#aad? ,,congress  #b;d ,session  ,s4    
#aiae  ,,an ,,act  ,to direct !         
,secret>y ( ,homel& ,security to make   
an?rax vacc9es available to em]g5cy     
response provid]s1 & = o!r purposes4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,fir/ ,respond] ,an?rax ,prep>$ness   
,act4  #b4 ,volunt>y pre-ev5t an?rax    
vacc9ation pilot program = em]g5cy      
response provid]s  7a7 ,pilot program   
7#a7 ,e/abli%m5t ,! ,secret>y ( ,homel& 
,security1 9 coord9ation ) ! ,secret>y (
 ,heal? & ,human ,s]vices1 %all c>ry out
 a pilot program to provide eligible    
an?rax vacc9es f ! ,/rategic ,national  
,/ockpile "u section #cai;,f-#b7;a7 ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdg;d-#f;b7a77 t w be ne>+ ! 
end ( _! label$ dates ( use at ! "t su* 
vacc9es are made available to ,/ates =  
adm9i/ration to em]g5cy response        
provid]s :o w\ld be at high risk (      
exposure to an?rax if su* an attack %\ld
 occur & :o volunt>ily cons5t to su*    
adm9i/ration4  7#b7 ,det]m9ation ,!     

,secret>y ( ,heal? & ,human ,s]vices    
%all det]m9e :e!r an an?rax vacc9e is   
eligible to be provid$ to ! ,secret>y ( 
,homel& ,security = ! pilot program     
describ$ 9 p>agraph 7#a7 bas$ on-- 7,a7 
a det]m9ation t ! vacc9e is n o!rwise   
allott$ = o!r purposes2  7,b7 a         
det]m9ation t ! provision ( ! vacc9e w n
 r$uce1 or o!rwise adv]sely affect1 !   
capability to meet project$ requirem5ts 
= ?is product dur+ a public heal?       
em]g5cy1 includ+ a significant r$uction 
( available quantities ( vacc9e 9 !     
,/rategic ,national ,/ockpile2 &  7,c7  
su* o!r consid]ations z det]m9$         
appropriate by ! ,secret>y ( ,heal? &   
,human ,s]vices4  7#c7 ,prelim9>y       
requirem5ts ,be=e implem5t+ ! pilot     
program requir$ "u ?is subsection1 !    
,secret>y ( ,homel& ,security1 9        
coord9ation ) ! ,secret>y ( ,heal? &    
,human ,s]vices1 %all-- 7,a7 e/abli% a  
communication plat=m = ! pilot program2 
7,b7 develop & deliv] education & tra9+ 
= ! pilot program2  7,c7 conduct        

economic analysis ( ! pilot program1    
includ+ a prelim9>y e/imate ( total co/s
 & expect$ b5efits2  7,d7 create a      
logi/ical plat=m = ! an?rax vacc9e      
reque/ process "u ! pilot program2  7,e7
 e/abli% goals & desir$ outcomes = !    
pilot program2 &  7,f7 e/abli% a        
me*anism to reimburse ! ,secret>y (     
,heal? & ,human ,s]vices =-- 7i7 ! co/s 
( %ipm5t & transportation ( su* vacc9es 
provid$ to ! ,secret>y ( ,homel&        
,security f ! ,/rategic ,national       
,/ockpile "u su* pilot program1 includ+ 
/aff "t directly support+ su* %ipm5t &  
transportation2 &  7ii7 ! am\nt1 if any1
 by :i* ! w>eh\s+ co/s ( ! ,/rategic    
,national ,/ockpile are increas$ 9 ord] 
to op]ate su* pilot program4  7#d7      
,location  7,a7 ,9 g5]al ,9 c>ry+ out ! 
pilot program requir$ "u ?is subsection1
 ! ,secret>y ( ,homel& ,security %all   
select n few] ?an #b nor m ?an #e ,/ates
 = volunt>y p>ticipation 9 ! pilot      
program4  7,b7 ,requirem5t ,ea* ,/ate t 
p>ticipates 9 ! pilot program "u ?is    

subsection %all ensure t su*            
p>ticipation is consi/5t ) !            
,all-,haz>ds ,public ,heal? ,em]g5cy    
,prep>$ness & ,response ,plan ( ! ,/ate 
develop$ "u section #cai;,c-#a ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdg;d-#c;a74  7#e7 ,guidance 
= selection ,to ensure t p>ticipation 9 
! pilot program "u ?is subsection       
/rategically increases ,/ate & local    
response read9ess 9 ! ev5t ( an an?rax  
release1 ! ,secret>y ( ,homel&          
,security1 9 coord9ation ) ! ,secret>y (
 ,heal? & ,human ,s]vices1 %all provide 
guidance to p>ticipat+ ,/ates & units ( 
local gov]nm5t on id5tify+ em]g5cy      
response provid]s :o are at high risk ( 
exposure to an?rax4  7#f7 ,di/ribution (
 in=mation ,! ,secret>y ( ,homel&       
,security %all require t ea* ,/ate t    
p>ticipates 9 ! pilot program "u ?is    
subsection submit a writt5 c]tification 
to ! ,secret>y ( ,homel& ,security /at+ 
t ea* em]g5cy response provid] )9 !     
,/ate t p>ticipates 9 ! pilot program is

