paragraph></quotedContent>.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Public safety officer benefits.—</heading><chapeau style="-uslm-dtd:text">Section 1204(9) of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (34 U.S.C. 10284(9)) is amended—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/d/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in subparagraph (C)(ii), by striking “<quotedText style="-uslm-dtd:quote">or</quotedText>” at the end;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/d/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in subparagraph (D), by striking the period and inserting “<quotedText style="-uslm-dtd:quote">; or</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/d/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by inserting after subparagraph (D) the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><chapeau style="-uslm-dtd:text">an individual appointed to the National Disaster Medical System under section 2812 of the Public Health Service Act (42 U.S.C. 300hh-11) who is performing official duties of the Department of Health and Human Services, if those official duties are—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">related to responding to a public health emergency or potential public health emergency, or other activities for which the Secretary of Health and Human Services has activated such National Disaster Medical System; and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">determined by the Secretary of Health and Human Services to be hazardous.”</content> </clause> </subparagraph></quotedContent>.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/d/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t34/s10284">34 U.S.C. 10284 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">Sunset.—</heading><content style="-uslm-dtd:text">The amendments made by paragraphs (1) and (2) shall cease to have force or effect on October 1, 2021.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s301/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Mission Readiness Report to Congress.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Report.—</heading><content style="-uslm-dtd:text">Not later than one year after the date of enactment of this section, the Comptroller General of the United States (referred to in this subsection as the “Comptroller General”) 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 on the medical surge capacity of the United States in the event of a public health emergency, including the capacity and capability of the current health care workforce to prepare for, and respond to, the full range of public health emergencies or potential public health emergencies, and recommendations to address any gaps identified in such workforce.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s301/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Contents.—</heading><chapeau style="-uslm-dtd:text">The Comptroller General shall include in the report under paragraph (1)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/e/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the number of health care providers who have volunteered to provide health care services during a public health emergency, including members of the National Disaster Medical System, the Disaster Medical Assistant Teams, the Medical Reserve Corps, and other volunteer health care professionals in the verification network pursuant to section 319I of the Public Health Service Act (42 U.S.C. 247d-7b);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/e/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the capacity of the workforce described in subparagraph (A) to respond to a public health emergency or potential public health emergency, including the capacity to respond to multiple concurrent public health emergencies and the capacity to respond to a nationwide public health emergency;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/e/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the preparedness and response capabilities and mission readiness of the workforce described in subparagraph (A) taking into account areas of health care expertise and considerations for at-risk individuals (as defined in section 2802(b)(4)(B) of the Public Health Service Act (42 U.S.C. 300hh-1(b)(4)(B)));</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/e/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">an assessment of the effectiveness of efforts to recruit, retain, and train such workforce; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s301/e/2/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">identification of gaps that may exist in such workforce and recommendations for addressing such gaps, the extent to which the Assistant Secretary for Preparedness and Response plans to address such gaps, and any recommendations from the Comptroller General to address such gaps.</content> </subparagraph> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tIII/s302" styleType="OLC"> <num style="-uslm-dtd:enum" value="302">SEC. 302. </num><heading style="-uslm-dtd:header">HEALTH SYSTEM INFRASTRUCTURE TO IMPROVE PREPAREDNESS AND RESPONSE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s302/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Coordination of Preparedness.—</heading><content style="-uslm-dtd:text">Section 2811(b)(5) (42 U.S.C. 300hh-10(b)(5)) is amended by adding at the end the following: “<quotedText style="-uslm-dtd:quote">SuchDetermination. logistical support shall include working with other relevant Federal, State, local, Tribal, and territorial public health officials and private sector entities to identify the critical infrastructure assets, systems, and networks needed for the proper functioning of the health care and public health sectors that need to be maintained through any emergency or disaster, including entities capable of assisting with, responding to, and mitigating the effect of a public health emergency, including a public health emergency determined by the Secretary pursuant to section 319(a) or an emergency or major disaster declared by the President under the Robert T. Stafford Disaster Relief and Emergency Assistance Act or the National Emergencies Act, including by establishing methods to exchange critical information and deliver products consumed or used to preserve, protect, or sustain life, health, or safety, and sharing of specialized expertise.</quotedText>”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s302/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Manufacturing Capacity.—</heading><content style="-uslm-dtd:text">Section 2811(d)(2)(C) (42 U.S.C. 300hh-10(d)(2)(C)) is amended by inserting “<quotedText style="-uslm-dtd:quote">, and ancillary medical supplies to assist with the utilization of such countermeasures or products,</quotedText>” after “<quotedText style="-uslm-dtd:quote">products</quotedText>”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s302/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Evaluation of Barriers to Rapid Delivery of Medical Countermeasures.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s302/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Rapid delivery study.—</heading><content style="-uslm-dtd:text">The Assistant Secretary for Preparedness and Response may conduct a study on issues that have the potential to adversely affect the handling and rapid delivery of medical countermeasures to individuals during public health emergencies occurring in the United States.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s302/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Notice to congress.—</heading><content style="-uslm-dtd:text">Not later than 9 months after the date of the enactment of this Act, the Assistant Secretary for Preparedness and Response shall notify the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate if the Assistant Secretary for Preparedness and Response does not plan to conduct the study under paragraph (1) and shall provide such committees a summary explanation for such decision.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s302/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Report to congress.—</heading><content style="-uslm-dtd:text">Not later than 1 year after the Assistant Secretary for Preparedness and Response conducts the study under paragraph (1), such Assistant Secretary shall submit a report to the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate containing the findings of such study.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tIII/s303" styleType="OLC"> <num style="-uslm-dtd:enum" value="303">SEC. 303. </num><heading style="-uslm-dtd:header">CONSIDERATIONS FOR AT-RISK INDIVIDUALS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s303/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">At-Risk Individuals in the National Health Security Strategy.—</heading><chapeau style="-uslm-dtd:text">Section 2802(b)(4)(B) (42 U.S.C. 300hh-1(b)(4)(B)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s303/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">this section and sections 319C-1, 319F, and 319L,</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">this Act,</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s303/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">special</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">access or functional</quotedText>”.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s303/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Countermeasure Considerations.—</heading><chapeau style="-uslm-dtd:text">Section 319L(c)(6) (42 U.S.C. 247d-7e(c)(6)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s303/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">elderly</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">older adults</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s303/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">with relevant characteristics that warrant consideration during the process of researching and developing such countermeasures and products</quotedText>” before the period.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s303/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Biosurveillance of Emerging Public Health Threats.—</heading><chapeau style="-uslm-dtd:text">Section 2814 is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s303/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in paragraph (7), by striking “<quotedText style="-uslm-dtd:quote">; and</quotedText>” and inserting a semicolon;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s303/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in paragraph (8), by striking the period and inserting “<quotedText style="-uslm-dtd:quote">; and</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s303/c/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="9">“(9) </num><content style="-uslm-dtd:text">facilitate coordination to ensure that, in implementing the situational awareness and biosurveillance network under section 319D, the Secretary considers incorporating data and information from Federal, State, local, Tribal, and territorial public health officials and entities relevant to detecting emerging public health threats that may affect at-risk individuals, such as pregnant and postpartum women and infants, including adverse health outcomes of such populations related to such emerging public health threats.”</content> </paragraph></quotedContent>.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tIII/s304" styleType="OLC"> <num style="-uslm-dtd:enum" value="304">SEC. 304. </num><heading style="-uslm-dtd:header">IMPROVING EMERGENCY PREPAREDNESS AND RESPONSE CONSIDERATIONS FOR CHILDREN. </heading><content style="-uslm-dtd:text">Part B of title III (42 U.S.C. 243 et seq.) is amended by inserting after section 319D the following:<quotedContent style="-uslm-dtd:quoted-block"> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="319D-1">“SEC. 319D-1. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s247d-4b">42 U.S.C. 247d-4b</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">CHILDREN’S PREPAREDNESS UNIT </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">Enhancing Emergency Preparedness for Children.—</heading><content style="-uslm-dtd:text">The Secretary, acting through the Director of the Centers for Disease Control and Prevention (referred to in this subsection as the ‘Director’), shall maintain an internal team of experts, to be known as the Children’s Preparedness Unit (referred to in this subsection as the ‘Unit’), to work collaboratively to provide guidance on the considerations for, and the specific needs of, children before, during, and after public health emergencies. The Unit shall inform the Director regarding emergency preparedness and response efforts pertaining to children at the Centers for Disease Control and Prevention.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Expertise.—</heading><content style="-uslm-dtd:text">The team described in subsection (a) shall include one or more pediatricians, which may be a developmental-behavioral pediatrician, and may also include behavioral scientists, child psychologists, epidemiologists, biostatisticians, health communications staff, and individuals with other areas of expertise, as the Secretary determines appropriate.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Duties.—</heading><chapeau style="-uslm-dtd:text">The team described in subsection (a) may—</chapeau> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">assist State, local, Tribal, and territorial emergency planning and response activities related to children, which may include developing, identifying, and sharing best practices;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">provide technical assistance, training, and consultation to Federal, State, local, Tribal, and territorial public health officials to improve preparedness and response capabilities with respect to the needs of children, including providing such technical assistance, training, and consultation to eligible entities in order to support the achievement of measurable evidence-based benchmarks and objective standards applicable to sections 319C-1 and 319C-2;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><content style="-uslm-dtd:text">improve the utilization of methods to incorporate the needs of children in planning for and responding to a public health emergency, including public awareness of such methods;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">“(4) </num><content style="-uslm-dtd:text">coordinate with, and improve, public-private partnerships, such as health care coalitions pursuant to sections 319C-2 and 319C-3, to address gaps and inefficiencies in emergency preparedness and response efforts for children;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">“(5) </num><content style="-uslm-dtd:text">provide expertise and input during the development of guidance and clinical recommendations to address the needs of children when preparing for, and responding to, public health emergencies, including pursuant to section 319C-3; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">“(6) </num><content style="-uslm-dtd:text">carry out other duties related to preparedness and response activities for children, as the Secretary determines appropriate.”</content> </paragraph> </subsection> </section></quotedContent>.</content> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tIII/s305" styleType="OLC"> <num style="-uslm-dtd:enum" value="305">SEC. 305. </num><heading style="-uslm-dtd:header">NATIONAL ADVISORY COMMITTEES ON DISASTERS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s305/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Reauthorizing the National Advisory Committee on Children and Disasters.—</heading><chapeau style="-uslm-dtd:text">Section 2811A (42 U.S.C. 300hh-10a) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s305/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (b)(2), by inserting “<quotedText style="-uslm-dtd:quote">, mental and behavioral,</quotedText>” after “<quotedText style="-uslm-dtd:quote">medical</quotedText>”;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s305/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (d)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s305/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in paragraph (1), by striking “<quotedText style="-uslm-dtd:quote">15</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">25</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIII/s305/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking paragraph (2) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Required non-federal members.