,i #aaeth ,,congress #b;d ,session ,h4 ,r4 #fcgh ,,in ,,the ,,house ,,of ,,representatives ,july #af1 #bjah,mrs4 ,brooks of ,indiana 7for herself1 ,ms4 ,eshoo1 ,mr4 ,walden1 and ,mr4 ,pallone7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committees on the ,judiciary1 ,veterans' ,affairs1 and ,homeland ,security1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to reauthorize certain programs under the ,public ,health ,service ,act and the ,federal ,food1 ,drug1 and ,cosmetic ,act with respect to public health security and all-hazards preparedness and response1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,pandemic and ,all-,hazards ,preparedness and ,advancing ,innovation ,act of #bjah4 #b4 ,table of contents ,the table of contents of this ,act is as follows3 ,sec4 #a4 ,short title4 ,sec4 #b4 ,table of contents4 ,title ,i--,strengthening national preparedness and response for public health emergencies ,sec4 #aja4 ,coordination of preparedness for and response to all-hazards public health emergencies4 ,sec4 #ajb4 ,public health emergency medical countermeasures enterprise4 ,sec4 #ajc4 ,national ,health ,security ,strategy4 ,sec4 #ajd4 ,improving emergency preparedness and response considerations for children4 ,sec4 #aje4 ,reauthorizing the ,national ,advisory ,committee on ,children and ,disasters4 ,sec4 #ajf4 ,national ,disaster ,medical ,system4 ,sec4 #ajg4 ,volunteer ,medical ,reserve ,corps4 ,sec4 #ajh4 ,continuing the role of the ,department of ,veterans ,affairs4 ,sec4 #aji4 ,authorizing the ,national ,advisory ,committee on ,seniors and ,disasters4 ,sec4 #aaj4 ,national ,advisory ,committee on ,individuals with ,disabilities in ,all-,hazards ,emergencies4 ,sec4 #aaa4 ,consideration for at-risk individuals4 ,sec4 #aab4 ,public health surveillance4 ,sec4 #aac4 ,,gao study and report on disaster medical assistance teams4 ,sec4 #aad4 ,military and civilian partnership for trauma readiness grant program4 ,sec4 #aae4 ,improvement of loan repayment program for prevention activities4 ,sec4 #aaf4 ,report on adequate national blood supply4 ,title ,,ii--,optimizing ,state and local all-hazards preparedness and response ,sec4 #bja4 ,public health emergencies4 ,sec4 #bjb4 ,improving ,state and local public health security4 ,sec4 #bjc4 ,strengthening the hospital preparedness program4 ,sec4 #bjd4 ,improving benchmarks and standards for preparedness and response4 ,sec4 #bje4 ,authorization of appropriations for revitalizing the ,centers for ,disease ,control and ,prevention4 ,sec4 #bjf4 ,authorization of appropriations for ,emergency ,system for ,advanced ,registration of ,volunteer ,health ,professionals4 ,sec4 #bjg4 ,regional health care emergency preparedness and response systems4 ,sec4 #bjh4 ,national ,academy of ,medicine evaluation and report on the preparedness of hospitals1 long-term care facilities1 dialysis centers1 and other medical facilities for public health emergencies4 ,sec4 #bji4 ,limitation on liability for volunteer health care professionals4 ,title ,,iii--,accelerating medical countermeasure advanced research and development ,sec4 #cja4 ,strategic national stockpile and security countermeasure procurement4 ,sec4 #cjb4 ,biomedical advanced research and development authority4 ,sec4 #cjc4 ,report on the development of vaccines to prevent future epidemics4 ,title ,,iv--,miscellaneous provisions ,sec4 #dja4 ,cybersecurity4 ,sec4 #djb4 ,miscellaneous ,,fda amendments4 ,sec4 #djc4 ,formal strategy relating to children separated from parents and guardians as a result of zero tolerance policy4 ,sec4 #djd4 ,biological threat detection4 ,sec4 #dje4 ,strengthening ,mosquito ,abatement for ,safety and ,health4 ,sec4 #djf4 ,additional strategies for combating antibiotic resistance4 ,sec4 #djg4 ,additional purposes for grants for certain trauma centers4 ,i ,strengthening national preparedness and response for public health emergencies #aja4 ,coordination of preparedness for and response to all-hazards public health emergencies 7a7 ,in general ,section #bhaa of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aj7 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#d7-- 7i7 in subparagraph 7,g7-- 7,i7 by inserting the pandemic influenza and emerging infectious disease program established under section #cai,l7d71 or before all-hazards medical and public health preparedness and response2 and 7,,ii7 by adding at the end 7after and below clause 7ii77 the following3 ,such drills and operations exercises shall be comprehensive1 synchronized1 and mutually supportive4 2 and 7ii7 by adding at the end the following new subparagraph3 7,i7 ,threat awareness ,coordinate with the ,director of the ,centers for ,disease ,control and ,prevention1 the ,director of ,national ,intelligence1 the ,secretary of ,homeland ,security1 the ,assistant to the ,president for ,national ,security ,affairs1 the ,secretary of ,defense1 and other relevant ,federal officials1 such as the ,secretary of ,agriculture1 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 emergency4 2 7,b7 in paragraph 7#e71 by adding at the end the following3 ,such logistical support shall include working with other relevant ,federal1 ,state1 local1 tribal1 and territorial public health officials and private sector entities to identify the critical infrastructure assets1 systems1 and networks needed for the proper functioning of the health care and public health sectors that need to be maintained through any emergency or disaster1 including entities capable of assisting with1 responding to1 and mitigating the effect of a public health emergency1 including a public health emergency declared by the ,secretary pursuant to section #cai1 or an emergency or major disaster declared by the ,president pursuant to the ,robert ,t4 ,stafford ,disaster ,relief and ,emergency ,assistance ,act or the ,national ,emergencies ,act1 including by establishing methods to exchange critical information and deliver products consumed or used to preserve1 protect1 or sustain life1 health1 or safety1 and sharing of specialized expertise42 7,c7 in paragraph 7#g7-- 7i7 in the matter preceding subparagraph 7,a7-- 7,i7 by inserting the research and development activities of the pandemic influenza and emerging infectious disease program established under section #cai,l7d7 with respect to qualified pandemic or epidemic products 7as defined in section #cai;,f-#c71 and before the medical countermeasure priorities described in subsection 7d72 and 7,,ii7 by striking ,develop1 and update not later than ,march #a of each year and inserting ,develop1 by not later than ,september #cj1 #bjai1 and update no later than every two years after the initial development12 and 7ii7 in each of subparagraphs 7,d7 and 7,e71 by striking not later than ,march #ae of each year and inserting in each such place not later than #ad days after each biennial development date2 and 7,d7 by adding at the end the following new paragraph3 7#h7 ,reporting ,the ,assistant ,secretary for ,preparedness and ,response shall1 beginning on the date of the enactment of this paragraph1 submit to the ,committee on ,energy and ,commerce of the ,house of ,representatives weekly reports on the status and welfare of the children who1 as a result of the zero tolerance policy1 were separated from their parent or guardian and are awaiting reunification with their parent or guardian1 as well as the number of such children in facilities funded by the ,department of ,health and ,human ,services4 2 7#b7 in subsection 7c71 in the matter preceding paragraph 7#a71 by striking shall and inserting shall1 utilizing experience related to public health emergency preparedness and response1 biodefense1 medical countermeasures1 and other relevant topics2 and 7#c7 in subsection 7d7-- 7,a7 in paragraph 7#a71 by striking ,not later than #ahj days after the date of enactment of this subsection1 and every year thereafter and inserting ,not later than ,september #cj1 #bjai1 and every second year thereafter2 7,b7 in paragraph 7#b77;,c71 by inserting after products the following3 1 and ancillary medical supplies to assist with the utilization of such products12 and 7,c7 in paragraph 7#b77;,j77v71 by striking the one-year period for which the report is submitted and inserting the two-year period for which the report is submitted4 7b7 ,countermeasures budget plan ,section #bhaa7;b77#g7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aj7;b77#g77 is amended-- 7#a7 by striking subparagraph 7,a7 and inserting the following3 7,a7 include consideration of the entire medical countermeasures enterprise1 including-- 7i7 basic research and advanced research and development2 7ii7 approval1 clearance1 licensure1 and authorized uses of products2 7iii7 procurement1 stockpiling1 maintenance1 and potential replenishment 7including manufacturing capabilities7 of all products in the ,strategic ,national ,stockpile2 and 7iv7 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 development2 2 7#b7 by redesignating subparagraphs 7,d7 and 7,e7 as subparagraphs 7,e7 and 7,f71 respectively2 and 7#c7 by inserting after subparagraph 7,c7 the following3 7,d7 identify the full range of anticipated medical countermeasure needs related to research and development1 procurement1 and stockpiling1 including the potential need for indications1 dosing1 and administration technologies1 and other countermeasure needs as applicable and appropriate2 4 #ajb4 ,public health emergency medical countermeasures enterprise ,subtitle ,b of title ,,xxviii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aj et seq47 is amended-- 7#a7 by redesignating section #bhaa;,a as #bhaa;,b2 and 7#b7 by inserting after section #bhaa the following3 #bhaa;,a4 ,public ,health ,emergency ,medical ,countermeasures ,enterprise 7a7 ,in general ,the ,secretary shall establish and the ,assistant ,secretary for ,preparedness and ,response may convene an interagency panel of advisors to be known as the ,public ,health ,emergency ,medical ,countermeasures ,enterprise 7in this section referred to as the ,,phemce74 7b7 ,members 7#a7 ,in general ,in addition to the ,assistant ,secretary for ,preparedness and ,response1 who shall serve as chair1 the ,,phemce shall include the voting members described in paragraph 7#b7 and the non-voting members described in paragraph 7#c74 7#b7 ,voting members ,for purposes of paragraph 7#a71 the voting members described in this paragraph are following members3 7,a7 ,the ,director of the ,biomedical ,advanced ,research and ,development ,authority 7or the ,director's designee74 7,b7 ,the ,director of the ,centers for ,disease ,control and ,prevention 7or the ,director's designee74 7,c7 ,the ,director of the ,national ,institutes of ,health 7or the ,director's designee74 7,d7 ,the ,commissioner of ,food and ,drugs 7or the ,commissioner's designee74 7,e7 ,the ,secretary of ,defense 7or the ,secretary's designee74 7,f7 ,the ,secretary of ,homeland ,security 7or the ,secretary's designee74 7,g7 ,the ,secretary of ,agriculture 7or the ,secretary's designee74 7,h7 ,the ,secretary of ,veterans ,affairs 7or the ,secretary's designee74 7,i7 ,representatives of any other ,federal agencies1 as the ,assistant ,secretary for ,preparedness and ,response determines appropriate4 7#c7 ,non-voting members ,for purposes of paragraph 7#a71 the non-voting members described in this paragraph are the following members3 7,a7 ,the ,secretary of ,state 7or the ,secretary's designee74 7,b7 ,the ,director of ,national ,intelligence 7or the ,director's designee74 7,c7 ,the ,director of the ,central ,intelligence ,agency 7or the ,director's designee74 7c7 ,functions ,the ,,phemce shall-- 7#a7 advise the ,assistant ,secretary for ,preparedness and ,response regarding research1 development1 and procurement of security countermeasures 7as defined in section #cai;,f-#b7;c77 based on the health security needs of the ,united ,states2 and 7#b7 assist the ,assistant ,secretary for ,preparedness and ,response in the identification of gaps in public health preparedness and response related to such security countermeasures and challenges to addressing such needs 7including any regulatory challenges74 4 #ajc4 ,national ,health ,security ,strategy ,section #bhjb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#a7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#a7-- 7i7 by striking #bjad and inserting #bjah2 and 7ii7 by striking the second sentence and inserting the following3 ,such ,national ,health ,security ,strategy shall describe potential emergency health security threats and identify the process for achieving the preparedness goals described in subsection 7b7 to be prepared to identify and respond to such threats and shall be consistent with the national preparedness goal 7as described in section #ejd7;a77#ai7 of the ,homeland ,security ,act of #bjjb71 the ,national ,incident ,management ,system 7as defined in section #eja7g7 of such ,act71 and the ,national ,response ,plan developed pursuant to section #ejd of such ,act1 or any successor plan42 7,b7 