 provid$ ) disclosures & educational    
mat]ials designat$ by ! ,secret>y (     
,heal? & ,human ,s]vices1 :i* may       
include-- 7,a7 mat]ials reg>d+ !        
associat$ b5efits & risks ( any vacc9e  
provid$ "u ! pilot program1 & ( exposure
 to an?rax2  7,b7 additional mat]ial    
consi/5t ) ! ,c5t]s = ,disease ,control 
& ,prev5tion's cl9ical guidance2 &  7,c7
 notice t ! ,f$]al ,gov]nm5t is n       
obligat$ to cont9ue provid+ an?rax      
vacc9e aft] ! date on :i* ! pilot       
program ends4  7#g7 ,memor&um ( und]/&+ 
,be=e implem5t+ ! pilot program "u ?is  
subsection1 ! ,secret>y ( ,homel&       
,security %all ent] into a memor&um (   
und]/&+ ) ! ,secret>y ( ,heal? & ,human 
,s]vices to-- 7,a7 def9e ! roles &      
responsibilities ( ea* ,dep>tm5t = !    
pilot program2 &  7,b7 e/abli% o!r      
p]=mance metrics & policies = ! pilot   
program1 z appropriate4  7#h7 ,report   
7,a7 ,9 g5]al ,not)/&+ subsection 7c71 n
 lat] ?an #a ye> aft] ! date on :i* !   
initial vacc9es are adm9i/]$ "u ?is     

section1 & annually !reaft] until #a ye>
 aft] ! completion ( ! pilot program "u 
?is section1 ! ,secret>y ( ,homel&      
,security1 9 coord9ation ) ! ,secret>y (
 ,heal? & ,human ,s]vices1 %all submit  
to ! ,committee on ,homel& ,security & !
 ,committee on ,en]gy & ,comm]ce ( !    
,h\se ( ,repres5tatives & ! ,committee  
on ,homel& ,security & ,gov]nm5tal      
,affairs & ! ,committee on ,heal?1      
,education1 ,labor1 & ,p5sions ( !      
,s5ate a report on ! progress & results 
( ! pilot program1 includ+-- 7i7 a      
detail$ tabulation ( ! co/s to adm9i/] !
 program1 includ+-- 7,i7 total co/s =   
managem5t & adm9i/ration2  7,,ii7 total 
co/s to %ip vacc9es2  7,,iii7 total     
numb] ( full-"t equival5ts allocat$ to !
 program2 &  7,,iv7 total co/s to !     
,/rategic ,national ,/ockpile2  7ii7 !  
numb] & p]c5tage ( eligible em]g5cy     
response provid]s1 z det]m9$ by ea*     
pilot location1 t volunte] to           
p>ticipate2  7iii7 ! degree to :i*      
p>ticipants complete ! vacc9e regim52   

7iv7 ! total numb] ( doses ( vacc9e     
adm9i/]$2 &  7v7 recomm5dations to      
improve initial & recurr5t p>ticipation 
9 ! pilot program4  7,b7 ,f9al report ,!
 f9al report requir$ "u subp>agraph 7,a7
 %all-- 7i7 consid] :e!r ! pilot program
 requir$ "u ?is subsection %\ld cont9ue 
aft] ! date describ$ 9 subsection 7c72 &
  7ii7 include-- 7,i7 an analysis ( !   
co/s & b5efits ( cont9u+ ! program to   
provide an?rax vacc9es to em]g5cy       
response provid]s2  7,,ii7 an           
explanation ( ! economic1 heal?1 & o!r  
risks & b5efits ( adm9i/]+ vacc9es ?r\gh
 ! pilot program r ?an po/-ev5t         
treatm5t2 &  7,,iii7 9 ! case ( a       
recomm5dation "u clause 7i7 to cont9ue !
 pilot program aft] ! date describ$ 9   
subsection 7c71 a plan "u :i* ! pilot   
program c\ld be cont9u$4  7b7 ,deadl9e =
 implem5tation ,n lat] ?an #a ye> aft] !
 date ( enactm5t ( ?is ,act1 ! ,secret>y
 ( ,homel& ,security %all beg9 implem5t+
 ! pilot program "u ?is section4  7c7   
,sunset ,! au?ority to c>ry out ! pilot 

program "u ?is section %all expire on ! 
date t is #e ye>s aft] ! date ( enactm5t
 ( ?is ,act4  ,pass$ ! ,s5ate ,novemb]  
#af1 #bjaf4,secret>y