—</heading><chapeau style="-uslm-dtd:text">The Secretary, in consultation with such other heads of Federal agencies as may be appropriate, shall appoint to the Advisory Committee under paragraph (1) at least 13 individuals, including—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">at least 2 non-Federal professionals with expertise in pediatric medical disaster planning, preparedness, response, or recovery;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">at least 2 representatives from State, local, Tribal, or territorial agencies with expertise in pediatric disaster planning, preparedness, response, or recovery;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">at least 4 members representing health care professionals, which may include members with expertise in pediatric emergency medicine; pediatric trauma, critical care, or surgery; the treatment of pediatric patients affected by chemical, biological, radiological, or nuclear agents, including emerging infectious diseases; pediatric mental or behavioral health related to children affected by a public health emergency; or pediatric primary care; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><chapeau style="-uslm-dtd:text">other members as the Secretary determines appropriate, of whom—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">at least one such member shall represent a children’s hospital;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">at least one such member shall be an individual with expertise in schools or child care settings;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">at least one such member shall be an individual with expertise in children and youth with special health care needs; and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">at least one such member shall be an individual with expertise in the needs of parents or family caregivers, including the parents or caregivers of children with disabilities.</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Federal members.—</heading><chapeau style="-uslm-dtd:text">The Advisory Committee under paragraph (1) shall include the following Federal members or their designees (who may be nonvoting members, as determined by the Secretary):</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">The Assistant Secretary for Preparedness and Response.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">The Director of the Biomedical Advanced Research and Development Authority.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">The Director of the Centers for Disease Control and Prevention.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">The Commissioner of Food and Drugs.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">The Director of the National Institutes of Health.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">“(F) </num><content style="-uslm-dtd:text">The Assistant Secretary of the Administration for Children and Families.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">“(G) </num><content style="-uslm-dtd:text">The Administrator of the Health Resources and Services Administration.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">“(H) </num><content style="-uslm-dtd:text">The Administrator of the Federal Emergency Management Agency.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">The Administrator of the Administration for Community Living.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">“(J) </num><content style="-uslm-dtd:text">The Secretary of Education.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="K">“(K) </num><content style="-uslm-dtd:text">Representatives from such Federal agencies (such as the Substance Abuse and Mental Health Services Administration and the Department of Homeland Security) as the Secretary determines appropriate to fulfill the duties of the Advisory Committee under subsections (b) and (c).</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">“(4) </num><heading style="-uslm-dtd:header">Term of appointment.—</heading><content style="-uslm-dtd:text">Each member of the Advisory Committee appointed under paragraph (2) shall serve for a term of 3 years, except that the Secretary may adjust the terms of the Advisory Committee appointees serving on the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, or appointees who are initially appointed after such date of enactment, in order to provide for a staggered term of appointment for all members.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">“(5) </num><heading style="-uslm-dtd:header">Consecutive appointments; maximum terms.—</heading><content style="-uslm-dtd:text">A member appointed under paragraph (2) may serve not more than 3 terms on the Advisory Committee, and not more than two of such terms may be served consecutively.”</content> </paragraph></quotedContent>;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s305/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">in subsection (e), by adding at the end “<quotedText style="-uslm-dtd:quote">At least one meeting per year shall be an in-person meeting.</quotedText>”;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s305/a/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">by redesignating subsection (f) as subsection (g);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s305/a/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">by inserting after subsection (e) the following:<quotedContent style="-uslm-dtd:quoted-block"> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">“(f) </num><heading style="-uslm-dtd:header">Coordination.—</heading><content style="-uslm-dtd:text">The Secretary shall coordinate duties and activities authorized under this section in accordance with section 2811D.”</content> </subsection></quotedContent>; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIII/s305/a/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">in subsection (g), as so redesignated, by striking “<quotedText style="-uslm-dtd:quote">2018</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2023</quotedText>”.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s305/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Authorizing the National Advisory Committee on Seniors and Disasters.—</heading><content style="-uslm-dtd:text">Subtitle B of title XXVIII (42 U.S.C. 300hh et seq.) is amended by inserting after section 2811A the following:<quotedContent style="-uslm-dtd:quoted-block"> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="2811B">“SEC. 2811B. </num><heading style="-uslm-dtd:header">NATIONAL ADVISORY COMMITTEE ON SENIORS AND DISASTERS </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">Establishment.—</heading><content style="-uslm-dtd:text">The Secretary, in consultation with the Secretary of Homeland Security and the Secretary of Veterans Affairs, shall establish an advisory committee to be known as the National Advisory Committee on Seniors and Disasters (referred to in this section as the ‘Advisory Committee’).</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Duties.—</heading><chapeau style="-uslm-dtd:text">The Advisory Committee shall—</chapeau> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">provide advice and consultation with respect to the activities carried out pursuant to section 2814, as applicable and appropriate;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">evaluate and provide input with respect to the medical and public health needs of seniors related to preparation for, response to, and recovery from all-hazards emergencies; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><content style="-uslm-dtd:text">provide advice and consultation with respect to State emergency preparedness and response activities relating to seniors, including related drills and exercises pursuant to the preparedness goals under section 2802(b).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Additional Duties.—</heading><content style="-uslm-dtd:text">The Advisory Committee may provide advice and recommendations to the Secretary with respect to seniors and the medical and public health grants and cooperative agreements as applicable to preparedness and response activities under this title and title III.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">“(d) </num><heading style="-uslm-dtd:header">Membership.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Secretary, in consultation with such other heads of agencies as appropriate, shall appoint not more than 17 members to the Advisory Committee. In appointing such members, the Secretary shall ensure that the total membership of the Advisory Committee is an odd number.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Required members.—</heading><chapeau style="-uslm-dtd:text">The Advisory Committee shall include Federal members or their designees (who may be nonvoting members, as determined by the Secretary) and non-Federal members, as follows:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">The Assistant Secretary for Preparedness and Response.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">The Director of the Biomedical Advanced Research and Development Authority.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">The Director of the Centers for Disease Control and Prevention.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">The Commissioner of Food and Drugs.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">The Director of the National Institutes of Health.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">“(F) </num><content style="-uslm-dtd:text">The Administrator of the Centers for Medicare & Medicaid Services.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">“(G) </num><content style="-uslm-dtd:text">The Administrator of the Administration for Community Living.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">“(H) </num><content style="-uslm-dtd:text">The Administrator of the Federal Emergency Management Agency.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">The Under Secretary for Health of the Department of Veterans Affairs.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">“(J) </num><content style="-uslm-dtd:text">At least 2 non-Federal health care professionals with expertise in geriatric medical disaster planning, preparedness, response, or recovery.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="K">“(K) </num><content style="-uslm-dtd:text">At least 2 representatives of State, local, Tribal, or territorial agencies with expertise in geriatric disaster planning, preparedness, response, or recovery.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="L">“(L) </num><content style="-uslm-dtd:text">Representatives of such other Federal agencies (such as the Department of Energy and the Department of Homeland Security) as the Secretary determines necessary to fulfill the duties of the Advisory Committee.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">“(e) </num><heading style="-uslm-dtd:header">Meetings.—</heading><content style="-uslm-dtd:text">The Advisory Committee shall meet not less frequently than biannually. At least one meeting per year shall be an in-person meeting.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">“(f) </num><heading style="-uslm-dtd:header">Coordination.—</heading><content style="-uslm-dtd:text">The Secretary shall coordinate duties and activities authorized under this section in accordance with section 2811D.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">“(g) </num><heading style="-uslm-dtd:header">Sunset.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Advisory Committee shall terminate on September 30, 2023.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Extension of committee.—</heading><content style="-uslm-dtd:text">Not later than October 1, 2022, the Secretary shall submit to Congress a recommendation on whether the Advisory Committee should be extended.”</content> </paragraph> </subsection> </section></quotedContent>.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s305/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">National Advisory Committee on Individuals With Disabilities and Disasters.—</heading><content style="-uslm-dtd:text">Subtitle B of title XXVIII (42 U.S.C. 300hh et seq.), as amended by subsection (b), is further amended by inserting after section 2811B the following:<quotedContent style="-uslm-dtd:quoted-block"> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="2811C">“SEC. 2811C. </num><heading style="-uslm-dtd:header">NATIONAL ADVISORY COMMITTEE ON INDIVIDUALS WITH DISABILITIES AND DISASTERS </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">Establishment.—</heading><content style="-uslm-dtd:text">The Secretary, in consultation with the Secretary of Homeland Security, shall establish a national advisory committee to be known as the National Advisory Committee on Individuals with Disabilities and Disasters (referred to in this section as the ‘Advisory Committee’).</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Duties.—</heading><chapeau style="-uslm-dtd:text">The Advisory Committee shall—</chapeau> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">provide advice and consultation with respect to activities carried out pursuant to section 2814, as applicable and appropriate;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">evaluate and provide input with respect to the medical, public health, and accessibility needs of individuals with disabilities related to preparation for, response to, and recovery from all-hazards emergencies; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><content style="-uslm-dtd:text">provide advice and consultation with respect to State emergency preparedness and response activities, including related drills and exercises pursuant to the preparedness goals under section 2802(b).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Membership.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Secretary, in consultation with such other heads of agencies and departments as appropriate, shall appoint not more than 17 members to the Advisory Committee. In appointing such members, the Secretary shall ensure that the total membership of the Advisory Committee is an odd number.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Required members.—</heading><chapeau style="-uslm-dtd:text">The Advisory Committee shall include Federal members or their designees (who may be nonvoting members, as determined by the Secretary) and non-Federal members, as follows:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">The Assistant Secretary for Preparedness and Response.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">The Administrator of the Administration for Community Living.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">The Director of the Biomedical Advanced Research and Development Authority.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">The Director of the Centers for Disease Control and Prevention.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">The Commissioner of Food and Drugs.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">“(F) </num><content style="-uslm-dtd:text">The Director of the National Institutes of Health.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">“(G) </num><content style="-uslm-dtd:text">The Administrator of the Federal Emergency Management Agency.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">“(H) </num><content style="-uslm-dtd:text">The Chair of the National Council on Disability.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">The Chair of the United States Access Board.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">“(J) </num><content style="-uslm-dtd:text">The Under Secretary for Health of the Department of Veterans Affairs.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="K">“(K) </num><content style="-uslm-dtd:text">At least 2 non-Federal health care professionals with expertise in disability accessibility before, during, and after disasters, medical and mass care disaster planning, preparedness, response, or recovery.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="L">“(L) </num><content style="-uslm-dtd:text">At least 2 representatives from State, local, Tribal, or territorial agencies with expertise in disaster planning, preparedness, response, or recovery for individuals with disabilities.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="M">“(M) </num><content style="-uslm-dtd:text">At least 2 individuals with a disability with expertise in disaster planning, preparedness, response, or recovery for individuals with disabilities.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">“(d) </num><heading style="-uslm-dtd:header">Meetings.—</heading><content style="-uslm-dtd:text">The Advisory Committee shall meet not less frequently than biannually. At least one meeting per year shall be an in-person meeting.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">“(e) </num><heading style="-uslm-dtd:header">Disability Defined.—</heading><content style="-uslm-dtd:text">For purposes of this section, the term ‘<quotedText style="-uslm-dtd:quote">disability</quotedText>’ has the meaning given such term in section 3 of the Americans with Disabilities Act of 1990.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">“(f) </num><heading style="-uslm-dtd:header">Coordination.—</heading><content style="-uslm-dtd:text">The Secretary shall coordinate duties and activities authorized under this section in accordance with section 2811D.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">“(g) </num><heading style="-uslm-dtd:header">Sunset.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Advisory Committee shall terminate on September 30, 2023.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Recommendation.—</heading><content style="-uslm-dtd:text">Not later than October 1, 2022, the Secretary shall submit to Congress a recommendation on whether the Advisory Committee should be extended.”</content> </paragraph> </subsection> </section></quotedContent>.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIII/s305/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Advisory Committee Coordination.