in paragraph 7#b71 by inserting before the period at the end of the second sentence the following3 1 and an analysis of any changes to the evidence-based benchmarks and objective standards under sections #cai;,c-#a and #cai;,c-#b2 and 7,c7 in paragraph 7#c7-- 7i7 by striking #bjji and inserting #bjbb2 7ii7 by inserting 7including gaps in the environmental health and animal health workforces1 as applicable71 describing the status of such workforce after gaps in such workforce2 7iii7 by striking and identifying strategies and inserting identifying strategies2 and 7iv7 by inserting before the period at the end 1 and identifying current capabilities to meet the requirements of section #bhjc2 and 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#b7-- 7i7 in subparagraph 7,a71 by striking and investigation and inserting investigation1 and related information technology activities2 7ii7 in subparagraph 7,b71 by striking and decontamination and inserting decontamination1 relevant health care services and supplies1 and transportation and disposal of medical waste2 and 7iii7 by adding at the end the following3 7,e7 ,response to environmental hazards4 2 7,b7 in paragraph 7#c7-- 7i7 in the matter preceding subparagraph 7,a71 by striking including mental health and inserting including pharmacies1 mental health facilities12 7ii7 in subparagraph 7,f71 by inserting or exposures to agents that could cause a public health emergency before the period2 and 7iii7 by amending subparagraph 7,g7 to read as follows3 7,g7 ,optimizing a coordinated and flexible approach to the emergency response and medical surge capacity of hospitals1 other health care facilities1 critical care1 trauma care 7which may include trauma centers71 and emergency medical systems1 which may include the implementation of guidelines for regional health care emergency preparedness and response systems under section #cai;,c-#c4 2 7,c7 in paragraph 7#e71 by inserting and other applicable compacts after ,compact2 and 7,d7 by adding at the end the following3 7#i7 ,zoonotic disease1 food1 and agriculture ,improving coordination among ,federal1 ,state1 local1 tribal1 and territorial entities 7including through consultation with the ,secretary of ,agriculture7 to prevent1 detect1 and respond to outbreaks of plant or animal disease 7including zoonotic disease7 that could compromise national security resulting from a deliberate attack1 a naturally occurring threat1 the intentional adulteration of food1 or other public health threats1 taking into account interactions between animal health1 human health1 and animals' and humans' shared environment as directly related to public health emergency preparedness and response capabilities1 as applicable4 7#aj7 ,global health security ,assessing current or potential health security threats from abroad to inform domestic public health preparedness and response capabilities4 4 #ajd4 ,improving emergency preparedness and response considerations for children ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq47 is amended by inserting after section #cai;,d the following3 #cai;,d-#a4 ,children's preparedness unit 7a7 ,enhancing emergency preparedness for children ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention 7referred to in this subsection as the ,director71 shall maintain an internal team of experts1 to be known as the ,children's ,preparedness ,unit 7referred to in this subsection as the ,unit71 to work collaboratively to provide guidance on the considerations for1 and the specific needs of1 children before1 during1 and after public health emergencies4 ,the ,unit shall inform the ,director regarding emergency preparedness and response efforts pertaining to children at the ,centers for ,disease ,control and ,prevention4 7b7 ,expertise ,the team described in subsection 7a7 shall include one or more pediatricians1 which may be a developmental-behavioral pediatrician1 and may also include behavioral scientists1 child psychologists1 epidemiologists1 biostatisticians1 health communications staff1 and individuals with other areas of expertise1 as the ,secretary determines appropriate4 7c7 ,duties ,the team described in subsection 7a7 may-- 7#a7 assist ,state1 local1 tribal1 and territorial emergency planning and response activities related to children1 which may include developing1 identifying1 and sharing best practices2 7#b7 provide technical assistance1 training1 and consultation to ,federal1 ,state1 local1 tribal1 and territorial public health officials to improve preparedness and response capabilities with respect to the needs of children1 including providing such technical assistance1 training1 and consultation to eligible entities in order to support the achievement of measurable evidence-based benchmarks and objective standards applicable to sections #cai;,c-#a and #cai;,c-#b2 7#c7 improve the utilization of methods to incorporate the needs of children in planning for and responding to a public health emergency1 including public awareness of such methods2 7#d7 coordinate with1 and improve1 public-private partnerships1 such as health care coalitions pursuant to sections #cai;,c-#b and #cai;,c-#c1 to address gaps and inefficiencies in emergency preparedness and response efforts for children2 7#e7 provide expertise and input during the development of guidance and clinical recommendations to address the needs of children when preparing for1 and responding to1 public health emergencies1 including pursuant to section #cai;,c-#c2 and 7#f7 carry out other duties related to preparedness and response activities for children1 as the ,secretary determines appropriate4 4 #aje4 ,reauthorizing the ,national ,advisory ,committee on ,children and ,disasters ,section #bhaa;,b of the ,public ,health ,service ,act1 as redesignated by section #ajb7a71 is amended-- 7#a7 in subsection 7b77#b71 by inserting 1 mental and behavioral1 after medical2 7#b7 in subsection 7d7-- 7,a7 in paragraph 7#a71 by striking #ae and inserting #be2 and 7,b7 by striking paragraph 7#b7 and inserting the following3 7#b7 ,required non-,federal members ,the ,secretary1 in consultation with such other heads of ,federal agencies as may be appropriate1 shall appoint to the ,advisory ,committee under paragraph 7#a7 at least #ac individuals to perform the duties described in subsections 7b7 and 7c71 including-- 7,a7 at least #b non-,federal professionals with expertise in pediatric medical disaster planning1 preparedness1 response1 or recovery2 7,b7 at least #b representatives from ,state1 local1 tribal1 or territorial agencies with expertise in pediatric disaster planning1 preparedness1 response1 or recovery2 7,c7 at least #d members representing health care professionals1 which may include members with expertise in pediatric emergency medicine2 pediatric trauma1 critical care1 or surgery2 the treatment of pediatric patients affected by chemical1 biological1 radiological1 or nuclear agents and emerging infectious diseases2 pediatric mental or behavioral health related to children affected by a public health emergency2 or pediatric primary care2 and 7,d7 other members as the ,secretary determines appropriate1 of whom-- 7i7 at least one such member shall represent a children's hospital2 7ii7 at least one such member shall be an individual with expertise in schools or child care settings2 7iii7 at least one such member shall be an individual with expertise in children and youth with special health care needs2 and 7iv7 at least one such member shall be an individual with expertise in the needs of parents or family caregivers1 including the parents or caregivers of children with disabilities4 7#c7 ,federal members ,the ,advisory ,committee under paragraph 7#a7 shall include the following ,federal members or their designees3 7,a7 ,the ,assistant ,secretary for ,preparedness and ,response4 7,b7 ,the ,director of the ,biomedical ,advanced ,research and ,development ,authority4 7,c7 ,the ,director of the ,centers for ,disease ,control and ,prevention4 7,d7 ,the ,commissioner of ,food and ,drugs4 7,e7 ,the ,director of the ,national ,institutes of ,health4 7,f7 ,the ,assistant ,secretary of the ,administration for ,children and ,families4 7,g7 ,the ,administrator of the ,health ,resources and ,services ,administration4 7,h7 ,the ,administrator of the ,federal ,emergency ,management ,agency4 7,i7 ,the ,administrator of the ,administration for ,community ,living4 7,j7 ,the ,secretary of ,education4 7,k7 ,representatives from such ,federal agencies 7such as the ,substance ,abuse and ,mental ,health ,services ,administration and the ,department of ,homeland ,security7 as the ,secretary determines appropriate to fulfill the duties of the ,advisory ,committee under subsections 7b7 and 7c74 7#d7 ,term of appointment ,each member of the ,advisory ,committee appointed under paragraph 7#b7 shall serve for a term of #c years1 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 #bjah1 or appointees who are initially appointed after such date of enactment1 in order to provide for a staggered term of appointment for all members4 7#e7 ,consecutive appointments2 maximum terms ,a member appointed under paragraph 7#b7 may serve not more than #c terms on the ,advisory ,committee1 and not more than #b of which may be served consecutively4 2 7#c7 in subsection 7e71 by adding at the end ,at least one meeting per year shall be an in-person meeting42 7#d7 by redesignating subsection 7f7 as subsection 7g72 7#e7 by inserting after subsection 7e7 the following3 7f7 ,coordination ,the ,secretary shall coordinate activities authorized under this section and section #bhaa;,c1 in accordance with section #bhaa;,c7d74 2 and 7#f7 in subsection 7g71 as so redesignated1 by striking #bjah and inserting #bjbc4 #ajf4 ,national ,disaster ,medical ,system 7a7 ,purpose of system ,clause 7ii7 of section #bhab7;a77#c77;,a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aa7;a77#c77;,a77 is amended to read as follows3 7ii7 be present at locations1 and for limited periods of time1 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 specified1 or there is a significant potential for a public health emergency4 4 7b7 ,review of the ,national ,disaster ,medical ,system ,section #bhab7;b77#b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aa7;b77#b77 is amended to read as follows3 7#b7 ,joint review and medical surge capacity strategic plan 7,a7 ,review ,not later than #ahj days after the date of enactment of the ,pandemic and ,all-,hazards ,preparedness and ,advancing ,innovation ,act of #bjah1 the ,secretary1 in coordination with the ,secretary of ,homeland ,security1 the ,secretary of ,defense1 and the ,secretary of ,veterans ,affairs1 shall conduct a joint review of the ,national ,disaster ,medical ,system4 ,such review shall include-- 7i7 an evaluation of medical surge capacity1 as described in section #bhjc7;a72 7ii7 an assessment of the available workforce of the intermittent disaster-response personnel described in subsection 7c72 7iii7 the capacity of the workforce described in clause 7ii7 to respond to all hazards1 including capacity to simultaneously respond to multiple public health emergencies and to respond to a nationwide public health emergency2 7iv7 the effectiveness of efforts to recruit1 retain1 and train such workforce2 and 7v7 gaps that may exist in such workforce and recommendations for addressing such gaps4 7,b7 ,updates ,as part of the ,national ,health ,security ,strategy under section #bhjb1 the ,secretary shall update the findings from the review under subparagraph 7,a7 and provide recommendations to modify the policies of the ,national ,disaster ,medical ,system as necessary4 4 7c7 ,direct hire authority ,section #bhab7;c77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aa7;c77#a77 is amended by inserting 7or1 for the period beginning on the date of the enactment of the ,pandemic and ,all-,hazards ,preparedness ,reauthorization ,act of #bjah and ending on ,september #cj1 #bjba1 without regard to those provisions of title #e1 ,united ,states ,code1 governing appointments in the competitive service7 after in accordance with applicable civil service laws and regulations4 7d7 ,service benefit2 notification of shortage ,section #bhab7;c7 7#db ,u4,s4,c4 #cjj;hh-#aa7;c77 is amended by adding at the end the following3 7#c7 ,service benefit ,individuals appointed to serve under this subsection shall be considered public safety officers under part ,l of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh4 ,the ,secretary shall provide notification to eligible individuals of any effect such designation may have on other benefits for which such individuals are eligible1 including benefits from private entities4 7#d7 ,notification ,not later than #cj 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 emergency1 the ,secretary shall submit to the congressional committees of jurisdiction a notification detailing-- 7,a7 the impact such shortage could have on meeting public health needs and emergency medical personnel