—</heading><content style="-uslm-dtd:text">Subtitle B of title XXVIII (42 U.S.C. 300hh et seq.), as amended by subsection (c), is further amended by inserting after section 2811C the following:<quotedContent style="-uslm-dtd:quoted-block"> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="2811D">“SEC. 2811D. </num><heading style="-uslm-dtd:header">ADVISORY COMMITTEE COORDINATION </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">The Secretary shall coordinate duties and activities authorized under sections 2811A, 2811B, and 2811C, and make efforts to reduce unnecessary or duplicative reporting, or unnecessary duplicative meetings and recommendations under such sections, as practicable. Members of the advisory committees authorized under such sections, or their designees, shall annually meet to coordinate any recommendations, as appropriate, that may be similar, duplicative, or overlapping with respect to addressing the needs of children, seniors, and individuals with disabilities during public health emergencies. If such coordination occurs through an in-person meeting, it shall not be considered the required in-person meetings under any of sections 2811A(e), 2811B(e), or 2811C(d).</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Coordination and Alignment.—</heading><content style="-uslm-dtd:text">The Secretary, acting through the employee designated pursuant to section 2814, shall align preparedness and response programs or activities to address similar, dual, or overlapping needs of children, seniors, and individuals with disabilities, and any challenges in preparing for and responding to such needs.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Notification.—</heading><content style="-uslm-dtd:text">The Secretary shall annually notify the congressional committees of jurisdiction regarding the steps taken to coordinate, as appropriate, the recommendations under this section, and provide a summary description of such coordination.”</content> </subsection> </section></quotedContent>.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tIII/s306" styleType="OLC"> <num style="-uslm-dtd:enum" value="306">SEC. 306. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s300hh">42 U.S.C. 300hh note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">GUIDANCE FOR PARTICIPATION IN EXERCISES AND DRILLS. </heading><content style="-uslm-dtd:text">Not later than 2 years after the date of enactment of this Act, the Secretary of Health and Human Services shall issue final guidance regarding the ability of personnel funded by programs authorized under this Act (including the amendments made by this Act) to participate in drills and operational exercises related to all-hazards medical and public health preparedness and response. Such drills and operational exercises may include activities that incorporate medical surge capacity planning, medical countermeasure distribution and administration, and preparing for and responding to identified threats for that region. Such personnel may include State, local, Tribal, and territorial public health department or agency personnel funded under this Act (including the amendments made by this Act). The Secretary shall consult with the Department of Homeland Security, the Department of Defense, the Department of Veterans Affairs, and other applicable Federal departments and agencies as necessary and appropriate in the development of such guidance. The Secretary shall make the guidance available on the internet website of the Department of Health and Human Services.</content> </section> <num style="-uslm-dtd:enum" value="IV">TITLE IV—</num><heading style="-uslm-dtd:header">PRIORITIZING A THREAT-BASED APPROACH </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tIV/s401" styleType="OLC"> <num style="-uslm-dtd:enum" value="401">SEC. 401. </num><heading style="-uslm-dtd:header">ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE. </heading><chapeau style="-uslm-dtd:text">Section 2811(b) (42 U.S.C. 300hh-10(b)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIV/s401/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in the matter preceding paragraph (1), by inserting “<quotedText style="-uslm-dtd:quote">utilize experience related to public health emergency preparedness and response, biodefense, medical countermeasures, and other relevant topics to</quotedText>” after “<quotedText style="-uslm-dtd:quote">shall</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIV/s401/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in paragraph (4), by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <subclause style="-uslm-dtd:subclause" styleType="OLC" class="leftIndentDecrease2"> <num style="-uslm-dtd:enum" value="I">“(I) </num><heading style="-uslm-dtd:header">Threat awareness.—</heading><content style="-uslm-dtd:text">Coordinate with the Director of the Centers for Disease Control and Prevention, the Director of National Intelligence, the Secretary of Homeland Security, the Assistant to the President for National Security Affairs, the Secretary of Defense, and other relevant Federal officials, such as the Secretary of Agriculture, to maintain a current assessment of national security threats and inform preparedness and response capabilities based on the range of the threats that have the potential to result in a public health emergency.”</content> </subclause></quotedContent>.</content> </paragraph> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tIV/s402" styleType="OLC"> <num style="-uslm-dtd:enum" value="402">SEC. 402. </num><heading style="-uslm-dtd:header">PUBLIC HEALTH EMERGENCY MEDICAL COUNTERMEASURES ENTERPRISE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIV/s402/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">Title XXVIII is amended by inserting after section 2811 (42 U.S.C. 300hh-10) the following:<quotedContent style="-uslm-dtd:quoted-block"> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="2811-1">“SEC. 2811-1. </num><heading style="-uslm-dtd:header">PUBLIC HEALTH EMERGENCY MEDICAL COUNTERMEASURES ENTERPRISE </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">The Secretary shall establish the Public Health Emergency Medical Countermeasures Enterprise (referred to in this section as the ‘PHEMCE’). The Assistant Secretary for Preparedness and Response shall serve as chair of the PHEMCE.</content> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Members.—</heading><chapeau style="-uslm-dtd:text">The PHEMCE shall include each of the following members, or the designee of such members:</chapeau> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">The Assistant Secretary for Preparedness and Response.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">The Director of the Centers for Disease Control and Prevention.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><content style="-uslm-dtd:text">The Director of the National Institutes of Health.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">“(4) </num><content style="-uslm-dtd:text">The Commissioner of Food and Drugs.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">“(5) </num><content style="-uslm-dtd:text">The Secretary of Defense.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">“(6) </num><content style="-uslm-dtd:text">The Secretary of Homeland Security.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">“(7) </num><content style="-uslm-dtd:text">The Secretary of Agriculture.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="8">“(8) </num><content style="-uslm-dtd:text">The Secretary of Veterans Affairs.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="9">“(9) </num><content style="-uslm-dtd:text">The Director of National Intelligence.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="10">“(10) </num><content style="-uslm-dtd:text">Representatives of any other Federal agency, which may include the Director of the Biomedical Advanced Research and Development Authority, the Director of the Strategic National Stockpile, the Director of the National Institute of Allergy and Infectious Diseases, and the Director of the Office of Public Health Preparedness and Response, as the Secretary determines appropriate.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Functions.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The functions of the PHEMCE shall include the following:</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">Utilize a process to make recommendations to the Secretary regarding research, advanced research, development, procurement, stockpiling, deployment, distribution, and utilization with respect to countermeasures, as defined in section 319F-2(c), including prioritization based on the health security needs of the United States. Such recommendations shall be informed by, when available and practicable, the National Health Security Strategy pursuant to section 2802, the Strategic National Stockpile needs pursuant to section 319F-2, and assessments of current national security threats, including chemical, biological, radiological, and nuclear threats, including emerging infectious diseases. In the event that members of the PHEMCE do not agree upon a recommendation, the Secretary shall provide a determination regarding such recommendation.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">Identify national health security needs, including gaps in public health preparedness and response related to countermeasures and challenges to addressing such needs (including any regulatory challenges), and support alignment of countermeasure procurement with recommendations to address such needs under subparagraph (A).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">Assist the Secretary in developing strategies related to logistics, deployment, distribution, dispensing, and use of countermeasures that may be applicable to the activities of the strategic national stockpile under section 319F-2(a).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">Provide consultation for the development of the strategy and implementation plan under section 2811(d).</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Input.—</heading><content style="-uslm-dtd:text">In carrying out subparagraphs (B) and (C) of paragraph (1), the PHEMCE shall solicit and consider input from State, local, Tribal, and territorial public health departments or officials, as appropriate.”</content> </paragraph> </subsection> </section></quotedContent>.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIV/s402/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Public Health Emergency Medical Countermeasures Enterprise Strategy and Implementation Plan.—</heading><chapeau style="-uslm-dtd:text">Section 2811(d) (42 U.S.C. 300hh-10(d)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIV/s402/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in paragraph (1)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s402/b/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">Not later than 180 days after the date of enactment of this subsection, and every year thereafter</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Not later than March 15, 2020, and biennially thereafter</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s402/b/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">Director of the Biomedical</quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">Food and Drugs</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Public Health Emergency Medical Countermeasures Enterprise established under section 2811-1</quotedText>”; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIV/s402/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in paragraph (2)(J)(v), by striking “<quotedText style="-uslm-dtd:quote">one-year period</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2-year period</quotedText>”.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tIV/s403" styleType="OLC"> <num style="-uslm-dtd:enum" value="403">SEC. 403. </num><heading style="-uslm-dtd:header">STRATEGIC NATIONAL STOCKPILE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIV/s403/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">Section 319F-2(a) (42 U.S.C. 247d-6b(a)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIV/s403/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by redesignating paragraphs (2) and (3) as paragraphs (3) and (4), respectively; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIV/s403/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in paragraph (1)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s403/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">the Assistant Secretary for Preparedness and Response and</quotedText>” after “<quotedText style="-uslm-dtd:quote">collaboration with</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s403/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">and optimize</quotedText>” after “<quotedText style="-uslm-dtd:quote">provide for</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s403/a/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">and, as informed by existing recommendations of, or consultations with, the Public Health Emergency Medical Countermeasure Enterprise established under section 2811-1, make necessary additions or modifications to the contents of such stockpile or stockpiles based on the review conducted under paragraph (2)</quotedText>” before the period of the first sentence; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s403/a/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">by striking the second sentence;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIV/s403/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by inserting after paragraph (1) the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Threat-based review.—</heading> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Secretary shall conduct an annual threat-based review (taking into account at-risk individuals) of the contents of the stockpile under paragraph (1), including non-pharmaceutical supplies, and, in consultation with the Public Health Emergency Medical Countermeasures Enterprise established under section 2811-1, review contents within the stockpile and assess whether such contents are consistent with the recommendations made pursuant to section 2811-1(c)(1)(A). Such review shall be submitted on June 15, 2019, and on March 15 of each year thereafter, to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Energy and Commerce and the Committee on Appropriations of the House of Representatives, in a manner that does not compromise national security.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Additions, modifications, and replenishments.—</heading><chapeau style="-uslm-dtd:text">Each annual threat-based review under subparagraph (A) shall, for each new or modified countermeasure procurement or replenishment, provide—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><chapeau style="-uslm-dtd:text">information regarding—</chapeau> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">the quantities of the additional or modified countermeasure procured for, or contracted to be procured for, the stockpile;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">planning considerations for appropriate manufacturing capacity and capability to meet the goals of such additions or modifications (without disclosing proprietary information), including consideration of the effect such additions or modifications may have on the availability of such products and ancillary medical supplies in the health care system;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">the presence or lack of a commercial market for the countermeasure at the time of procurement;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">the emergency health security threat or threats such countermeasure procurement is intended to address, including whether such procurement is consistent with meeting emergency health security needs associated with such threat or threats;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="V">“(V) </num><content style="-uslm-dtd:text">an assessment of whether the emergency health security threat or threats described in subclause (IV) could be addressed in a manner that better utilizes the resources of the stockpile and permits the greatest possible increase in the level of emergency preparedness to address such threats;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="VI">“(VI) </num><content style="-uslm-dtd:text">whether such countermeasure is replenishing an expiring or expired countermeasure, is a different countermeasure with the same indication that is replacing an expiring or expired countermeasure, or is a new addition to the stockpile;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="VII">“(VII) </num><content style="-uslm-dtd:text">a description of how such additions or modifications align with projected investments under previous countermeasures budget plans under section 2811(b)(7), including expected life-cycle costs, expenditures related to countermeasure procurement to address the threat or threats described in subclause (IV), replenishment dates (including the ability to extend the maximum shelf life of a countermeasure), and the manufacturing capacity required to replenish such countermeasure; and</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="VIII">“(VIII) </num><content style="-uslm-dtd:text">appropriate protocols and processes for the deployment, distribution, or dispensing of the countermeasure at the State and local level, including plans for relevant capabilities of State and local entities to dispense, distribute, and administer the countermeasure; and</content> </subclause> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">an assurance, which need not be provided in advance of procurement, that for each countermeasure procured or replenished under this subsection, the Secretary completed a review addressing each item listed under this subsection in advance of such procurement or replenishment.”</content> </clause> </subparagraph> </paragraph></quotedContent>;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIV/s403/a/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><chapeau style="-uslm-dtd:text">in paragraph (3), as so redesignated—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s403/a/4/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in subparagraph (A), by inserting “<quotedText style="-uslm-dtd:quote">and the Public Health Emergency Medical Countermeasures Enterprise established under section 2811-1</quotedText>” before the semicolon;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s403/a/4/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in subparagraph (C), by inserting “<quotedText style="-uslm-dtd:quote">, and the availability, deployment, dispensing, and administration of countermeasures</quotedText>” before the semicolon;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s403/a/4/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by amending subparagraph (E) to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">devise plans for effective and timely supply-chain management of the stockpile, in consultation with the Director of the Centers for Disease Control and Prevention, the Assistant Secretary for Preparedness and Response, the Secretary of Transportation, the Secretary of Homeland Security, the Secretary of Veterans Affairs, and the heads of other appropriate Federal agencies; State, local, Tribal, and territorial agencies; and the public and private health care infrastructure, as applicable, taking into account the manufacturing capacity and other available sources of products and appropriate alternatives to supplies in the stockpile;”</content> </subparagraph></quotedContent>;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s403/a/4/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">in subparagraph (G), by striking “<quotedText style="-uslm-dtd:quote">; and</quotedText>” and inserting a semicolon;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s403/a/4/E" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">in subparagraph (H), by striking the period and inserting a semicolon; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tIV/s403/a/4/F" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">ensure that each countermeasure or product under consideration for procurement pursuant to this subsection receives the same consideration regardless of whether such countermeasure or product receives or had received funding under section 319L, including with respect to whether the countermeasure or product is most appropriate to meet the emergency health security needs of the United States; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">“(J) </num><content style="-uslm-dtd:text">provide assistance, including technical assistance, to maintain and improve State and local public health preparedness capabilities to distribute and dispense medical countermeasures and products from the stockpile, as appropriate.”</content> </subparagraph></quotedContent>; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIV/s403/a/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">“(5) </num><heading style="-uslm-dtd:header">GAO report.—</heading> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Not later than 3 years after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, and every 5 years thereafter, the Comptroller General of the United States shall conduct a review of any changes to the contents or management of the stockpile since January 1, 2015. Such review shall include—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">an assessment of the comprehensiveness and completeness of each annual threat-based review under paragraph (2), including whether all newly procured or replenished countermeasures within the stockpile were described in each annual review, and whether, consistent with paragraph (2)(B), the Secretary conducted the necessary internal review in advance of such procurement or replenishment;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">an assessment of whether the Secretary established health security and science-based justifications, and a description of such justifications for procurement decisions related to health security needs with respect to the identified threat, for additions or modifications to the stockpile based on the information provided in such reviews under paragraph (2)(B), including whether such review was conducted prior to procurement, modification, or replenishment;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">an assessment of the plans developed by the Secretary for the deployment, distribution, and dispensing of countermeasures procured, modified, or replenished under paragraph (1), including whether such plans were developed prior to procurement, modification, or replenishment;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">an accounting of countermeasures procured, modified, or replenished under paragraph (1) that received advanced research and development funding from the Biomedical Advanced Research and Development Authority;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">“(v) </num><content style="-uslm-dtd:text">an analysis of how such procurement decisions made progress toward meeting emergency health security needs related to the identified threats for countermeasures added, modified, or replenished under paragraph (1);</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">“(vi) </num><content style="-uslm-dtd:text">a description of the resources expended related to the procurement of countermeasures (including additions, modifications, and replenishments) in the stockpile, and how such expenditures relate to the ability of the stockpile to meet emergency health security needs;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="vii">“(vii) </num><content style="-uslm-dtd:text">an assessment of the extent to which additions, modifications, and replenishments reviewed under paragraph (2) align with previous relevant reports or reviews by the Secretary or the Comptroller General;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="viii">“(viii) </num><content style="-uslm-dtd:text">with respect to any change in the Federal organizational management of the stockpile, an assessment and comparison of the processes affected by such change, including planning for potential countermeasure deployment, distribution, or dispensing capabilities and processes related to procurement decisions, use of stockpiled countermeasures, and use of resources for such activities; and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ix">“(ix) </num><content style="-uslm-dtd:text">an assessment of whether the processes and procedures described by the Secretary pursuant to section 403(b) of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 are sufficient to ensure countermeasures and products under consideration for procurement pursuant to subsection (a) receive the same consideration regardless of whether such countermeasures and products receive or had received funding under section 319L, including with respect to whether such countermeasures and products are most appropriate to meet the emergency health security needs of the United States.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Submission.—</heading><content style="-uslm-dtd:text">Not later than 6 months after completing a classified version of the review under subparagraph (A), the Comptroller General shall submit an unclassified version of the review to the congressional committees of jurisdiction.”</content> </subparagraph> </paragraph></quotedContent>.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIV/s403/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Additional Reporting.—</heading><content style="-uslm-dtd:text">In the first threat-based review submitted after the date of enactment of this Act pursuant to paragraph (2) of section 319F-2(a) of the Public Health Service Act (42 U.S.C. 247d-6b(a)), as amended by subsection (a), the Secretary shall include a description of the processes and procedures through which the Director of the Strategic National Stockpile and the Director of the Biomedical Advanced Research and Development Authority coordinate with respect to countermeasures and products procured under such section 319F-2(a), including such processes and procedures in place to ensure countermeasures and products under consideration for procurement pursuant to such section 319F-2(a) receive the same consideration regardless of whether such countermeasures or products receive or had received funding under section 319L of the Public Health Service Act (42 U.S.C. 247d-7e), and whether such countermeasures and products are the most appropriate to meet the emergency health security needs of the United States.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIV/s403/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Authorization of Appropriations, Strategic National Stockpile.—</heading><content style="-uslm-dtd:text">Section 319F-2(f)(1) (42 U.S.C. 247d-6b(f)(1)) is amended by striking “<quotedText style="-uslm-dtd:quote">$533,800,000 for each of fiscal years 2014 through 2018</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$610,000,000 for each of fiscal years 2019 through 2023, to remain available until expended</quotedText>”.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tIV/s404" styleType="OLC"> <num style="-uslm-dtd:enum" value="404">SEC. 404. </num><heading style="-uslm-dtd:header">PREPARING FOR PANDEMIC INFLUENZA, ANTIMICROBIAL RESISTANCE, AND OTHER SIGNIFICANT THREATS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIV/s404/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Strategic Initiatives.—</heading><content style="-uslm-dtd:text">Section 319L(c)(4) (247d-7e(c)(4)) is amended by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">“(F) </num><heading style="-uslm-dtd:header">Strategic initiatives.—</heading><chapeau style="-uslm-dtd:text">The Secretary, acting through the Director of BARDA, may implement strategic initiatives, including by building on existing programs and by awarding contracts, grants, and cooperative agreements, or entering into other transactions, to support innovative candidate products in preclinical and clinical development that address priority, naturally occurring and man-made threats that, as determined by the Secretary, pose a significant level of risk to national security based on the characteristics of a chemical, biological, radiological or nuclear threat, or existing capabilities to respond to such a threat (including medical response and treatment capabilities and manufacturing infrastructure). Such initiatives shall accelerate and support the advanced research, development, and procurement of countermeasures and products, as applicable, to address areas including—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">chemical, biological, radiological, or nuclear threats, including emerging infectious diseases, for which insufficient approved, licensed, or authorized countermeasures exist, or for which such threat, or the result of an exposure to such threat, may become resistant to countermeasures or existing countermeasures may be rendered ineffective;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">threats that consistently exist or continually circulate and have a significant potential to become a pandemic, such as pandemic influenza, which may include the advanced research and development, manufacturing, and appropriate stockpiling of qualified pandemic or epidemic products, and products, technologies, or processes to support the advanced research and development of such countermeasures (including multiuse platform technologies for diagnostics, vaccines, and therapeutics; virus seeds; clinical trial lots; novel virus strains; and antigen and adjuvant material); and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">threats that may result primarily or secondarily from a chemical, biological, radiological, or nuclear agent, or emerging infectious diseases, and which may present increased treatment complications such as the occurrence of resistance to available countermeasures or potential countermeasures, including antimicrobial resistant pathogens.”</content> </clause> </subparagraph></quotedContent>.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tIV/s404/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Protection of National Security From Threats.—</heading><content style="-uslm-dtd:text">Section 2811 (42 U.S.C. 300hh-10) is amended by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">“(f) </num><heading style="-uslm-dtd:header">Protection of National Security From Threats.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">In carrying out subsection (b)(3), the Assistant Secretary for Preparedness and Response shall implement strategic initiatives or activities to address threats, including pandemic influenza and which may include a chemical, biological, radiological, or nuclear agent (including any such agent with a significant potential to become a pandemic), that pose a significant level of risk to public health and national security based on the characteristics of such threat. Such initiatives shall include activities to—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">accelerate and support the advanced research, development, manufacturing capacity, procurement, and stockpiling of countermeasures, including initiatives under section 319L(c)(4)(F);</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">support the development and manufacturing of virus seeds, clinical trial lots, and stockpiles of novel virus strains; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">maintain or improve preparedness activities, including for pandemic influenza.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Authorization of appropriations.—</heading> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">To carry out this subsection, there is authorized to be appropriated $250,000,000 for each of fiscal years 2019 through 2023.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Supplement, not supplant.—</heading><content style="-uslm-dtd:text">Amounts appropriated under this paragraph shall be used to supplement and not supplant funds provided under sections 319L(d) and 319F-2(g).</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Documentation required.—</heading><content style="-uslm-dtd:text">The Assistant Secretary for Preparedness and Response, in accordance with subsection (b)(7), shall document amounts expended for purposes of carrying out this subsection, including amounts appropriated under the heading ‘<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">Public Health and Social Services Emergency Fund</headingText></quotedText>’ under the heading ‘<quotedText style="-uslm-dtd:quote"><headingText style="-uslm-dtd:header-in-text">Office of the Secretary</headingText></quotedText>’ under title II of division H of the Consolidated Appropriations Act, 2018 (Public Law 115-141) and allocated to carrying out section 319L(c)(4)(F).”</content> </subparagraph> </paragraph> </subsection></quotedContent>.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tIV/s405" styleType="OLC"> <num style="-uslm-dtd:enum" value="405">SEC. 405. </num><heading style="-uslm-dtd:header">REPORTING ON THE FEDERAL SELECT AGENT PROGRAM. </heading><chapeau style="-uslm-dtd:text">Section 351A(k) (42 U.S.C. 262a(k)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIV/s405/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">The Secretary</quotedText>” and inserting the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Secretary”</content> </paragraph></quotedContent>; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tIV/s405/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Implementation of recommendations of the federal experts security advisory panel and the fast track action committee on select agent regulations.—</heading> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Not later than 1 year after the date of the enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, the Secretary shall report to the congressional committees of jurisdiction on the implementation of recommendations of the Federal Experts Security Advisory Panel concerning the select agent program.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Continued updates.—</heading><content style="-uslm-dtd:text">The Secretary shall report to the congressional committees of jurisdiction annually following the submission of the report under subparagraph (A) until the recommendations described in such subparagraph are fully implemented, or a justification is provided for the delay in, or lack of, implementation.”</content> </subparagraph> </paragraph></quotedContent>.