needs during a public health emergency2 and 7,b7 any identified measures to address such shortage4 4 7e7 ,death benefits ,section #abjd7i7 of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#cd ,u4,s4,c4 #ajbhd7i77 is amended-- 7#a7 in subparagraph 7,c71 by striking or at the end2 7#b7 in subparagraph 7,d71 by striking the period at the end and inserting 2 or2 and 7#c7 by adding at the end the following3 7,e7 an individual appointed to assist the ,national ,disaster ,medical ,system pursuant to section #bhab7;c77#a7 of the ,public ,health ,service ,act4 4 7f7 ,authorization of appropriations ,section #bhab7;g7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aa7;g77 is amended by striking #eb1gjj1jjj for each of fiscal years #bjad through #bjah and inserting #eg1djj1jjj for each of fiscal years #bjai through #bjbc4 #ajg4 ,volunteer ,medical ,reserve ,corps ,section #bhac of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#ae77 is amended-- 7#a7 in subsection 7a71 by amending the second sentence to read as follows3 ,the ,secretary may appoint a ,director to head the ,corps and oversee the activities of the ,corps chapters that exist at the ,state1 local1 and tribal levels42 and 7#b7 in subsection 7i71 by striking #aa1bjj1jjj for each of fiscal years #bjad through #bjah and inserting #f1jjj1jjj for each of fiscal years #bjai through #bjbc4 #ajh4 ,continuing the role of the ,department of ,veterans ,affairs ,section #haag7;g7 of title #ch1 ,united ,states ,code1 is amended by striking #aee1cjj1jjj for each of fiscal years #bjad through #bjah and inserting #abf1hjj1jjj for each of fiscal years #bjai through #bjbc4 #aji4 ,authorizing the ,national ,advisory ,committee on ,seniors and ,disasters ,subtitle ,b of title ,,xxviii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh et seq471 as amended by section #ajb1 is further amended by inserting after section #bhaa;,b the following3 #bhaa;,c4 ,national ,advisory ,committee on ,seniors and ,disasters 7a7 ,establishment ,the ,secretary1 in consultation with the ,secretary of ,homeland ,security and the ,secretary of ,veterans ,affairs1 shall establish an advisory committee to be known as the ,national ,advisory ,committee on ,seniors and ,disasters 7referred to in this section as the ,advisory ,committee74 7b7 ,duties 7#a7 ,in general ,the ,advisory ,committee shall-- 7,a7 provide advice and consultation with respect to the activities carried out pursuant to section #bhad1 as applicable and appropriate2 7,b7 evaluate and provide input with respect to the medical and public health needs of seniors related to the preparation for1 response to1 and recovery from all-hazards emergencies2 and 7,c7 provide advice and consultation with respect to ,state emergency preparedness and response activities and seniors1 including related drills and exercises pursuant to the preparedness goals under section #bhjb7;b74 7#b7 ,additional duties ,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 ,,iii4 7#c7 ,membership 7,a7 ,in general ,the ,secretary1 in consultation with such other heads of agencies as appropriate1 shall appoint not more than #ae members to the ,advisory ,committee4 ,in appointing such members1 the ,secretary shall ensure that the total membership of the ,advisory ,committee is an odd number4 7,b7 ,required members ,the members appointed under paragraph 7#a7 shall include-- 7i7 the ,assistant ,secretary for ,preparedness and ,response2 7ii7 the ,director of the ,biomedical ,advanced ,research and ,development ,authority2 7iii7 the ,director of the ,centers for ,disease ,control and ,prevention2 7iv7 the ,commissioner of ,food and ,drugs2 7v7 the ,director of the ,national ,institutes of ,health2 7vi7 the ,administrator of the ,centers for ,medicare ,medicaid ,services2 7vii7 the ,administrator of the ,administration for ,community ,living2 7viii7 the ,administrator of the ,federal ,emergency ,management ,agency2 7ix7 the ,under ,secretary for ,health of the ,department of ,veterans ,affairs2 7x7 at least #b non-,federal health care professionals with expertise in medical disaster planning1 preparedness1 response1 or recovery2 7xi7 at least #b representatives of ,state1 local1 territorial1 or tribal agencies with expertise in disaster planning1 preparedness1 response1 or recovery2 and 7xii7 representatives of such other ,federal agencies 7such as the ,department of ,energy and the ,department of ,homeland ,security7 as the ,secretary determines necessary to fulfill the duties of the ,advisory ,committee4 7c7 ,meetings ,the ,advisory ,committee shall meet not less frequently than biannually4 7d7 ,advisory committee coordination 7#a7 ,in general ,the ,secretary shall coordinate activities authorized under this section and section #bhaa;,b1 and make efforts to reduce unnecessary or duplication of meetings1 recommendations1 and reporting under such sections4 ,members of the advisory committees under this section and section #bhaa;,b1 or their designees1 shall meet periodically1 and not less than annually1 to-- 7,a7 review the recommendations developed by such committees to coordinate1 as appropriate1 the implementation of recommendations1 in order to reduce gaps1 overlap1 and duplication of effort in ,federal programs or by ,federal grantees2 and 7,b7 align preparedness and response programs or activities to address the dual or overlapping needs of children and seniors and any challenges in preparing for and responding to such needs4 7#b7 ,notification ,the ,secretary shall notify the congressional committees of jurisdiction upon the convening of each meeting under paragraph 7#a71 and provide minutes from such meeting not later than #ij days after the meeting4 7e7 ,sunset ,the ,advisory ,committee shall terminate on ,september #cj1 #bjbc4 4 #aaj4 ,national ,advisory ,committee on ,individuals with ,disabilities in ,all-,hazards ,emergencies ,subtitle ,b of title ,,xxviii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh et seq471 as amended by sections #ajb and #aji1 is further amended by inserting after section #bhaa;,c the following3 #bhaa;,d4 ,national ,advisory ,committee on ,individuals with ,disabilities in ,all-,hazards ,emergencies 7a7 ,establishment ,not later than #ij days after the date of this section1 the ,secretary shall establish a national advisory committee to be known as the ,national ,advisory ,committee on ,individuals with ,disabilities in ,all-,hazards ,emergencies 7referred to in this section as the ,advisory ,committee74 7b7 ,duties ,the ,advisory ,committee shall-- 7#a7 provide advice and consultation with respect to activities carried out pursuant to section #bhad1 as applicable and appropriate2 7#b7 evaluate and provide input with respect to the public health1 accessibility1 and medical needs of individuals with disabilities as they relate to preparation for1 response to1 and recovery from all-hazards emergencies2 and 7#c7 provide advice and consultation with respect to ,state emergency preparedness and response activities1 including related drills and exercises pursuant to the preparedness goals under section #bhjb7;b74 7c7 ,report ,not later than ,february #a1 #bjbj1 the ,advisory ,committee shall submit to the ,secretary1 the ,committee on ,energy and ,commerce of the ,house of ,representatives1 the ,committee on ,homeland ,security of the ,house of ,representatives1 the ,committee on ,veterans' ,affairs of the ,house of ,representatives1 the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate1 the ,committee on ,veterans' ,affairs of the ,senate1 and the ,committee on ,homeland ,security and ,governmental ,affairs of the ,senate a report that evaluates the extent to which individuals with disabilities are thoroughly included in disaster preparedness planning and disaster recovery4 ,such report shall-- 7#a7 include recommendations that offer specific improvements that could be made across local1 ,state1 tribal1 territorial1 and ,federal efforts to improve outcomes in areas that include-- 7,a7 preparedness2 7,b7 planning2 7,c7 exercises and drills2 7,d7 alerts1 warning1 and notifications2 7,e7 evacuation2 7,f7 sheltering2 7,g7 health maintenance2 7,h7 accessing emergency programs and services2 7,i7 medical care 7including mental health care72 7,j7 temporary housing2 7,k7 mitigation2 and 7,l7 community resilience2 and 7#b7 assess the strength of existing policies to incorporate such individuals as well as the efficacy of implementation4 7d7 ,composition 7#a7 ,in general ,the ,secretary1 in consultation with such other heads of agencies and departments as may be appropriate1 shall appoint not to exceed #be members to the ,advisory ,committee4 7#b7 ,required members ,in carrying out paragraph 7#a71 the ,secretary shall appoint to the ,advisory ,committee such individuals as may be appropriate to perform the duties described in subsections 7b71 which shall include-- 7,a7 the ,assistant ,secretary for ,preparedness and ,response 7or their designee72 7,b7 the ,director of the ,administration for ,community ,living 7or their designee72 7,c7 the ,director of the ,biomedical ,advanced ,research and ,development ,authority 7or their designee72 7,d7 the ,director of the ,centers for ,disease ,control and ,prevention 7or their designee72 7,e7 the ,commissioner of ,food and ,drugs 7or their designee72 7,f7 the ,director of the ,national ,institutes of ,health 7or their designee72 7,g7 the ,administrator of the ,federal ,emergency ,management ,agency 7or their designee72 7,h7 the ,director of ,office of ,disability ,integration and ,coordination 7or their designee72 7,i7 the ,officer for ,civil ,rights and ,civil ,liberties of the ,department of ,homeland ,security 7or their designee72 7,j7 the ,chair of the ,national ,council on ,disability 7or their designee72 7,k7 the ,chair of the ,united ,states ,access ,board 7or their designee72 7,l7 the ,director of the ,disability ,rights ,section of the ,department of ,justice 7or their designee72 7,m7 the ,secretary of the ,department of ,education 7or their designee72 7,n7 the ,secretary of the ,department of ,transportation 7or their designee72 7,o7 the ,secretary of the ,department of ,housing and ,urban ,development 7or their designee72 7,p7 a representative from the ,department of ,veterans ,affairs ,health ,administration's ,office of ,emergency ,management2 7,q7 the ,director of the ,bureau of ,prisons 7or their designee72 7,r7 at least four representatives who are individuals with disabilities that have substantive expertise in disability inclusive emergency management policy and operations2 7,s7 at least two non-,federal health care professionals with expertise in disability accessibility before1 during1 and after disasters1 medical and mass care disaster planning1 preparedness1 response1 or recovery2 and 7,t7 at least two representatives from ,state1 local1 territorial1 or tribal agencies with expertise in disability-inclusive disaster planning1 preparedness1 response1 or recovery4 7e7 ,meetings ,the ,advisory ,committee shall meet not less than biannually4 7f7 ,disability defined ,for purposes of this section1 the term disability has the meaning given such term in section #c of the ,americans with ,disabilities ,act of #aiij4 7g7 ,termination of ,committee 7#a7 ,in general ,the ,advisory ,committee shall terminate on ,september #cj1 #bjbc4 7#b7 ,recommendation ,not later than ,march #cj1 #bjbc1 the ,secretary shall submit to ,congress a recommendation on whether the ,advisory ,committee should be extended4 4 #aaa4 ,consideration for at-risk individuals 7a7 ,at-,risk individuals in the ,national ,health ,security ,strategy ,section #bhjb7;b77#d77;,b7 7#db ,u4,s4,c4 #cjj;hh-#a7;b77#d77;,b77 is amended by striking this section and sections #cai;,c-#a1 #cai;,f1 and #cai,l and inserting this ,act4 7b7 ,countermeasure ,considerations ,section #cai,l7c77#f7 7#db ,u4,s4,c4 #bdg;d-#g;e7c77#f77 is amended-- 7#a7 by striking elderly and inserting senior citizens2 and 7#b7 by inserting with relevant characteristics that warrant consideration during the process of researching and developing such countermeasures and products before the period at the end4 #aab4 ,public health surveillance 7a7 ,goal ,section #bhjb7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#a7;b771 as amended by sections #ajc and #aaa1 is further amended by adding at the end the following3 7#aa7 ,public health surveillance ,strengthening the ability of ,state1 tribal1 territorial1 and local health departments to adapt and expand existing public health surveillance infrastructure to develop a robust national surveillance capacity to capture data on the impact of emerging public health threats4 ,such capacity shall include emerging threats to pregnant and postpartum women and infants1 including through monitoring birth defects1 developmental disabilities1 and other short-term and long-term adverse outcomes4 4 7b7 ,assurance of confidentiality ,section #cjh7;d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdbm7d77 is amended-- 7#a7 by striking