</content> </paragraph> </section> <num style="-uslm-dtd:enum" value="V">TITLE V—</num><heading style="-uslm-dtd:header">INCREASING COMMUNICATION IN MEDICAL COUNTERMEASURE ADVANCED RESEARCH AND DEVELOPMENT </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tV/s501" styleType="OLC"> <num style="-uslm-dtd:enum" value="501">SEC. 501. </num><heading style="-uslm-dtd:header">MEDICAL COUNTERMEASURE BUDGET PLAN. </heading><chapeau style="-uslm-dtd:text">Section 2811(b)(7) (42 U.S.C. 300hh-10(b)(7)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s501/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in the matter preceding subparagraph (A), by striking “<quotedText style="-uslm-dtd:quote">March 1</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">March 15</quotedText>”;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s501/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subparagraph (A)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tV/s501/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in clause (ii), by striking “<quotedText style="-uslm-dtd:quote">; and</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">;</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tV/s501/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking clause (iii) and inserting the following:<quotedContent style="-uslm-dtd:quoted-block"> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">procurement, stockpiling, maintenance, and potential replenishment (including manufacturing capabilities) of all products in the Strategic National Stockpile;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">the availability of technologies that may assist in the advanced research and development of countermeasures and opportunities to use such technologies to accelerate and navigate challenges unique to countermeasure research and development; and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">“(v) </num><content style="-uslm-dtd:text">potential deployment, distribution, and utilization of medical countermeasures; development of clinical guidance and emergency use instructions for the use of medical countermeasures; and, as applicable, potential postdeployment activities related to medical countermeasures;”</content> </clause></quotedContent>;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s501/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by redesignating subparagraphs (D) and (E) as subparagraphs (E) and (F), respectively; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s501/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">by inserting after subparagraph (C), the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">identify the full range of anticipated medical countermeasure needs related to research and development, procurement, and stockpiling, including the potential need for indications, dosing, and administration technologies, and other countermeasure needs as applicable and appropriate;”</content> </subparagraph></quotedContent>.</content> </paragraph> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tV/s502" styleType="OLC"> <num style="-uslm-dtd:enum" value="502">SEC. 502. </num><heading style="-uslm-dtd:header">MATERIAL THREAT AND MEDICAL COUNTERMEASURE NOTIFICATIONS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tV/s502/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Congressional Notification of Material Threat Determination.—</heading><content style="-uslm-dtd:text">Section 319F-2(c)(2)(C) (42 U.S.C. 247d-6b(c)(2)(C)) is amended by striking “<quotedText style="-uslm-dtd:quote">The Secretary and the Homeland Security Secretary shall promptly notify the appropriate committees of Congress</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">The Secretary and the Secretary of Homeland Security shall send to Congress, on an annual basis, all current material threat determinations and shall promptly notify the Committee on Health, Education, Labor, and Pensions and the Committee on Homeland Security and Governmental Affairs of the Senate and the Committee on Energy and Commerce and the Committee on Homeland Security of the House of Representatives</quotedText>”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tV/s502/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Contracting Communication.—</heading><content style="-uslm-dtd:text">Section 319F-2(c)(7)(B)(ii)(III) (42 U.S.C. 247d-6b(c)(7)(B)(ii)(III)) is amended by adding at the end the following: “<quotedText style="-uslm-dtd:quote">The Secretary shall notify the 133 STAT. 951 vendor within 90 days of a determination by the Secretary to renew, extend, or terminate such contract.</quotedText>”.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tV/s503" styleType="OLC"> <num style="-uslm-dtd:enum" value="503">SEC. 503. </num><heading style="-uslm-dtd:header">AVAILABILITY OF REGULATORY MANAGEMENT PLANS. </heading><chapeau style="-uslm-dtd:text">Section 565(f) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bbb-4(f)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s503/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by redesignating paragraphs (3) through (6) as paragraphs (4) through (7), respectively;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s503/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by inserting after paragraph (2) the following:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Publication.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall make available on the internet website of the Food and Drug Administration information regarding regulatory management plans, including—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">the process by which an applicant may submit a request for a regulatory management plan;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">the timeframe by which the Secretary is required to respond to such request;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><content style="-uslm-dtd:text">the information required for the submission of such request;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><content style="-uslm-dtd:text">a description of the types of development milestones and performance targets that could be discussed and included in such plans; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">“(E) </num><content style="-uslm-dtd:text">contact information for beginning the regulatory management plan process.”</content> </subparagraph> </paragraph></quotedContent>;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s503/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">in paragraph (6), as so redesignated, in the matter preceding subparagraph (A)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tV/s503/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">paragraph (4)(A)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">paragraph (5)(A)</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tV/s503/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">paragraph (4)(B)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">paragraph (5)(B)</quotedText>”; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s503/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">in paragraph (7)(A), as so redesignated, by striking “<quotedText style="-uslm-dtd:quote">paragraph (3)(A)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">paragraph (4)(A)</quotedText>”.</content> </paragraph> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tV/s504" styleType="OLC"> <num style="-uslm-dtd:enum" value="504">SEC. 504. </num><heading style="-uslm-dtd:header">THE BIOMEDICAL ADVANCED RESEARCH AND DEVELOPMENT AUTHORITY AND THE BIOSHIELD SPECIAL RESERVE FUND. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tV/s504/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">BioShield Special Reserve Fund.—</heading><chapeau style="-uslm-dtd:text">Section 319F-2(g)(1) (42 U.S.C. 247d-6b(g)(1)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s504/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">$2,800,000,000 for the period of fiscal years 2014 through 2018</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$7,100,000,000 for the period of fiscal years 2019 through 2028, to remain available until expended</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s504/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by striking the second sentence.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tV/s504/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">The Biomedical Advanced Research and Development Authority.—</heading><content style="-uslm-dtd:text">Section 319L(d)(2) (42 U.S.C. 247d-7e(d)(2)) is amended by striking “<quotedText style="-uslm-dtd:quote">$415,000,000 for each of fiscal years 2014 through 2018</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$611,700,000 for each of fiscal years 2019 through 2023</quotedText>”.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tV/s505" styleType="OLC"> <num style="-uslm-dtd:enum" value="505">SEC. 505. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s247d-5">42 U.S.C. 247d-5 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">ADDITIONAL STRATEGIES FOR COMBATING ANTIBIOTIC RESISTANCE. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tV/s505/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Advisory Council.—</heading><content style="-uslm-dtd:text">The Secretary of Health and Human Services (referred to in this section as the “Secretary”) may continue the Presidential Advisory Council on Combating Antibiotic-Resistant Bacteria, referred to in this section as the “Advisory Council”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tV/s505/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Duties.—</heading><chapeau style="-uslm-dtd:text">The Advisory Council shall advise and provide information and recommendations to the Secretary regarding programs and policies intended to reduce or combat antibiotic-resistant bacteria that may present a public health threat and improve capabilities to prevent, diagnose, mitigate, or treat such resistance. Such advice, information, and recommendations may be related to improving—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s505/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the effectiveness of antibiotics;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s505/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">research and advanced research on, and the development of, improved and innovative methods for combating or reducing antibiotic resistance, including new treatments, rapid point-of-care diagnostics, alternatives to antibiotics, including alternatives to animal antibiotics, and antimicrobial stewardship activities;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s505/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">surveillance of antibiotic-resistant bacterial infections, including publicly available and up-to-date information on resistance to antibiotics;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s505/b/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">education for health care providers and the public with respect to up-to-date information on antibiotic resistance and ways to reduce or combat such resistance to antibiotics related to humans and animals;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s505/b/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">methods to prevent or reduce the transmission of antibiotic-resistant bacterial infections, including stewardship programs; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s505/b/6" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">coordination with respect to international efforts in order to inform and advance United States capabilities to combat antibiotic resistance.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tV/s505/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Meetings and Coordination.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s505/c/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Meetings.—</heading><content style="-uslm-dtd:text">The Advisory Council shall meet not less than biannually and, to the extent practicable, in coordination with meetings of the Antimicrobial Resistance Task Force established in section 319E(a) of the Public Health Service Act.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tV/s505/c/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Coordination.—</heading><content style="-uslm-dtd:text">The Advisory Council shall, to the greatest extent practicable, coordinate activities carried out by the Council with the Antimicrobial Resistance Task Force established under section 319E(a) of the Public Health Service Act (42 U.S.C. 247d-5(a)).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tV/s505/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">FACA.—</heading><content style="-uslm-dtd:text">The Federal Advisory Committee Act (5 U.S.C. App.) shall apply to the activities and duties of the Advisory Council.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tV/s505/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Extension of Advisory Council.—</heading><content style="-uslm-dtd:text">Not later than October 1, 2022, the Secretary 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 recommendation on whether the Advisory Council should be extended, and in addition, identify whether there are other committees, councils, or task forces that have overlapping or similar duties to that of the Advisory Council, and whether such committees, councils, or task forces should be combined, including with respect to section 319E(a) of the Public Health Service Act (42 U.S.C. 247d-5(a)).</content> </subsection> </section> <num style="-uslm-dtd:enum" value="VI">TITLE VI—</num><heading style="-uslm-dtd:header">ADVANCING TECHNOLOGIES FOR MEDICAL COUNTERMEASURES </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVI/s601" styleType="OLC"> <num style="-uslm-dtd:enum" value="601">SEC. 601. </num><heading style="-uslm-dtd:header">ADMINISTRATION OF COUNTERMEASURES. </heading><content style="-uslm-dtd:text">Section 319L(c)(4)(D)(iii) (42 U.S.C. 247d-7e(c)(4)(D)(iii)) is amended by striking “<quotedText style="-uslm-dtd:quote">and platform technologies</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">platform technologies, technologies to administer countermeasures, and technologies to improve storage and transportation of countermeasures</quotedText>”.</content> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVI/s602" styleType="OLC"> <num style="-uslm-dtd:enum" value="602">SEC. 602. </num><heading style="-uslm-dtd:header">UPDATING DEFINITIONS OF OTHER TRANSACTIONS. </heading><chapeau style="-uslm-dtd:text">Section 319L (42 U.S.C. 247d-7e) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s602/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (a)(3), by striking “<quotedText style="-uslm-dtd:quote">, such as</quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">Code</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s602/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (c)(5)(A)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s602/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in clause (i), by striking “<quotedText style="-uslm-dtd:quote">under this subsection</quotedText>” and all that follows through “<quotedText style="-uslm-dtd:quote">Code</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">(as defined in subsection (a)(3)) under this subsection</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s602/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in clause (ii)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s602/2/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by amending subclause (I) to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">“(I) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">To the maximum extent practicable, competitive procedures shall be used when entering into transactions to carry out projects under this subsection.”</content> </subclause></quotedContent>; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s602/2/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><chapeau style="-uslm-dtd:text">in subclause (II)—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tVI/s602/2/B/ii/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">$20,000,000</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">$100,000,000</quotedText>”;</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tVI/s602/2/B/ii/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">senior procurement executive for the Department (as designated for purpose of section 16(c) of the Office of Federal Procurement Policy Act (41 U.S.C. 414(c)))</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Assistant Secretary for Financial Resources</quotedText>”; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tVI/s602/2/B/ii/III" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">(III) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">senior procurement executive under</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Assistant Secretary for Financial Resources under</quotedText>”.</content> </subclause> </clause> </subparagraph> </paragraph> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVI/s603" styleType="OLC"> <num style="-uslm-dtd:enum" value="603">SEC. 603. </num><heading style="-uslm-dtd:header">MEDICAL COUNTERMEASURE MASTER FILES. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s603/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">The purpose of this section (including section 565B of the Federal Food, Drug, and Cosmetic Act, as added by subsection (b)) is to support and advance the development or manufacture of security countermeasures, qualified countermeasures, and qualified pandemic or epidemic products by facilitating and encouraging submission of data and information to support the development of such products, and through clarifying the authority to cross-reference to data and information previously submitted to the Secretary of Health and Human Services (referred to in this section as the “Secretary”), including data and information submitted to medical countermeasure master files or other master files.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s603/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Medical Countermeasure Master Files.—</heading><content style="-uslm-dtd:text">Chapter V of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 351 et seq.) is amended by inserting after section 565A the following:<quotedContent style="-uslm-dtd:quoted-block"> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="565B">“SEC. 565B. </num><heading style="-uslm-dtd:header">MEDICAL COUNTERMEASURE MASTER FILES </heading> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">“(a) </num><heading style="-uslm-dtd:header">Applicability of Reference.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">A person may submit data and information in a master file to the Secretary with the intent to reference, or to authorize, in writing, another person to reference, such data or information to support a medical countermeasure submission (including a supplement or amendment to any such submission), without requiring the master file holder to disclose the data and information to any such persons authorized to reference the master file. Such data and information shall be available for reference by the master file holder or by a person authorized by the master file holder, in accordance with applicable privacy and confidentiality protocols and regulations.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Reference of certain master files.—</heading><content style="-uslm-dtd:text">In the case that data or information within a medical countermeasure master file is used only to support the conditional approval of an application filed under section 571, such master file may be relied upon to support the effectiveness of a product that is the subject of a subsequent medical countermeasure submission only if such application is supplemented by additional data or information to support review and approval in a manner consistent with the standards applicable to such review and approval for such countermeasure, qualified countermeasure, or qualified pandemic or epidemic product.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">“(b) </num><heading style="-uslm-dtd:header">Medical Countermeasure Master File Content.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">A master file under this section may include data or information to support—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">the development of medical countermeasure submissions to support the approval, licensure, classification, clearance, conditional approval, or authorization of one or more security countermeasures, qualified countermeasures, or qualified pandemic or epidemic products; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">the manufacture of security countermeasures, qualified countermeasures, or qualified pandemic or epidemic products.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Required updates.—</heading><content style="-uslm-dtd:text">The Secretary may require, as appropriate, that the master file holder ensure that the contents of such master file are updated during the time such master file is referenced for a medical countermeasure submission.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">“(c) </num><heading style="-uslm-dtd:header">Sponsor Reference.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Each incorporation of data or information within a medical countermeasure master file shall describe the incorporated material in a manner in which the Secretary determines appropriate and that permits the review of such information within such master file without necessitating resubmission of such data or information. Master files shall be submitted in an electronic format in accordance with sections 512(b)(4), 571(a)(4), and 745A, as applicable, and as specified in applicable guidance.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Reference by a master file holder.—</heading><content style="-uslm-dtd:text">A master file holder that is the sponsor of a medical countermeasure submission shall notify the Secretary in writing of the intent to reference the medical countermeasure master file as a part of the submission.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><heading style="-uslm-dtd:header">Reference by an authorized person.—</heading><content style="-uslm-dtd:text">A person submitting an application for review may, where the Secretary determines appropriate, incorporate by reference all or part of the contents of a medical countermeasure master file, if the master file holder authorizes the incorporation in writing.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">“(d) </num><heading style="-uslm-dtd:header">Acknowledgment of and Reliance Upon a Master File by the Secretary.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Secretary shall provide the master file holder with a written notification indicating that the Secretary has reviewed and relied upon specified data or information within a master file and the purposes for which such data or information was incorporated by reference if the Secretary has reviewed and relied upon such specified data or information to support the approval, classification, conditional approval, clearance, licensure, or authorization of a security countermeasure, qualified countermeasure, or qualified pandemic or epidemic product. The Secretary may rely upon the data and information within the medical countermeasure master file for which such written notification was provided in additional applications, as applicable and appropriate and upon the request of the master file holder so notified in writing or by an authorized person of such holder.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Certain applications.—</heading><content style="-uslm-dtd:text">If the Secretary has reviewed and relied upon specified data or information within a medical countermeasure master file to support the conditional approval of an application under section 571 to subsequently support the approval, clearance, licensure, or authorization of a security countermeasure, qualified countermeasure, or qualified pandemic or epidemic product, the Secretary shall provide a brief written description to the master file holder regarding the elements of the application fulfilled by the data or information within the master file and how such data or information contained in such application meets the standards of evidence under subsection (c) or (d) of section 505, subsection (d) of section 512, or section 351 of the Public Health Service Act (as applicable), which shall not include any trade secret or confidential commercial information.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">“(e) </num><heading style="-uslm-dtd:header">Rules of Construction.—</heading><chapeau style="-uslm-dtd:text">Nothing in this section shall be construed to—</chapeau> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">limit the authority of the Secretary to approve, license, clear, conditionally approve, or authorize drugs, biological products, or devices pursuant to, as applicable, this Act or section 351 of the Public Health Service Act (as such applicable Act is in effect on the day before the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019), including the standards of evidence, and applicable conditions, for approval under the applicable Act;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><content style="-uslm-dtd:text">alter the standards of evidence with respect to approval, licensure, or clearance, as applicable, of drugs, biological products, or devices under this Act or section 351 of the Public Health Service Act, including, as applicable, the substantial evidence standards under sections 505(d) and 512(d) or this Act and section 351(a) of the Public Health Service Act; or</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><content style="-uslm-dtd:text">alter the authority of the Secretary under this Act or the Public Health Service Act to determine the types of data or information previously submitted by a sponsor or any other person that may be incorporated by reference in an application, request, or notification for a drug, biological product, or device submitted under sections 505(i), 505(b), 505(j), 512(b)(1), 512(b)(2), 512(j), 564, 571, 520(g), 515(c), 513(f)(2), or 510(k) of this Act, or subsection (a) or (k) of section 351 of the Public Health Service Act, including a supplement or amendment to any such submission, and the requirements associated with such reference.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">“(f) </num><heading style="-uslm-dtd:header">Definitions.—</heading><chapeau style="-uslm-dtd:text">In this section:</chapeau> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><content style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">master file holder</quotedText>’ means a person who submits data and information to the Secretary with the intent to reference or authorize another person to reference such data or information to support a medical countermeasure submission, as described in subsection (a).</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><chapeau style="-uslm-dtd:text">The term ‘<quotedText style="-uslm-dtd:quote">medical countermeasure submission</quotedText>’ means an investigational new drug application under section 505(i), a new drug application under section 505(b), or an abbreviated new drug application under section 505(j) of this Act, a biological product license application under section 351(a) of the Public Health Service Act or a biosimilar biological product license application under section 351(k) of the Public Health Service Act, a new animal drug application under section 512(b)(1) or abbreviated new animal drug application under section 512(b)(2), an application for conditional approval of a new animal drug under section 571, an investigational device application under section 520(g), an application with respect to a device under section 515(c), a request for classification of a device under section 513(f)(2), a notification with respect to a device under section 510(k), or a request for an emergency use authorization under section 564 to support—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><content style="-uslm-dtd:text">the approval, licensure, classification, clearance, conditional approval, or authorization of a security countermeasure, qualified countermeasure, or qualified pandemic or epidemic product; or</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><content style="-uslm-dtd:text">a new indication to an approved security countermeasure, qualified countermeasure, or qualified pandemic or epidemic product.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">“(3) </num><content style="-uslm-dtd:text">The terms ‘qualified countermeasure’, ‘security countermeasure’, and ‘qualified pandemic or epidemic product’ have the meanings given such terms in sections 319F-1, 319F-2, and 319F-3, respectively, of the Public Health Service Act.”</content> </paragraph> </subsection> </section></quotedContent>.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s603/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Stakeholder Input.—</heading><content style="-uslm-dtd:text">Not later than 18 months after the date of enactment of this Act, the Secretary, acting through the Commissioner of Food and Drugs and in consultation with the Assistant Secretary for Preparedness and Response, shall solicit input from stakeholders, including stakeholders developing security countermeasures, qualified countermeasures, or qualified pandemic or epidemic products, and stakeholders developing technologies to assist in the development of such countermeasures with respect to how the Food and Drug Administration can advance the use of tools and technologies to support and advance the development or manufacture of security countermeasures, qualified countermeasures, and qualified pandemic or epidemic products, including through reliance on cross-referenced data and information contained within master files and submissions previously submitted to the Secretary as set forth in section 565B of the Federal Food, Drug, and Cosmetic Act, as added by subsection (b).</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s603/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Guidance.—</heading><content style="-uslm-dtd:text">Not later than 2 years after the date of enactment of this Act, the Secretary, acting through the Commissioner of Food and Drugs, shall publish draft guidance about how reliance on cross-referenced data and information contained within master files under section 565B of the Federal Food, Drug, and Cosmetic Act, as added by subsection (b) or submissions otherwise submitted to the Secretary may be used for specific tools or technologies (including platform technologies) that have the potential to support and advance the development or manufacture of security countermeasures, qualified countermeasures, and qualified pandemic or epidemic products. The Secretary, acting through the Commissioner of Food and Drugs, shall publish the final guidance not later than 3 years after the enactment of this Act.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVI/s604" styleType="OLC"> <num style="-uslm-dtd:enum" value="604">SEC. 604. </num><heading style="-uslm-dtd:header">ANIMAL RULE REPORT. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s604/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Study.—</heading><chapeau style="-uslm-dtd:text">The Comptroller General of the United States shall conduct a study on the application of the requirements under subsections (c) and (d) of section 565 of the of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bbb-4) (referred to in this section as the “animal rule”) as a component of medical countermeasure advanced development under the Biomedical Advanced Research and Development Authority and regulatory review by the Food and Drug Administration. In conducting such study, the Comptroller General shall examine the following:</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s604/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">The extent to which advanced development and review of a medical countermeasure are coordinated between the Biomedical Advanced Research and Development Authority and the Food and Drug Administration, including activities that facilitate appropriate and efficient design of studies to support approval, licensure, and authorization under the animal rule, consistent with the recommendations in the animal rule guidance, issued pursuant to section 565(c) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bbb-4(c)) and entitled “Product Development Under the Animal Rule: Guidance for Industry” (issued in October 2015), to resolve discrepancies in the design of adequate and well-controlled efficacy studies conducted in animal models related to the provision of substantial evidence of effectiveness for the product approved, licensed, or authorized under the animal rule.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s604/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">The consistency of the application of the animal rule among and between review divisions within the Food and Drug Administration.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s604/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">The flexibility pursuant to the animal rule to address variations in countermeasure development and review processes, including the extent to which qualified animal models are adopted and used within the Food and Drug Administration in regulatory decisionmaking with respect to medical countermeasures.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s604/a/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">The extent to which the guidance issued under section 565(c) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bbb-4(c)), entitled, “Product Development Under the Animal Rule: Guidance for Industry” (issued in October 2015), has assisted in achieving the purposes described in paragraphs (1), (2), and (3).</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s604/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Consultations.—</heading><chapeau style="-uslm-dtd:text">In conducting the study under subsection (a), the Comptroller General of the United States shall consult with—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s604/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the Federal agencies responsible for advancing, reviewing, and procuring medical countermeasures, including the Office of the Assistant Secretary for Preparedness and Response, the Biomedical Advanced Research and Development Authority, the Food and Drug Administration, and the Department of Defense;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s604/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">manufacturers involved in the research and development of medical countermeasures to address biological, chemical, radiological, or nuclear threats; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s604/b/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">other biodefense stakeholders, as applicable.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s604/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Report.—</heading><content style="-uslm-dtd:text">Not later than 3 years after the date of enactment of this Act, the Comptroller General of the United States 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 containing the results of the study conducted under subsection (a) and recommendations to improve the application and consistency of the requirements under subsections (c) and (d) of section 565 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bbb-4) to support and expedite the research and development of medical countermeasures, as applicable.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s604/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Protection of National Security.