or #cjg and inserting #cjg1 or #bhjb7;b77#aa72 and 7#b7 by striking or #cjf and inserting #cjf1 or #bhjb7;b77#aa74 #aac4 ,,gao study and report on disaster medical assistance teams 7a7 ,study and report 7#a7 ,study ,the ,comptroller ,general of the ,united ,states shall conduct a study on the mission readiness of disaster medical assistance teams with respect to current and emerging natural and manmade threats4 7#b7 ,components ,the study conducted pursuant to paragraph 7#a7 shall include an assessment1 in relation to disaster medical assistance teams1 of-- 7,a7 whether the mission readiness of such teams1 and the needs relating to such readiness1 have changed over time2 7,b7 the standards the ,assistant ,secretary for ,preparedness and ,response of the ,department of ,health and ,human ,services uses to determine-- 7i7 the training needs of such teams2 and 7ii7 whether such teams are mission ready2 7,c7 how to improve the determinations described in subparagraph 7,b72 7,d7 the extent to which the provision of additional resources 7including personnel1 training1 and equipment7 has addressed mission readiness concerns2 and 7,e7 the extent to which the ,assistant ,secretary has developed plans to address mission readiness issues4 7#c7 ,report ,not later than one year after the date of enactment of this ,act1 the ,comptroller ,general shall submit to the ,committee on ,energy and ,commerce of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor and ,pensions of the ,senate a report containing-- 7,a7 the findings of the study conducted pursuant to paragraph 7#a72 and 7,b7 related recommendations4 7b7 ,disaster medical assistance team defined ,in this section1 the term disaster medical assistance team means a disaster medical assistance team operating pursuant to the ,national ,disaster ,medical ,system established under section #bhab of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aa74 #aad4 ,military and civilian partnership for trauma readiness grant program ,title ,,xii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;d et seq47 is amended by adding at the end the following new part3 ,i ,military and ,civilian ,partnership for ,trauma ,readiness ,grant ,program #abia4 ,military and ,civilian ,partnership for ,trauma ,readiness ,grant ,program 7a7 ,military trauma team placement program 7#a7 ,in general ,the ,secretary shall award grants to not more than #bj eligible high-acuity trauma centers to enable military trauma teams to provide1 on a full-time basis1 trauma care and related acute care at such trauma centers4 7#b7 ,limitations ,in the case of a grant awarded under paragraph 7#a7 to an eligible high-acuity trauma center1 such grant-- 7,a7 shall be for a period of at least #c years and not more than #e years 7and may be renewed at the end of such period72 and 7,b7 shall be in an amount that does not exceed #a1jjj1jjj per year4 7#c7 ,availability of funds after performance period ,notwithstanding section #aeeb of title #ca1 ,united ,states ,code1 or any other provision of law1 funds available to the ,secretary for obligation for a grant under this subsection shall remain available for expenditure for #ajj days after the last day of the performance period of such grant4 7b7 ,military trauma care provider placement program 7#a7 ,in general ,the ,secretary shall award grants to eligible trauma centers to enable military trauma care providers to provide trauma care and related acute care at such trauma centers4 7#b7 ,limitations ,in the case of a grant awarded under paragraph 7#a7 to an eligible trauma center1 such grant-- 7,a7 shall be for a period of at least #a year and not more than #c years 7and may be renewed at the end of such period72 and 7,b7 shall be in an amount that does not exceed1 in a year-- 7i7 #ajj1jjj for each military trauma care provider that is a physician at such eligible trauma center2 and 7ii7 #ej1jjj for each other military trauma care provider at such eligible trauma center4 7c7 ,grant requirements 7#a7 ,deployment ,as a condition of receipt of a grant under this section1 a grant recipient shall agree to allow military trauma care providers providing care pursuant to such grant to be deployed by the ,secretary of ,defense for military operations1 for training1 or for response to a mass casualty incident4 7#b7 ,use of funds ,grants awarded under this section to an eligible trauma center may be used to train and incorporate military trauma care providers into such trauma center1 including expenditures for malpractice insurance1 office space1 information technology1 specialty education and supervision1 trauma programs1 research1 and ,state license fees for such military trauma care providers4 7d7 ,rule of construction ,nothing in this section shall be construed to affect the extent to which ,state licensing requirements for health care professionals are preempted by other ,federal law from applying to military trauma care providers4 7e7 ,reporting requirements 7#a7 ,report to the ,secretary and the ,secretary of ,defense ,each eligible trauma center or eligible high-acuity trauma center awarded a grant under subsection 7a7 or 7b7 for a year shall submit to the ,secretary and the ,secretary of ,defense a report for such year that includes information on-- 7,a7 the number and types of trauma cases managed by military trauma teams or military trauma care providers pursuant to such grant during such year2 7,b7 the financial impact of such grant on the trauma center2 7,c7 the educational impact on resident trainees in centers where military trauma teams are assigned2 7,d7 any research conducted during such year supported by such grant2 and 7,e7 any other information required by the ,secretaries for the purpose of evaluating the effect of such grant4 7#b7 ,report to ,congress ,not less than once every #b years1 the ,secretary1 in consultation with the ,secretary of ,defense1 shall submit a report to ,congress that includes information on the effect of placing military trauma care providers in trauma centers awarded grants under this section on-- 7,a7 maintaining readiness of military trauma care providers for battlefield injuries2 7,b7 providing health care to civilian trauma patients in both urban and rural settings2 7,c7 the capability to respond to surges in trauma cases1 including as a result of a large scale event2 and 7,d7 the financial ,state of the trauma centers4 7f7 ,definitions ,for purposes of this part3 7#a7 ,eligible trauma center ,the term eligible trauma center means a ,level ,i1 ,,ii1 or ,,iii trauma center that satisfies each of the following3 7,a7 ,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 center4 7,b7 ,such trauma center utilizes a risk-adjusted benchmarking system to measure performance and outcomes1 such as the ,trauma ,quality ,improvement ,program of the ,american ,college of ,surgeons4 7,c7 ,such trauma center demonstrates a need for integrated military trauma care providers to maintain or improve the trauma clinical capability of such trauma center4 7#b7 ,eligible high-acuity trauma center ,the term eligible high-acuity trauma center means a ,level ,i trauma center that satisfies each of the following3 7,a7 ,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 center4 7,b7 ,at least #bj percent of patients of such trauma center in the most recent #c-month period for which data is available are treated for a major trauma at such trauma center4 7,c7 ,such trauma center utilizes a risk-adjusted benchmarking system to measure performance and outcomes1 such as the ,trauma ,quality ,improvement ,program of the ,american ,college of ,surgeons4 7,d7 ,such trauma center is an academic training center-- 7i7 affiliated with a medical school2 7ii7 that maintains residency programs and fellowships in critical trauma specialties and subspecialties1 and provides education and supervision of military trauma team members according to those specialties and subspecialties2 and 7iii7 that undertakes research in the prevention and treatment of traumatic injury4 7,e7 ,such trauma center serves as a disaster response leader for its community1 such as by participating in a partnership for ,state and regional hospital preparedness established under section #cai;,c-#b4 7#c7 ,major trauma ,the term major trauma means an injury that is greater than or equal to #ae on the injury severity score4 7#d7 ,military trauma team ,the term military trauma team means a complete military trauma team consisting of military trauma care providers4 7#e7 ,military trauma care provider ,the term military trauma care provider means a member of the ,armed ,forces who furnishes emergency1 critical care1 and other trauma acute care1 including a physician1 military surgeon1 physician assistant1 nurse1 respiratory therapist1 flight paramedic1 combat medic1 or enlisted medical technician4 7g7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section1 #ae1jjj1jjj for each of fiscal years #bjai through #bjbc1 of which-- 7#a7 #aj1jjj1jjj shall be for carrying out subsection 7a72 and 7#b7 #e1jjj1jjj shall be for carrying out subsection 7b74 4 #aae4 ,improvement of loan repayment program for prevention activities ,section #cag;,f of the ,public ,health ,service ,act 7#db ,u4,s4,c4 ,sec4 #bdg;b-#g7 is amended-- 7#a7 in subsection 7a77#a7-- 7,a7 by inserting after conduct prevention activities the following3 1 including rapid response to major health threats12 and 7,b7 by striking #ce1jjj and inserting #ej1jjj2 7#b7 in subsection 7a77#b77;,b71 by striking #c years and inserting #b years2 and 7#c7 in subsection 7c71 by striking #ejj1jjj and all that follows through the period at the end and inserting #a1jjj1jjj for each of the fiscal years #bjai through #bjbc44 #aaf4 ,report on adequate national blood supply ,not later than #a year after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall submit to ,congress a report containing recommendations related to maintaining an adequate national blood supply1 including challenges associated with continuous recruitment of blood donors1 ensuring adequacy of blood supply in the case of public health emergencies1 and implementation of safety measures and innovation4 ,,ii ,optimizing ,state and local all-hazards preparedness and response #bja4 ,public health emergencies 7a7 ,response fund ,section #cai of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d7 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#a7-- 7i7 in the first sentence1 by inserting before the period the following3 1 or if the ,secretary determines there is the significant potential for a public health emergency1 to allow the ,secretary to rapidly respond to the immediate needs resulting from such public health emergency or potential public health emergency2 and 7ii7 by inserting after the first sentence the following3 ,the ,secretary shall plan for the expedited distribution of amounts in the ,fund to appropriate agencies and entities42 7,b7 by redesignating paragraph 7#b7 as paragraph 7#c72 7,c7 by inserting after paragraph 7#a7 the following3 7#b7 ,uses ,the ,secretary may use amounts in the ,fund established under paragraph 7#a7-- 7,a7 to facilitate coordination between and among ,federal1 ,state1 local1 tribal1 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 7#a7 7including communication of such entities with relevant international entities1 as applicable72 7,b7 to make grants1 provide for awards1 enter into contracts1 and conduct supportive investigations pertaining to such a public health emergency or potential public health emergency1 including further supporting programs under sections #cai;,c-#a and #cai;,c-#b2 7,c7 to facilitate and accelerate1 as applicable1 advanced research and development of security countermeasures 7as defined in section #cai;,f-#b71 qualified countermeasures 7as defined in section #cai;,f-#a71 or qualified pandemic or epidemic products 7as defined in section #cai;,f-#c71 that are applicable to such a public health emergency or potential public health emergency2 7,d7 to strengthen biosurveillance capabilities and laboratory capacity to identify1 collect1 and analyze information regarding such a public health emergency or potential public health emergency1 including the systems under section #cai;,d2 7,e7 to support initial emergency operations and assets related to preparation and deployment of intermittent disaster-response personnel under section #bhab1 and the ,medical ,reserve ,corps under section #bhac2 and 7,f7 to carry out other activities1 as the ,secretary determines applicable and appropriate4 2 and 7,d7 by inserting after paragraph 7#c71 as so redesignated1 the following3 7#d7 ,review ,not later than #b years after the date of enactment of the ,pandemic and ,all-,hazards ,preparedness ,reauthorization ,act of #bjah1 the ,secretary1 in coordination with the ,assistant ,secretary for ,preparedness and ,response1 shall conduct a review of the ,fund under this subsection1 and provide recommendations to the ,committee on ,health1 ,education1 ,labor1 