—</heading><content style="-uslm-dtd:text">The Comptroller General of the United States shall conduct the study and issue the assessment and report under this section in a manner that does not compromise national security.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVI/s605" styleType="OLC"> <num style="-uslm-dtd:enum" value="605">SEC. 605. </num><heading style="-uslm-dtd:header">REVIEW OF THE BENEFITS OF GENOMIC ENGINEERING TECHNOLOGIES AND THEIR POTENTIAL ROLE IN NATIONAL SECURITY. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s605/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Meeting.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s605/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services (referred to in this section as the “Secretary”) shall convene a meeting to discuss the potential role advancements in genomic engineering technologies (including genome editing technologies) may have in advancing national health security. Such meeting shall be held in a manner that does not compromise national security.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s605/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Attendees.—</heading><chapeau style="-uslm-dtd:text">The attendees of the meeting under paragraph (1)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s605/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">shall include—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s605/a/2/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">representatives from the Office of the Assistant Secretary for Preparedness and Response, the National Institutes of Health, the Centers for Disease Control and Prevention, and the Food and Drug Administration; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s605/a/2/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">representatives from academic, private, and nonprofit entities with expertise in genome engineering technologies, biopharmaceuticals, medicine, or biodefense, and other relevant stakeholders; and</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s605/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">may include—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s605/a/2/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">other representatives from the Department of Health and Human Services, as the Secretary determines appropriate; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s605/a/2/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">representatives from the Department of Homeland Security, the Department of Defense, the Department of Agriculture, and other departments, as the Secretary may request for the meeting.</content> </clause> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s605/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Topics.—</heading><chapeau style="-uslm-dtd:text">The meeting under paragraph (1) shall include a discussion of—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s605/a/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">the current state of the science of genomic engineering technologies related to national health security, including—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s605/a/3/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">medical countermeasure development, including potential efficiencies in the development pathway and detection technologies; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s605/a/3/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the international and domestic regulation of products utilizing genome editing technologies; and</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s605/a/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">national security implications, including—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s605/a/3/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">capabilities of the United States to leverage genomic engineering technologies as a part of the medical countermeasure enterprise, including current applicable research, development, and application efforts underway within the Department of Defense;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s605/a/3/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the potential for state and non-state actors to utilize genomic engineering technologies as a national health security threat; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s605/a/3/B/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">security measures to monitor and assess the potential threat that may result from utilization of genomic engineering technologies and related technologies for the purpose of compromising national health security.</content> </clause> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s605/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Report.—</heading><content style="-uslm-dtd:text">Not later than 270 days after the meeting described in subsection (a) is held, the Assistant Secretary for Preparedness and Response shall issue a report to the congressional committees of jurisdiction on the topics discussed at such meeting, and provide recommendations, as applicable, to utilize innovations in genomic engineering (including genome editing) and related technologies as a part of preparedness and response activities to advance national health security. Such report shall be issued in a manner that does not compromise national security.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVI/s606" styleType="OLC"> <num style="-uslm-dtd:enum" value="606">SEC. 606. </num><heading style="-uslm-dtd:header">REPORT ON VACCINES DEVELOPMENT. </heading><content style="-uslm-dtd:text">Not later than one year after the date of the enactment of this Act, the Secretary of Health and Human Services 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 describing efforts and activities to coordinate with other countries and international partners during recent public health emergencies with respect to the research and advanced research on, and development of, qualified pandemic or epidemic products (as defined in section 319F-3 of the Public Health Service Act (42 U.S.C. 247d-6d)). Such report may include information regarding relevant work carried out under section 319L(c)(5)(E) of the Public Health Service Act (42 U.S.C. 247d-7e(c)(5)(E)), through public-private partnerships, and through collaborations with other countries to assist with or expedite the research and development of qualified pandemic or epidemic products. Such report shall not include information that may compromise national security.</content> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVI/s607" styleType="OLC"> <num style="-uslm-dtd:enum" value="607">SEC. 607. </num><heading style="-uslm-dtd:header">STRENGTHENING MOSQUITO ABATEMENT FOR SAFETY AND HEALTH. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s607/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Reauthorization of Mosquito Abatement for Safety and Health Program.—</heading><chapeau style="-uslm-dtd:text">Section 317S (42 U.S.C. 247b-21) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s607/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">in subsection (a)(1)(B)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s607/a/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">including programs to address emerging infectious mosquito-borne diseases,</quotedText>” after “<quotedText style="-uslm-dtd:quote">subdivisions for control programs,</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s607/a/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">or improving existing control programs</quotedText>” before the period at the end;</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s607/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">in subsection (b)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s607/a/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in paragraph (1), by inserting “<quotedText style="-uslm-dtd:quote">, including improvement,</quotedText>” after “<quotedText style="-uslm-dtd:quote">operation</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s607/a/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">in paragraph (2)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s607/a/2/B/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><chapeau style="-uslm-dtd:text">in subparagraph (A)—</chapeau> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tVI/s607/a/2/B/i/I" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">in clause (ii), by striking “<quotedText style="-uslm-dtd:quote">or</quotedText>” at the end;</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tVI/s607/a/2/B/i/II" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">in clause (iii), by striking the semicolon at the end and inserting “<quotedText style="-uslm-dtd:quote">, including an emerging infectious mosquito-borne disease that presents a serious public health threat; or</quotedText>”; and</content> </subclause> <subclause style="-uslm-dtd:subclause" identifier="/us/sComp/116/22/tVI/s607/a/2/B/i/III" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">(III) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">“(iv) </num><content style="-uslm-dtd:text">a public health emergency due to the incidence or prevalence of a mosquito-borne disease that presents a serious public health threat;”</content> </clause></quotedContent>; and</content> </subclause> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s607/a/2/B/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by amending subparagraph (D) to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D)</num><clause style="-uslm-dtd:clause" styleType="OLC" class="inline"><num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">is located in a State that has received a grant under subsection (a); or</content></clause> <clause style="-uslm-dtd:clause" styleType="OLC" class="leftIndentDecrease1"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">that demonstrates to the Secretary that the control program is consistent with existing State mosquito control plans or policies, or other applicable State preparedness plans.”</content> </clause> </subparagraph></quotedContent>;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s607/a/2/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">in paragraph (4)(C), by striking “<quotedText style="-uslm-dtd:quote">that extraordinary</quotedText>” and all that follows through the period at the end and inserting the following: <quotedContent style="-uslm-dtd:quoted-block"><chapeau style="-uslm-dtd:text">“that—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">extraordinary economic conditions in the political subdivision or consortium of political subdivisions involved justify the waiver; or</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><chapeau style="-uslm-dtd:text">the geographical area covered by a political subdivision or consortium for a grant under paragraph (1) has an extreme mosquito control need due to—</chapeau> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">the size or density of the potentially impacted human population;</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">the size or density of a mosquito population that requires heightened control; or</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">the severity of the mosquito-borne disease, such that expected serious adverse health outcomes for the human population justify the waiver.”</content> </subclause> </clause></quotedContent>; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s607/a/2/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">by amending paragraph (6) to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">“(6) </num><heading style="-uslm-dtd:header">Number of grants.—</heading><content style="-uslm-dtd:text">A political subdivision or a consortium of political subdivisions may not receive more than one grant under paragraph (1).”</content> </paragraph></quotedContent>; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s607/a/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">in subsection (f)—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s607/a/3/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in paragraph (1) by striking “<quotedText style="-uslm-dtd:quote">for fiscal year 2003, and such sums as may be necessary for each of fiscal years 2004 through 2007</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">for each of fiscal years 2019 through 2023</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s607/a/3/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in paragraph (2), by striking “<quotedText style="-uslm-dtd:quote">the Public Health Security and Bioterrorism Preparedness and Response Act of 2002</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">this Act and other medical and public health preparedness and response laws</quotedText>”; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVI/s607/a/3/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">in paragraph (3)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s607/a/3/C/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">in the paragraph heading, by striking “<quotedText style="-uslm-dtd:quote">2004</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2019</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVI/s607/a/3/C/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">2004,</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2019,</quotedText>”.</content> </clause> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVI/s607/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Epidemiology-Laboratory Capacity Grants.—</heading><chapeau style="-uslm-dtd:text">Section 2821 (42 U.S.C. 300hh-31) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s607/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subsection (a)(1), by inserting “<quotedText style="-uslm-dtd:quote">, including mosquito and other vector-borne diseases,</quotedText>” after “<quotedText style="-uslm-dtd:quote">infectious diseases</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVI/s607/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in subsection (b), by striking “<quotedText style="-uslm-dtd:quote">2010 through 2013</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2019 through 2023</quotedText>”.</content> </paragraph> </subsection> </section> <num style="-uslm-dtd:enum" value="VII">TITLE VII—</num><heading style="-uslm-dtd:header">MISCELLANEOUS PROVISIONS </heading> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVII/s701" styleType="OLC"> <num style="-uslm-dtd:enum" value="701">SEC. 701. </num><heading style="-uslm-dtd:header">REAUTHORIZATIONS AND EXTENSIONS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s701/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Veterans Affairs.—</heading><content style="-uslm-dtd:text">Section 8117(g) of title 38, United States Code, is amended by striking “<quotedText style="-uslm-dtd:quote">2014 through 2018</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2019 through 2023</quotedText>”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s701/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Vaccine Tracking and Distribution.—</heading><content style="-uslm-dtd:text">Section 319A(e) (42 U.S.C. 247d-1(e)) is amended by striking “<quotedText style="-uslm-dtd:quote">2014 through 2018</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2019 through 2023</quotedText>”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s701/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Temporary Reassignment.—</heading><content style="-uslm-dtd:text">Section 319(e)(8) (42 U.S.C. 247d(e)(8)) is amended by striking “<quotedText style="-uslm-dtd:quote">2018</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2023</quotedText>”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s701/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Strategic Innovation Partner.—</heading><content style="-uslm-dtd:text">Section 319L(c)(4)(E)(ix) (42 U.S.C. 247d-7e(c)(4)(E)(ix)) is amended by striking “<quotedText style="-uslm-dtd:quote">2022</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">2023</quotedText>”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s701/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Limited Antitrust Exemption.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s701/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Section 405 of the Pandemic and All-Hazards Preparedness Act (Public Law 109-417; 42 U.S.C. 247d-6a note) is amended—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s701/e/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">in subsection (a)(1)(A)—</chapeau> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVII/s701/e/1/A/i" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">Secretary of Health and Human Services (referred to in this subsection as the ‘Secretary’)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">Secretary</quotedText>”;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVII/s701/e/1/A/ii" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">of the Public Health Service Act (42 U.S.C. 247d-6b)) (as amended by this Act</quotedText>”;</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVII/s701/e/1/A/iii" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">of the Public Health Service Act (42 U.S.C. 247d-6a)) (as amended by this Act</quotedText>”; and</content> </clause> <clause style="-uslm-dtd:clause" identifier="/us/sComp/116/22/tVII/s701/e/1/A/iv" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">of the Public Health Service Act (42 U.S.C. 247d-6d)</quotedText>”;</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s701/e/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">in subsection (b), by striking “<quotedText style="-uslm-dtd:quote">12-year</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">17-year</quotedText>”;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s701/e/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">by redesignating such section 405 as section 319L-1; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s701/e/1/D" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t42/s247d-7f">42 U.S.C. 247d-7f</ref><b>]</b> </editorialNote><content style="-uslm-dtd:text">by transferring such section 319L-1, as redesignated, to the Public Health Service Act (42 U.S.C. 201 et seq.), to appear after section 319L of such Act (42 U.S.C. 247d-7e).</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s701/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Conforming amendments.—</heading> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s701/e/2/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">Table of contents.—</heading><content style="-uslm-dtd:text">The table of contents in section 1(b) of the Pandemic and All-Hazards Preparedness Act (Public Law 109-417) is amended by striking the item related to section 405.</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s701/e/2/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Reference.—</heading><content style="-uslm-dtd:text">Section 319L(c)(4)(A)(iii) (42 U.S.C. 247d-7e) is amended by striking “<quotedText style="-uslm-dtd:quote">section 405 of the Pandemic and All-Hazards Preparedness Act</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">section 319L-1</quotedText>”.</content> </subparagraph> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s701/f" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Inapplicability of Certain Provisions.—</heading><chapeau style="-uslm-dtd:text">Subsection (e)(1) of section 319L (42 U.S.C. 247d-7e(e)(1)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s701/f/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by amending subparagraph (A) to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">Nondisclosure of information.—</heading> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Information described in clause (ii) shall be deemed to be information described in section 552(b)(3) of title 5, United States Code.</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Information described.—</heading><chapeau style="-uslm-dtd:text">The information described in this clause is information relevant to programs of the Department of Health and Human Services that could compromise national security and reveal significant and not otherwise publicly known vulnerabilities of existing medical or public health defenses against chemical, biological, radiological, or nuclear threats, and is comprised of—</chapeau> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">specific technical data or scientific information that is created or obtained during the countermeasure and product advanced research and development carried out under subsection (c);</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">information pertaining to the location security, personnel, and research materials and methods of high-containment laboratories conducting research with select agents, toxins, or other agents with a material threat determination under section 319F-2(c)(2); or</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">security and vulnerability assessments.”</content> </subclause> </clause> </subparagraph></quotedContent>;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s701/f/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by redesignating subparagraph (C) as subparagraph (D);</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s701/f/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by inserting after subparagraph (B) the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Reporting.—</heading><content style="-uslm-dtd:text">One year after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, and annually thereafter, the Secretary shall report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives on the number of instances in which the Secretary has used the authority under this subsection to withhold information from disclosure, as well as the nature of any request under section 552 of title 5, United States Code that was denied using such authority.”</content> </subparagraph></quotedContent>; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s701/f/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">in subparagraph (D), as so redesignated, by striking “<quotedText style="-uslm-dtd:quote">12</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">17</quotedText>”.</content> </paragraph> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVII/s702" styleType="OLC"> <num style="-uslm-dtd:enum" value="702">SEC. 702. </num><heading style="-uslm-dtd:header">LOCATION OF MATERIALS IN THE STOCKPILE. </heading><content style="-uslm-dtd:text">Subsection (d) of section 319F-2 (42 U.S.C. 247d-6b) is amended to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">“(d) </num><heading style="-uslm-dtd:header">Disclosures.—</heading><content style="-uslm-dtd:text">No Federal agency may disclose under section 552 of title 5, United States Code any information identifying the location at which materials in the stockpile described in subsection (a) are stored, or other information regarding the contents or deployment capability of the stockpile that could compromise national security.”</content> </subsection></quotedContent>.</content> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVII/s703" styleType="OLC"> <num style="-uslm-dtd:enum" value="703">SEC. 703. </num><heading style="-uslm-dtd:header">CYBERSECURITY. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s703/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Strategy for Public Health Preparedness and Response to Cybersecurity Threats.—</heading> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s703/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Strategy.—</heading><chapeau style="-uslm-dtd:text">Not later than 18 months after the date of enactment of this Act, the Secretary of Health and Human Services (referred to in this section as the “Secretary”) shall prepare and submit to the relevant committees of Congress a strategy for public health preparedness and response to address cybersecurity threats (as defined in section 102 of Cybersecurity Information Sharing Act of 2015 (6 U.S.C. 1501)) that present a threat to national health security. Such strategy shall include—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s703/a/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">identifying the duties, functions, and preparedness goals for which the Secretary is responsible in order to prepare for and respond to such cybersecurity threats, including metrics by which to measure success in meeting preparedness goals;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s703/a/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">identifying gaps in public health capabilities to achieve such preparedness goals; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s703/a/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">strategies to address identified gaps and strengthen public health emergency preparedness and response capabilities to address such cybersecurity threats.</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s703/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Protection of national security.—</heading><content style="-uslm-dtd:text">The Secretary shall make such strategy available to the Committee on Health, Education, Labor, and Pensions of the Senate, the Committee on Energy and Commerce of the House of Representatives, and other congressional committees of jurisdiction, in a manner that does not compromise national security.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s703/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Coordination of Preparedness for and Response to All-Hazards Public Health Emergencies.—</heading><content style="-uslm-dtd:text">Subparagraph (D) of section 2811(b)(4) (42 U.S.C. 300hh-10(b)(4)) is amended to read as follows:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">“(D) </num><heading style="-uslm-dtd:header">Policy coordination and strategic direction.—</heading><content style="-uslm-dtd:text">Provide integrated policy coordination and strategic direction, before, during, and following public health emergencies, with respect to all matters related to Federal public health and medical preparedness and execution and deployment of the Federal response for public health emergencies and incidents covered by the National Response Plan described in section 504(a)(6) of the Homeland Security Act of 2002 (6 U.S.C. 314(a)(6)), or any successor plan; and such Federal responses covered by the National Cybersecurity Incident Response Plan developed under section 228(c) of the Homeland Security Act of 2002 (6 U.S.C. 149(c)), including public health emergencies or incidents related to cybersecurity threats that present a threat to national health security.”</content> </subparagraph></quotedContent>.</content> </subsection> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVII/s704" styleType="OLC"> <num style="-uslm-dtd:enum" value="704">SEC. 704. </num><heading style="-uslm-dtd:header">STRATEGY AND REPORT. </heading><chapeau style="-uslm-dtd:text">Not later than 14 days after the date of the enactment of this Act, the Secretary of Health and Human Services, in coordination with the Assistant Secretary for Preparedness and Response and the Assistant Secretary for the Administration on Children and Families or other appropriate office, and in collaboration with other departments, as appropriate, shall submit to the Committee on Energy and Commerce of the House of Representatives, the Committee on Health, Education, Labor, and Pensions of the Senate, and other relevant congressional committees—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s704/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">a formal strategy, including interdepartmental actions and efforts to reunify children with their parents or guardians, in all cases in which such children have been separated from their parents or guardians as a result of the initiative announced on April 6, 2018, and due to prosecution under section 275(a) of the Immigration and Nationality Act (8 U.S.C. 1325(a)), if the parent or guardian chooses such reunification and the child—</chapeau> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s704/1/A" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">was separated from a parent or guardian and placed into a facility funded by the Department of Health and Human Services;</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s704/1/B" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">as of the date of the enactment of this Act, remains in the care of the Department of Health and Human Services; and</content> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/116/22/tVII/s704/1/C" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">can be safely reunited with such parent or guardian; and</content> </subparagraph> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s704/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">a report on challenges and deficiencies related to the oversight of, and care for, unaccompanied alien children and appropriately reuniting such children with their parents or guardians, and the actions taken to address any challenges and deficiencies related to unaccompanied alien children in the custody of the Department of Health and Human Services, including deficiencies identified and publicly reported by Congress, the Government Accountability Office, or the inspectors general of the Department of Health and Human Services or other Federal departments.</content> </paragraph> </section> <section style="-uslm-dtd:section" identifier="/us/sComp/116/22/tVII/s705" styleType="OLC"> <num style="-uslm-dtd:enum" value="705">SEC. 705. </num><heading style="-uslm-dtd:header">TECHNICAL AMENDMENTS. </heading> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s705/a" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Public Health Service Act.—</heading><chapeau style="-uslm-dtd:text">Title III (42 U.S.C. 241 et seq.) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s705/a/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in paragraphs (1) and (5) of section 319F-1(a) (42 U.S.C. 247d-6a(a)), by striking “<quotedText style="-uslm-dtd:quote">section 319F(h)</quotedText>” each place such term appears and inserting “<quotedText style="-uslm-dtd:quote">section 319F(e)</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s705/a/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in section 319K(a) (42 U.S.C. 247d-7d(a)), by striking “<quotedText style="-uslm-dtd:quote">section 319F(h)(4)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">section 319F(e)(4)</quotedText>”.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s705/b" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Public Health Security Grants.—</heading><chapeau style="-uslm-dtd:text">Section 319C-1(b)(2) (42 U.S.C. 247d-3a(b)(2)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s705/b/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subparagraph (C), by striking “<quotedText style="-uslm-dtd:quote">individuals,,</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">individuals,</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s705/b/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in subparagraph (F), by striking “<quotedText style="-uslm-dtd:quote">make satisfactory annual improvement and describe</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">makes satisfactory annual improvement and describes</quotedText>”.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s705/c" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Emergency Use Instructions.—</heading><content style="-uslm-dtd:text">Subparagraph (A) of section 564A(e)(2) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bbb-3a(e)(2)) is amended by striking “<quotedText style="-uslm-dtd:quote">subsection (a)(1)(C)(i)</quotedText>” and inserting “<quotedText style="-uslm-dtd:quote">subsection (a)(1)(C)</quotedText>”.</content> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s705/d" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Products Held for Emergency Use.—</heading><chapeau style="-uslm-dtd:text">Section 564B(2) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bbb-3b) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s705/d/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in subparagraph (B), by inserting a comma after “<quotedText style="-uslm-dtd:quote">505</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s705/d/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">in subparagraph (C), by inserting “<quotedText style="-uslm-dtd:quote">or section 564A</quotedText>” before the period at the end.</content> </paragraph> </subsection> <subsection style="-uslm-dtd:subsection" identifier="/us/sComp/116/22/tVII/s705/e" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Transparency.—</heading><chapeau style="-uslm-dtd:text">Section 507(c)(3) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 357(c)(3)) is amended—</chapeau> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s705/e/1" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">Nothing in</quotedText>” and inserting the following:<quotedContent style="-uslm-dtd:quoted-block"> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Nothing in”</content> </subparagraph></quotedContent>;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s705/e/2" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by inserting “<quotedText style="-uslm-dtd:quote">or directing</quotedText>” after “<quotedText style="-uslm-dtd:quote">authorizing</quotedText>”;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s705/e/3" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by striking “<quotedText style="-uslm-dtd:quote">disclose any</quotedText>” and inserting<quotedContent style="-uslm-dtd:quoted-block"><chapeau style="-uslm-dtd:text">“disclose—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">any”</content> </clause></quotedContent>;</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s705/e/4" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">by striking the period and inserting “<quotedText style="-uslm-dtd:quote">; or</quotedText>”; and</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/116/22/tVII/s705/e/5" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">in the case of a drug development tool that may be used to support the development of a qualified countermeasure, security countermeasure, or qualified pandemic or epidemic product, as defined in sections 319F-1, 319F-2, and 319F-3, respectively, of the Public Health Service Act, any information that the Secretary determines has a significant potential to affect national security.</content> </clause> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Public acknowledgment.—</heading><content style="-uslm-dtd:text">In the case that the Secretary, pursuant to subparagraph (A)(ii), does not make information publicly available, the Secretary shall provide on the internet website of the Food and Drug Administration an acknowledgment of the information that has not been disclosed, pursuant to subparagraph (A)(ii).”</content> </subparagraph></quotedContent>.</content> </paragraph> </subsection> </section>