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 7#b74 7#e7 ,,gao review and report ,the ,comptroller ,general of the ,united ,states shall conduct a review of the ,fund under this subsection1 including the uses and the resources available in the ,fund4 ,not later than #d years after the date of enactment of the ,pandemic and ,all-,hazards ,preparedness ,reauthorization ,act of #bjah1 the ,comptroller ,general shall submit to the ,committee on ,energy and ,commerce of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate a report on such review1 including recommendations related to such review4 2 and 7#b7 in subsection 7c71 by striking section4 and inserting section or funds otherwise provided for emergency response44 7b7 ,temporary reassignment of ,federally funded personnel ,section #cai7;e77#h7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d7e77#h77 is amended by striking #bjah and inserting #bjbc4 #bjb4 ,improving ,state and local public health security 7a7 ,in general ,section #cai;,c-#a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#c;a7 is amended-- 7#a7 in subsection 7a71 by inserting 1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 after the ,secretary2 7#b7 in subsection 7b77#b77;,a7-- 7,a7 in clause 7viii71 by striking at the end and2 7,b7 in clause 7ix71 by adding at the end and2 and 7,c7 by inserting after clause 7ix7 the following new clause3 7x7 a description of-- 7,i7 the measures the entity will have in place to prioritize nursing facilities and skilled nursing facilities with respect to public health emergency preparedness in the same manner as such plan will prioritize hospitals1 while ensuring that1 in prioritizing nursing facilities1 skilled nursing facilities1 and hospitals1 the entity will retain the discretion to prioritize among such facilities2 and 7,,ii7 the plans that each electric utility company within the entity's jurisdiction has in place to ensure that each such company will remain functioning or return to functioning as soon as practicable during power outages caused by natural or manmade disasters2 2 7#c7 in subsection 7e71 by striking 1 and local emergency plans4 and inserting 1 local emergency plans1 and any regional health care emergency preparedness and response system established pursuant to the applicable guidelines under section #cai;,c-#c42 and 7#d7 in subsection 7h77#a77;,a71 by striking #fda1ijj1jjj for fiscal year #bjad for awards pursuant to paragraph 7#c7 7subject to the authority of the ,secretary to make awards pursuant to paragraphs 7#d7 and 7#e771 and #fda1ijj1jjj for each of fiscal years #bjae through #bjah and inserting #fgj1jjj1jjj for each of fiscal years #bjai through #bjbc4 7b7 ,effective date ,the amendments made by subsection 7a7 shall take effect on the date of enactment of this ,act and apply with respect to cooperative agreements awarded on or after such date of enactment4 #bjc4 ,strengthening the hospital preparedness program ,section #cai;,c-#b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#c;b7 is amended-- 7#a7 by amending the section heading to read as follows3 ,state and regional health care preparedness and response to improve surge capacity2 7#b7 in subsection 7a71 by striking hospital preparedness for and inserting health care preparedness for and response to2 7#c7 in subsection 7b77#a77;,a7-- 7,a7 in the matter preceding clause 7i7-- 7i7 by striking partnership and inserting coalition2 and 7ii7 by striking consisting of and inserting that includes2 7,b7 in clause 7ii71 by striking and at the end2 7,c7 in clause 7iii77,,iii71 by striking and at the end2 and 7,d7 by adding at the end the following3 7iv7 an emergency medical service organization2 and 7v7 an emergency management organization2 and 2 7#d7 in subsection 7c71 by inserting after preparedness the following3 and response2 7#e7 in subsection 7d7-- 7,a7 in paragraph 7#a77;,a7-- 7i7 in clause 7i71 by striking 2 and and inserting a semicolon2 7ii7 by redesignating clause 7ii7 as clause 7iii72 and 7iii7 by inserting after clause 7i7 the following3 7ii7 among one or more facilities in a regional health care emergency system under section #cai;,c-#c2 and 2 7,b7 in paragraph 7#a77;,b71 by striking partnership each place it appears and inserting coalition2 and 7,c7 in paragraph 7#b77;,c71 by striking medical preparedness and inserting preparedness and response2 7#f7 in subsection 7f71 by striking partnership and inserting coalition2 7#g7 in subsection 7g77#b7-- 7,a7 by striking ,partnerships and inserting ,coalitions2 7,b7 by striking partnerships and inserting coalitions2 and 7,c7 by inserting after preparedness the following3 and response2 7#h7 in subsection 7i7-- 7,a7 in paragraph 7#a7-- 7i7 by striking ,the requirements and inserting ,except as provided in paragraph 7#b71 the requirements2 7ii7 by striking ,an entity and inserting ,a coalition2 7iii7 by striking such partnership and inserting such coalition2 and 7iv7 by adding at the end the following3 ,in submitting reports pursuant to this paragraph1 an entity shall include information on the progress 7if any7 that the entity has made towards the implementation of section #cai;,c-#c42 7,b7 by redesignating paragraph 7#b7 as paragraph 7#c72 and 7,c7 by inserting after paragraph 7#a7 the following3 7#b7 ,exception relating to application of certain requirements ,beginning with fiscal year #bjai1 and in each succeeding fiscal year1 with respect to entities receiving awards under this section-- 7,a7 paragraph 7#e77;,a7 of section #cai;,c-#a7;g7 shall be applied-- 7i7 by substituting for the immediately preceding fiscal year with the following3 for either of the two immediately preceding fiscal years2 and 7ii7 by substituting #bjai for #bjjh2 and 7,b7 paragraph 7#f77;,a7 of section #cai;,c-#a7;g7 shall be applied by substituting-- 7i7 clause 7i7 of such paragraph with the following3 ,for each of the first two fiscal years immediately following a fiscal year in which an entity experienced a failure described in subparagraph 7,a7 or 7,b7 of paragraph 7#e7 by the entity1 an amount equal to #aj percent of the amount the entity was eligible to receive for each such fiscal year42 7ii7 clause 7ii7 of such paragraph with the following3 ,for each of the first two fiscal years immediately following two consecutive fiscal years in which an entity experienced such a failure1 an amount equal to #ae percent of the amount the entity was eligible to receive for each of such first two fiscal years1 disregarding any withholding of funds that would have been made in each such year by virtue of clause 7i74 ,the amount determined pursuant to the previous sentence shall be in lieu of any amount that would have been withheld for each such year by virtue of clause 7i742 7iii7 clause 7iii7 of such paragraph with the following3 ,for each of the first two fiscal years immediately following three consecutive fiscal years in which an entity experienced such a failure1 an amount equal to #bj percent of the amount the entity was eligible to receive for each of such first two fiscal years1 disregarding any withholding of funds that would have been made in each such year by virtue of clauses 7i7 and 7ii74 ,the amount determined pursuant to the previous sentence shall be in lieu of any amount that would have been withheld for each such year by virtue of clauses 7i7 and 7ii742 and 7iv7 clause 7iv7 of such paragraph with the following3 ,for each of the first two fiscal years immediately following four consecutive fiscal years in which an entity experienced such a failure1 an amount equal to #be percent of the amount the entity was eligible to receive for each of such first two fiscal years1 disregarding any withholding of funds that would have been made in each such year by virtue of clauses 7i71 7ii71 and 7iii74 ,the amount determined pursuant to the previous sentence shall be in lieu of any amount that would have been withheld for each such year by virtue of clauses 7i71 7ii71 and 7iii744 2 and 7#i7 in subsection 7j77#b71 in the paragraph heading1 by striking ,partnerships and inserting ,coalitions4 #bjd4 ,improving benchmarks and standards for preparedness and response 7a7 ,evaluating measurable evidence-,based benchmarks and objective standards ,section #cai;,c-#a 7#db ,u4,s4,c4 #bdg;d-#c;a7 is amended by inserting after subsection 7j7 the following3 7k7 ,evaluation 7#a7 ,in general ,not later than #b years after the date of enactment of the ,pandemic and ,all-,hazards ,preparedness and ,advancing ,innovation ,act of #bjah and every #b years thereafter1 the ,secretary shall conduct an evaluation of the evidence-based benchmarks and objective standards required under subsection 7g74 ,such evaluation shall be submitted to the congressional committees of jurisdiction together with the ,national ,health ,security ,strategy under section #bhjb1 at such time as such strategy is submitted4 7#b7 ,content ,the evaluation under this paragraph shall include-- 7,a7 a review of evidence-based benchmarks and objective standards1 and associated metrics and targets2 7,b7 a discussion of changes to any evidence-based benchmarks and objective standards1 and the effect of such changes on the ability to track whether entities are meeting or making progress toward the goals under this section and1 to the extent practicable1 the applicable goals of the ,national ,health ,security ,strategy under section #bhjb2 7,c7 a description of amounts received by eligible entities1 as described in subsection 7b7 and section #cai;,c-#b7;b71 and amounts received by subrecipients and the effect of such funding on meeting evidence-based benchmarks and objective standards2 and 7,d7 recommendations1 as applicable and appropriate1 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 #bhjb4 4 7b7 ,evaluating the partnership for ,state and regional hospital preparedness ,section #cai;,c-#b7;i77#a7 7#db ,u4,s4,c4 #bdg-c;b7i77#a771 as amended by section #bjc1 is further amended by striking section #cai;,c-#a7;g71 7i71 and 7j7 and inserting section #cai;,c-#a7;g71 7i71 7j71 and 7k74 #bje4 ,authorization of appropriations for revitalizing the ,centers for ,disease ,control and ,prevention ,section #cai;,d7f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#d7;f77 is amended by striking #ach1cjj1jjj for each of fiscal years #bjad through #bjah and inserting #afa1hjj1jjj for each of fiscal years #bjai through #bjbc4 #bjf4 ,authorization of appropriations for ,emergency ,system for ,advanced ,registration of ,volunteer ,health ,professionals ,section #cai;,i7k7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#g;b7k77 is amended by striking fiscal years #bjad through #bjah and inserting fiscal years #bjai through #bjbc4 #bjg4 ,regional health care emergency preparedness and response systems ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq47 is amended by inserting after section #cai;,c-#b the following new section3 #cai;,c-#c4 ,guidelines for regional health care emergency preparedness and response systems 7a7 ,purpose ,it is the purpose of this section to identify and provide guidelines for regional systems of hospitals1 health care facilities1 and other public and private sector entities1 with varying levels of capability to treat patients and increase medical surge capacity during1 in advance of1 and immediately following a public health emergency1 including threats posed by one or more chemical1 biological1 radiological1 and nuclear agents1 including emerging infectious diseases4 7b7 ,guidelines ,the ,assistant ,secretary for ,preparedness and ,response1 in consultation with the ,director of the ,centers for ,disease ,control and ,prevention1 the ,administrator of the ,centers for ,medicare ,medicaid ,services1 the ,administrator of the ,health ,resources and ,services ,administration1 the ,commissioner of ,food and ,drugs1 the ,assistant ,secretary for ,mental ,health and ,substance ,use1 the ,assistant ,secretary of ,labor for ,occupational ,safety and ,health1 the ,secretary of ,veterans ,affairs1 the heads of such other ,federal agencies as the ,secretary determines to be appropriate1 and ,state1 local1 tribal1 and territorial public health officials1 shall1 not later than #b years after the date of enactment of this section-- 7#a7 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 during1 in advance of1 or immediately following1 a public health emergency1 resulting from one or more chemical1 biological1 radiological1 or nuclear agents1 including emerging infectious diseases 7which may include existing practices1 such as trauma care and medical surge capacity and capabilities71 with respect to-- 7,a7 a regional approach to identifying hospitals and health care facilities based on varying capabilities and capacity to treat patients affected by such emergency1 including-- 7i7 the manner in which the system will coordinate with and integrate the health care coalitions and entities described in section #cai;,c-#b7;b72 and 7ii7 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 community2 7,b7 physical and technological infrastructure1 laboratory capacity1 staffing1 blood supply1 and other supply chain needs1 taking into account resiliency1 geographic considerations1 and rural considerations2 7,c7 protocols or best practices for the safety and personal protection of workers who handle human remains and health care workers 7including with respect to protective equipment and supplies1 waste management processes1 and decontamination71 sharing of specialized experience among the health care workforce1 behavioral health1 psychological resilience1 and training of the workforce1 as applicable2 7,d7 in a manner that allows for disease containment 7within the meaning of section #bhjb7;b77#b77;,b771 coordinated medical triage1 treatment1 and transportation of patients1 based on patient medical need 7including patients in rural areas71 to the appropriate hospitals or health care facilities within the regional system or1 as applicable and appropriate1 between systems in different ,states or regions2 and 7,e7 the needs of children and other at-risk individuals2 7#b7 make such guidelines available on the public website of the ,department of ,health and ,human ,services in a manner that does not compromise national security2 and 7#c7 update such guidelines as appropriate1 including based on input received pursuant to subsections 7c7 and 7f71 to address new and emerging public health threats4 7c7 ,considerations ,in identifying1 developing1 and updating guidelines under subsection 7b71 the ,assistant ,secretary for ,preparedness and ,response shall-- 7#a7 include input from hospitals and health care facilities 7including health care coalitions under section #cai;,c-#b71 ,state1 local1 tribal1 and territorial public health departments1 and health care or subject matter experts 7including experts with relevant expertise in chemical1 biological1 radiological1 or nuclear threats1 and emerging infectious disease71 as the ,assistant ,secretary determines appropriate1 to meet the goals under section #bhjb7;b77#c72 7#b7 consult and engage with appropriate health care providers and professionals1 including physicians1 nurses1 first responders1 health care facilities 7including hospitals1 primary care clinics1 community health centers1 mental health facilities1 ambulatory care facilities1 and dental health facilities71 pharmacies1 emergency medical providers1 trauma care providers1 environmental health agencies1 public health laboratories1 poison control centers1 blood banks1 and other experts that the ,assistant ,secretary determines appropriate1 to meet the goals under section #bhjb7;b77#c72 7#c7 consider feedback related to financial implications for hospitals1 health care facilities1 public health agencies1 laboratories1 blood banks1 and other entities engaged in regional preparedness planning to implement and follow such guidelines1 as applicable2 and 7#d7 consider financial requirements and potential incentives for entities to prepare for1 and respond to1 public health emergencies as part of the regional health care emergency preparedness and response system4 7d7 ,technical assistance ,the ,assistant ,secretary for ,preparedness and ,response1 in consultation with the ,director of the ,centers for ,disease ,control and ,prevention and the ,assistant ,secretary of ,labor for ,occupational ,safety and ,health1 may provide technical assistance and consultation towards meeting the guidelines described in subsection 7b74 7e7 ,demonstration project for regional health care preparedness and response systems 7#a7 ,in general ,the ,assistant ,secretary for ,preparedness and ,response may establish a demonstration project pursuant to the development and implementation of guidelines under subsection 7b7 to award grants to improve medical surge capacity for all hazards1 build and integrate regional medical response capabilities1 improve specialty care expertise for all-hazards response1 and coordinate medical preparedness and response across ,state1 local1 tribal1 territorial1 and regional jurisdictions4 7#b7 ,sunset ,the authority under this subsection shall expire on ,september #cj1 #bjbc4 7f7 ,,gao report to ,congress 7#a7 ,report ,not later than #c years after the date of enactment of this section1 the ,comptroller ,general of the ,united ,states 7referred to in this subsection as the ,comptroller ,general7 shall submit to the ,committee on ,health1 ,education1 ,labor1 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 subsection 7b71 including an analysis and evaluation of any challenges hospitals or health care facilities experienced in implementing such guidelines4 7#b7 ,content ,the ,comptroller ,general shall include in the report under paragraph 7#a7-- 7,a7 data on the preparedness and response capabilities that have been informed by the guidelines under subsection 7b7 to improve regional emergency health care preparedness and response capability1 including hospital and health care facility capacity and medical surge capabilities to prepare for1 and respond to1 public health emergencies2 and 7,b7 recommendations to reduce gaps in incentives for regional health partners1 including hospitals and health care facilities1 to improve capacity and medical surge capabilities to prepare for1 and respond to1 public health emergencies1 consistent with subsection 7a71 which may include consideration of facilities participating in programs under section #cai;,c-#b1 programs under the ,centers for ,medicare ,medicaid ,services 7including innovative health care delivery and payment models71 and input from private sector financial institutions4 7#c7 ,consultation ,in carrying out paragraphs 7#a7 and 7#b71 the ,comptroller ,general shall consult with the heads of appropriate ,federal agencies1 including-- 7,a7 the ,assistant ,secretary for ,preparedness and ,response2 7,b7 the ,director of the ,centers for ,disease ,control and ,prevention2 7,c7 the ,administrator of the ,centers for ,medicare ,medicaid ,services2 7,d7 the ,assistant ,secretary for ,mental ,health and ,substance ,use2 7,e7 the ,assistant ,secretary of ,labor for ,occupational ,safety and ,health2 7,f7 the ,secretary of ,veterans ,affairs2 and 7,g7 the heads of such other ,federal agencies as the ,secretary determines appropriate4 4 #bjh4 ,national ,academy of ,medicine evaluation and report on the preparedness of hospitals1 long-term care facilities1 dialysis centers1 and other medical facilities for public health emergencies 7a7 ,evaluation 7#a7 ,in general ,not later than #fj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall enter into an arrangement with the ,national ,academy of ,medicine or1 if the ,national ,academy declines to enter into such an arrangement1 another appropriate entity under which the ,national ,academy 7or other appropriate entity7 agrees to evaluate the preparedness of hospitals1 long-term care facilities1 dialysis centers1 and other medical facilities nationwide for public health emergencies1 including natural disasters4 7#b7 ,specific matters evaluated ,the arrangement under paragraph 7#a7 shall require the ,national ,academy of ,medicine 7or other appropriate entity7-- 7,a7 to catalogue1 review1 and evaluate the efficacy of current rules and regulations for hospitals1 long-term care facilities1 dialysis centers1 and medical facilities regarding emergency preparedness planning2 7,b7 to identify and prioritize options to implement policies for hospitals1 long-term care facilities1 dialysis centers1 and other medical facilities nationwide that address future threats2 7,c7 to review all ,federal grant programs that affect the preparedness of hospitals1 long-term care facilities1 dialysis centers1 or other medical facilities for public health emergencies and provide recommendations for improving such preparedness by-- 7i7 improving such existing ,federal grant programs2 or 7ii7 creating new ,federal grant programs2 7,d7 to review1 identify1 and recommend best practices for improving emergency preparedness at hospitals1 long-term care facilities1 dialysis centers1 and other medical facilities2 7,e7 to identify and recommend best sources and guidelines for alterative or emergency power systems1 including renewable sources1 battery storage1 and generators2 and 7,f7 to identify and recommend best practices and guidelines for emergency preparedness planning related to access to clean water at hospitals1 long-term care facilities1 dialysis centers1 and other medical facilities4 7b7 ,report 7#a7 ,in general ,the arrangement under subsection 7a77#a7 shall require the ,national ,academy of ,medicine 7or other appropriate entity7 to submit to the ,secretary of ,health and ,human ,services and the ,congress1 not later than #ah months after the date of enactment of this ,act1 a report on the results of the evaluation conducted pursuant to this section4 7#b7 ,contents ,the report under paragraph 7#a7 shall-- 7,a7 describe the findings and conclusions of the evaluation conducted pursuant to this section2 and 7,b7 include a strategy for improving the preparedness of hospitals1 long-term care facilities1 dialysis centers1 and other medical facilities nationwide for public health emergencies1 including natural disasters4 #bji4 ,limitation on liability for volunteer health care professionals 7a7 ,in general ,title ,,ii of the ,public ,health ,service ,act is amended by inserting after section #bbd 7#db ,u4,s4,c4 #bcc7 the following new section3 #bbd;,a4 ,limitation on liability for volunteer health care professionals 7a7 ,limitation on liability ,except as provided in subsection 7b71 a health care professional serving1 for purposes of responding to a disaster1 as a volunteer shall not be liable under ,federal or ,state law for any harm caused by an act or omission of the professional in the provision of health care services if the act or omission occurs-- 7#a7 during the period of the disaster2 7#b7 in the ,state or ,states for which the disaster is declared2 7#c7 while the health care professional is acting in the professional's capacity as a volunteer2 7#d7 in the course of providing health care services that are within the scope of the license1 registration1 or certification of the volunteer1 as defined by the ,state of licensure1 registration1 or certification2 and 7#e7 while the health care professional is acting in a good faith belief that the individual being provided such health care services is in need of such health care services4 7b7 ,exceptions ,subsection 7a7 does not apply with respect to harm caused by an act or omission of a health care professional in the provision of health care services as described in such subsection if-- 7#a7 the harm was caused by an act or omission constituting willful or criminal misconduct1 gross negligence1 reckless misconduct1 or a conscious flagrant indifference to the rights or safety of the individual harmed by the health care professional2 or 7#b7 the health care professional provided such health care services under the influence 7as determined pursuant to applicable ,state law7 of alcohol or an intoxicating drug4 7c7 ,preemption ,no ,state or political subdivision of a ,state may establish or continue in effect any laws relating to the liability for acts or omissions relating to the provision of health care services by health care professionals serving1 for purposes of responding to a disaster1 as volunteers that are inconsistent with this section1 unless such laws provide greater protection from such liability4 7d7 ,relationship to ,volunteer ,protection ,act of #aiig ,the protections from liability under this section are in addition to the protections from liability under the ,volunteer ,protection ,act of #aiig4 7e7 ,definitions ,in this section3 7#a7 ,the term disaster means-- 7,a7 a national emergency declared by the ,president under the ,national ,emergencies ,act2 7,b7 an emergency or major disaster declared by the ,president under the ,robert ,t4 ,stafford ,disaster ,relief and ,emergency ,assistance ,act2 or 7,c7 a public health emergency that is determined by the ,secretary under section #cai of this ,act with respect to one or more ,states specified in such determination-- 7i7 during only the initial period covered by such determination2 and 7ii7 excluding any period covered by a renewal of such determination4 7#b7 ,the term harm includes physical1 nonphysical1 economic1 and noneconomic losses4 7#c7 ,the term health care professional means an individual who is licensed1 registered1 or certified under ,federal or ,state law to provide health care services4 7#d7 ,the term health care services means any services provided by a health care professional1 or by any individual working under the supervision of a health care professional1 that relate to-- 7,a7 the diagnosis1 prevention1 or treatment of any human disease or impairment2 or 7,b7 the assessment or care of the health of a human being4 7#e7 ,the term ,state includes each of the several ,states1 the ,district of ,columbia1 the ,commonwealth of ,puerto ,rico1 the ,virgin ,islands1 ,guam1 ,american ,samoa1 the ,northern ,mariana ,islands1 and any other territory or possession of the ,united ,states4 7#f7 7,a7 ,the term volunteer means a health care professional who1 in providing health care services in response to a disaster1 does not receive-- 7i7 compensation2 or 7ii7 any other thing of value in lieu of compensation1 in excess of #ejj per year4 7,b7 ,for purposes of subparagraph 7,a71 the term compensation-- 7i7 includes payment under any insurance policy or health plan1 or under any ,federal health care program 7as defined in section #aabh;,b7f7 of the ,social ,security ,act7 or ,state health benefits program2 and 7ii7 excludes-- 7,i7 reasonable reimbursement or allowance for expenses actually incurred2 7,,ii7 receipt of paid leave2 and 7,,iii7 receipt of items to be used exclusively for providing the health care services referred to in subparagraph 7,a74 4 7b7 ,effective date ,the amendment made by subsection 7a7 shall apply with respect to claims for relief for which the act or omission giving rise to the claim occurred on or after the date that is #ij days after the date of the enactment of this ,act4 7c7 ,sense of ,congress ,it is the sense of the ,congress that-- 7#a7 health care professionals should be encouraged1 to register with the ,emergency ,system for ,advance ,registration of ,volunteer ,health ,professionals 7,,esarvhp71 and ,states should employ online registration with the promptest processing possible of such registrations to foster the rapid deployment and utilization of volunteer health care professionals following a disaster2 7#b7 ,federal and ,state agencies and licensing boards should cooperate to facilitate the timely movement of properly licensed volunteer health care professionals to areas affected by a disaster2 and 7#c7 the appropriate licensing entities should verify the licenses of volunteer health care professionals serving disaster victims as soon as is reasonably practical following a disaster4 ,,iii ,accelerating medical countermeasure advanced research and development #cja4 ,strategic national stockpile and security countermeasure procurement 7a7 ,in general 7#a7 ,coordination with the ,,aspr ,subsection 7a77#a7 of section #cai;,f-#b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7 is amended by inserting the ,assistant ,secretary for ,preparedness and ,response and before the ,director of the ,centers for ,disease ,control and ,prevention4 7#b7 ,conforming amendments ,subsection 7c7 of section #bhaa of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aj71 as amended by section #aja1 is further amended-- 7,a7 in paragraph 7#b7-- 7i7 by redesignating subparagraphs 7,c7 through 7,f7 as subparagraphs 7,d7 through 7,g71 respectively2 and 7ii7 by inserting after subparagraph 7,b7 the following new subparagraph3 7,c7 the ,strategic ,national ,stockpile pursuant to section #cai;,f-#b2 2 and 7,b7 in paragraph 7#c7-- 7i7 in subparagraph 7,a71 by adding and at the end2 7ii7 by striking subparagraph 7,b72 and 7iii7 by redesignating subparagraph 7,c7 as subparagraph 7,b74 7b7 ,congressional notification of material threat determination ,section #cai;,f-#b7;c77#b77;,c7 7#db ,u4,s4,c4 #bdg;d-#f;b7c77#b77;,c77 is amended by striking ,the ,secretary and the ,homeland ,security ,secretary shall promptly notify the appropriate committees of ,congress and inserting ,the ,secretary and the ,secretary of ,homeland ,security shall send to ,congress1 on an annual basis1 all current material threat determinations and shall promptly notify the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,committee on ,homeland ,security and ,government ,affairs of the ,senate and the ,committee on ,energy and ,commerce and the ,committee on ,homeland ,security of the ,house of ,representatives4 7c7 ,authorization of appropriations ,section #cai;,f-#b7;f77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7f77#a77 is amended by striking #ecc1hjj1jjj for each of fiscal years #bjad through #bjah and inserting #faj1jjj1jjj for each of fiscal years #bjai through #bjbc1 to remain available until expended4 7d7 ,bioshield special reserve fund ,paragraph 7#a7 of section #cai;,f-#b7;g7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7g77 is amended to read as follows3 7#a7 ,authorization of appropriations ,in addition to amounts appropriated to the special reserve fund prior to the date of the enactment of this subsection1 there is authorized to be appropriated1 for the procurement of security countermeasures under subsection 7c7 and for carrying out section #cai,l 7relating to the ,biomedical ,advanced ,research and ,development ,authority71 #g1ajj1jjj1jjj for the fiscal years #bjai through #bjbh4 ,funds authorized by the preceding sentence for fiscal years #bjbj through #bjbg may be provided by advance appropriation1 to be obligated at a rate of not less than #gaj1jjj1jjj per year4 ,amounts appropriated pursuant to this paragraph are authorized to remain available until expended4 4 #cjb4 ,biomedical advanced research and development authority 7a7 ,preparing for pandemic influenza1 antimicrobial resistance1 and other significant threats ,section #cai,l7c77#d7 of the ,public ,health ,service ,act 7#bdg;d-#g;e7c77#d77 is amended by adding at the end the following3 7,f7 ,strategic initiatives ,the ,secretary1 acting through the ,director of ,,barda1 may implement strategic initiatives1 including by building on existing programs and by awarding grants supporting innovative candidate products in preclinical and clinical development1 to address priority1 naturally occurring and man-made threats that1 as determined by the ,secretary1 pose a significant level of risk to national security based on the characteristics of a chemical1 biological1 radiological or nuclear threat1 or existing capabilities to respond to such a threat 7including medical response and treatment capabilities and manufacturing infrastructure74 ,such initiatives shall accelerate and support the advanced research1 development1 and procurement of1 countermeasures and products1 as applicable1 to address areas including-- 7i7 chemical1 biological1 radiological1 or nuclear threats1 including emerging infectious diseases1 for which insufficient approved1 licensed1 or authorized countermeasures exist1 or for which such threat1 or the result of an exposure to such threat1 may become resistant to countermeasures or existing countermeasures may be rendered ineffective2 7ii7 threats that consistently exist or continually circulate and have significant potential to become a pandemic1 such as pandemic influenza1 which may include the advanced research and development1 manufacturing1 and appropriate stockpiling of qualified pandemic or epidemic products1 and products1 technologies1 or processes to support the advanced research and development of such countermeasures 7including multiuse platform technologies for diagnostics1 vaccines1 and therapeutics2 virus seeds2 clinical trial lots2 novel virus strains2 and antigen and adjuvant material72 and 7iii7 threats that may result primarily or secondarily from a chemical1 biological1 radiological1 or nuclear agent1 or emerging infectious disease1 and which may present increased treatment complications such as the occurrence of resistance to available countermeasures or potential countermeasures1 including antimicrobial resistant pathogens4 4 7b7 ,transaction authorities ,section #cai,l7c77#e77;,a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#g;e7c77#e77;,a77 is amended-- 7#a7 by amending clause 7i7 to read as follows3 7i7 ,in general ,the ,secretary shall have the authority to engage in transactions other than a contract1 grant1 or cooperative agreement with respect to projects under this section4 2 and 7#b7 in clause 7ii7-- 7,a7 by amending subclause 7,i7 to read as follows3 7,i7 ,to the maximum extent practicable1 competitive procedures shall be used when entering into agreements to carry out projects under this section4 2 and 7,b7 in subclause 7,,ii71 by striking #bj1jjj1jjj and inserting #ajj1jjj1jjj4 7c7 ,pandemic influenza program ,section #cai,l of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#g;e7 is amended-- 7#a7 by redesignating subsections 7d7 through 7f7 as subsections 7f7 through 7h71 respectively2 and 7#b7 by inserting after subsection 7c7 the following new subsections3 7d7 ,pandemic influenza program ,the ,secretary1 acting through the ,director of ,,barda1 shall establish and implement a program that-- 7#a7 supports research and development activities for qualified pandemic or epidemic products 7as defined in section #cai;,f-#c7;i771 including by developing innovative technologies to enhance rapid response to threats relating to pandemic influenza2 7#b7 ensures readiness to respond to pandemic influenza threats by supporting the development and manufacturing of influenza virus seeds1 clinical trial lots1 and stockpiles of novel influenza strains2 and 7#c7 sustains and replenishes pandemic stockpiles of bulk antigen and adjuvant material1 including annually testing the potency and shelf-life potential of all existing pandemic stockpiles held by the ,department of ,health and ,human ,services4 7e7 ,emerging infectious disease program ,the ,secretary1 acting through the ,director of ,,barda1 shall establish and implement a program that supports research and development1 and manufacturing infrastructure1 activities with respect to an emerging infectious disease4 4 7d7 ,funding ,subsection 7f7 of section #cai,l of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#g;e71 as redesignated by subsection 7b77#a71 is amended-- 7#a7 in paragraph 7#b7-- 7,a7 by inserting 7other than subsections 7d7 and 7e77 after purposes of this section2 and 7,b7 by striking #dae1jjj1jjj for each of fiscal years #bjad through #bjah and inserting #ecf1gjj1jjj for each of fiscal years #bjai through #bjbc2 and 7#b7 by adding at the end the following new paragraphs3 7#c7 ,funding for pandemic influenza program 7,a7 ,in general ,to carry out the purposes of subsection 7d71 there is authorized to be appropriated #bej1jjj1jjj for each of fiscal years #bjai through #bjbc1 to remain available until expended4 7,b7 ,supplement not supplant ,any funds provided to the ,secretary under this paragraph shall be used to supplement and not supplant any other ,federal funds provided to carry out the purposes of subsection 7d74 7#d7 ,funding for emerging infectious disease program 7,a7 ,in general ,to carry out the purposes of subsection 7e71 there is authorized to be appropriated #bej1jjj1jjj for each of fiscal years #bjai through #bjbc1 to remain available until expended4 7,b7 ,supplement not supplant ,any funds provided to the ,secretary under this paragraph shall be used to supplement and not supplant any other ,federal funds provided to carry out the purposes of subsection 7e74 4 #cjc4 ,report on the development of vaccines to prevent future epidemics ,not later than one year after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall submit to ,congress a report detailing the activities carried out by the ,department of ,health and ,human ,services to support the development of vaccines to prevent future epidemics1 including work carried out through domestic and global public-private partnerships and other collaborations intended to spur the development of such vaccines4 ,such report shall include information related to the provision of any funding or technical assistance to such entities4 ,,iv ,miscellaneous provisions #dja4 ,cybersecurity 7a7 ,national health security strategy ,section #bhjb7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;h-#a7;a77 is amended by adding at the end the following3 7#d7 ,cybersecurity threats ,in the next version of the ,national ,health ,security ,strategy prepared after the date of the enactment of this paragraph1 the ,national ,health ,security ,strategy shall include a national strategy focused on addressing cybersecurity threats to the public health and health care system1 including-- 7,a7 defining the functions1 capabilities1 and gaps in such system2 and 7,b7 identifying strategies to strengthen the preparedness and response of such system to cybersecurity threats and incidents1 including with respect to continuity of care and risk mitigation to prevent harm to human health in case of a cybersecurity incident4 4 7b7 ,coordination of preparedness for and response to all-,hazards public health emergencies ,section #bhaa7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aj71 as amended by sections #aja and #cja1 is further amended-- 7#a7 by redesignating paragraph 7#d7 as paragraph 7#e72 and 7#b7 by inserting after paragraph 7#c7 the following3 7#d7 have lead responsibility within the ,department of ,health and ,human ,services for ensuring the ability of the health care sector to provide continuity of care during a cybersecurity incident2 and 4 #djb4 ,miscellaneous ,,fda amendments 7a7 ,drug development tools ,section #ejg7;c7 of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #ceg7 is amended-- 7#a7 by redesignating paragraph 7#c7 as paragraph 7#d72 and 7#b7 by inserting after paragraph 7#b7 the following3 7#c7 ,national security limitation ,in making information publicly available pursuant to paragraph 7#a71 the ,secretary-- 7,a7 shall not disclose information that would compromise national security2 and 7,b7 may make available summaries in lieu of data and evidence contained in qualification submissions4 4 7b7 ,emergency use instructions ,subparagraph 7,a7 of section #efd;,a7e77#b7 of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#c;a7e77#b77 is amended by striking subsection 7a77#a77;,c77i7 and inserting subsection 7a77#a77;,c74 7c7 ,products held for emergency use ,section #efd;,b7#b7 of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#c;b7 is amended-- 7#a7 in subparagraph 7,b71 by inserting a comma after #eje2 and 7#b7 in subparagraph 7,c71 by inserting or section #efd;,a before the period at the end4 #djc4 ,formal strategy relating to children separated from parents and guardians as a result of zero tolerance policy ,not later than #ad days after the date of the enactment of this ,act1 the ,assistant ,secretary for ,preparedness and ,response shall submit to the ,committee on ,energy and ,commerce of the ,house of ,representatives a formal strategy-- 7#a7 to reunify with their parent or guardian each child who1 as a result of the zero tolerance policy1 was separated from their parent or guardian and placed into a facility funded by the ,department of ,health and ,human ,services2 and 7#b7 to address deficiencies identified by the previous work of the ,committee1 which began in #bjad1 regarding the oversight of1 and care for1 unaccompanied alien children in the custody of the ,department4 #djd4 ,biological threat detection ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq471 as amended by section #ajd1 is further amended by inserting after section #cai;,d-#a of such ,act1 the following new section3 #cai;,d-#b4 ,biological threat detection 7a7 ,exchange of information 7#a7 ,in general ,the ,secretary of ,health and ,human ,services1 in coordination with the ,secretary of ,defense and the ,secretary of ,homeland ,security1 shall-- 7,a7 facilitate the identification by ,federal departments and agencies of technological1 operational1 and programmatic successes and failures of domestic detection programs for intentionally introduced1 accidentally released1 and naturally occurring infectious diseases2 7,b7 facilitate the exchange of information described in subparagraph 7,a7 among ,federal departments and agencies that utilize biological threat detection technology2 and 7,c7 make recommendations on research1 development1 and procurement to ,federal departments and agencies to replace and enhance biological threat detection systems in use1 including recommendation for the transfer of biological threat detection technology among ,federal departments and agencies4 7#b7 ,considerations ,in carrying out paragraph 7#a71 the ,secretary of ,health and ,human ,services shall take into consideration the capabilities of the system with respect to each of the following3 7,a7 ,rapidly detecting1 identifying1 characterizing1 and confirming the presence of biological threat agents4 7,b7 ,recovering live biological agents from collection devices4 7,c7 ,determining the geographical distribution of biological agents4 7,d7 ,determining the extent of environmental contamination and persistence of biological agents4 7,e7 ,providing advanced molecular diagnostics to ,state1 local1 tribal1 and territorial public health and other laboratories that support biological threat detection activities4 7b7 ,collaboration ,the ,secretary of ,health and ,human ,services1 in consultation with ,secretary of ,defense1 the ,secretary of ,homeland ,security1 the ,director of the ,centers for ,disease ,control and ,prevention1 and the heads of other ,federal departments and agencies that utilize biological threat detection technology1 shall collaborate with ,state1 local1 tribal1 and territorial public health laboratories and other users of current and future biological threat detection systems to develop-- 7#a7 biological threat detection requirements1 including-- 7,a7 technical1 quality1 and biosafety standards1 including the review of validation data prior to and throughout deployment of a biological threat detection system2 and 7,b7 requirements for-- 7i7 the assessment of quality standards and the development and deployment of biological threat detection systems2 and 7ii7 metrics for1 collaborative assessment of1 and deployment of biosafety standards2 7#b7 a standardized integration strategy for-- 7,a7 the level to which biological threat detection processes and systems are defined and executed2 7,b7 the locations at which such processes and systems are performed2 and 7,c7 the extent to which data is shared among ,state1 local1 tribal1 and territorial public health laboratories and ,federal departments and agencies2 7#c7 ,state1 local1 tribal1 and territorial laboratory training requirements for-- 7,a7 supporting and participating in biological threat detection systems2 and 7,b7 addressing flexibility at the jurisdictional level allowing for adoption of technology based on need and assessment of the efficacy and local utility of technology by the jurisdiction2 7#d7 guidelines for a coordinated public health response addressing all aspect of a response1 including clinical and epidemiological guidelines for utilizing information produced by biological threat detection systems and responding to intentionally introduced1 accidentally released1 and naturally occurring infectious diseases2 and 7#e7 a coordinated remediation plan with ,federal departments and agencies and ,state and local public health agencies to facilitate rapid1 safe1 and coordinated restoration of facilities and localities after a contaminating biological event4 4 #dje4 ,strengthening ,mosquito ,abatement for ,safety and ,health 7a7 ,reauthorization of ,mosquito ,abatement for ,safety and ,health program ,section #cag,s of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ba7 is amended-- 7#a7 in subsection 7a77#a77;,b7-- 7,a7 by inserting including programs to address emerging infectious mosquito-borne diseases1 after subdivisions for control programs12 and 7,b7 by inserting or improving existing control programs before the period at the end2 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#a71 by inserting 1 including improvement1 after operation2 7,b7 in paragraph 7#b7-- 7i7 in subparagraph 7,a7-- 7,i7 in clause 7ii71 by striking or at the end2 7,,ii7 in clause 7iii71 by striking the semicolon at the end and inserting 1 including an emerging infectious mosquito-borne disease that presents a serious public health threat2 or2 and 7,,iii7 by adding at the end the following3 7iv7 a public health emergency due to the incidence or prevalence of a mosquito-borne disease that presents a serious public health threat2 2 and 7ii7 by amending subparagraph 7,d7 to read as follows3 7,d7 7i7 is located in a ,state that has received a grant under subsection 7a72 or 7ii7 demonstrates to the ,secretary that the control program for which a grant is sought is consistent with existing ,state mosquito control plans or policies1 and other applicable ,state preparedness plans4 2 7,c7 in paragraph 7#d77;,c71 by striking that extraordinary and all that follows through the period at the end and inserting the following3 that-- 7i7 extraordinary economic conditions in the political subdivision or consortium of political subdivisions involved justify the waiver2 or 7ii7 the geographical area covered by a political subdivision or consortium for a grant under paragraph 7#a7 has an extreme mosquito control need due to-- 7,i7 the size or density of the potentially impacted human population2 7,,ii7 the size or density of a mosquito population that requires heightened control2 or 7,,iii7 the severity of the mosquito-borne disease1 such that expected serious adverse health outcomes for the human population justify the waiver4 2 and 7,d7 by amending paragraph 7#f7 to read as follows3 7#f7 ,number of grants ,a political subdivision or a consortium of political subdivisions may not receive more than one grant under paragraph 7#a74 2 and 7#c7 in subsection 7d71 by striking ,amounts appropriated under subsection 7f7 and inserting ,amounts appropriated to carry out this section4 7b7 ,epidemiology-,laboratory capacity grants ,section #bhba of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#ca7 is amended-- 7#a7 in subsection 7a77#a71 by inserting 1 including mosquito and other vector-borne diseases1 after infectious diseases2 and 7#b7 by amending subsection 7b7 to read as follows3 7b7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #dj1jjj1jjj for each of fiscal years #bjai through #bjbc4 4 7c7 ,,gao study 7#a7 ,study ,the ,comptroller ,general of the ,united ,states shall conduct a study on the state of surveillance and control of mosquito-borne infectious diseases in the ,united ,states1 including ,indian ,country 7as defined in section #aaea of title #ah1 ,united ,states ,code7 and territories1 including the state of preparedness for conducting such surveillance and control4 ,the study shall include-- 7,a7 a description of the infrastructure and programs for mosquito control in the ,united ,states 7including ,indian ,country 7as so defined7 and such territories71 including-- 7i7 how such infrastructure and programs are organized and implemented at the ,federal1 ,state and local levels1 including with respect to departments and agencies of the ,states1 and local organizations 7including special districts7 involved in such control programs2 7ii7 the role of the private sector in such activities2 7iii7 how the authority for mosquito control impacts such activities2 and 7iv7 the funding sources for such infrastructure and programs1 including ,federal1 ,state1 and local funding sources2 7,b7 how mosquito-borne and other vector-borne disease surveillance and control is integrated into ,federal1 ,state1 and local preparedness plans and actions1 including how zoonotic surveillance is integrated into infectious disease surveillance to support real-time situational surveillance and awareness2 7,c7 ,federal1 ,state1 and local laboratory capacity for emerging vector-borne diseases1 including mosquito-borne and other zoonotic diseases2 and 7,d7 any regulatory challenges for developing and utilizing vector-control technologies and platforms as part of mosquito control strategies4 7#b7 ,consultations ,in conducting the study under paragraph 7#a71 the ,comptroller ,general of the ,united ,states shall consult with-- 7,a7 ,state and local public health officials involved in mosquito and other vector-borne disease surveillance and control efforts2 7,b7 researchers and manufacturers of mosquito control products2 7,c7 stakeholders involved in mosquito abatement activities2 7,d7 infectious disease experts2 and 7,e7 entomologists involved in mosquito-borne disease surveillance and control efforts4 7#c7 ,report ,not later than #ah months after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report containing-- 7,a7 the results of the study conducted under paragraph 7#a72 and 7,b7 any relevant recommendations of the ,comptroller ,general for preparedness and response efforts with respect to ,zika virus and other mosquito-borne diseases4 #djf4 ,additional strategies for combating antibiotic resistance ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq47 is amended by inserting after section #cai;,e the following3 #cai;,e-#a4 ,advisory ,council on ,combating ,antibiotic-,resistant ,bacteria 7a7 ,definitions ,in this section3 7#a7 ,action ,plan ,the term ,action ,plan means the ,action ,plan described in section #cai;,e7a77#a74 7#b7 ,advisory ,council ,the term ,advisory ,council means the ,advisory ,council on ,combating ,antibiotic-,resistant ,bacteria established by ,executive ,order #acfgf of ,september #ah1 #bjad 7#gi ,fed4 ,reg4 #efica2 relating to combating antibiotic-resistant bacteria74 7#c7 ,national ,strategy ,the term ,national ,strategy means the ,national ,strategy for ,combating ,antibiotic-,resistant ,bacteria issued by the ,white ,house in ,september #bjad1 and any subsequent update to such strategy or a successor strategy4 7b7 ,advisory ,council ,the ,advisory ,council shall provide advice1 information1 and recommendations to the ,secretary regarding programs and policies intended to support and evaluate the implementation of ,executive ,order #acfgf of ,september #ah1 #bjad 7#gi ,fed4 ,reg4 #efica2 relating to combating antibiotic-resistant bacteria71 including the ,national ,strategy1 and the ,action ,plan4 7c7 ,meetings and duties 7#a7 ,meetings ,the ,advisory ,council shall meet as the ,chair determines appropriate but not less than twice per year1 and1 to the extent practicable1 in conjunction with meetings of the task force described in section #cai;,e4 7#b7 ,recommendations ,the ,advisory ,council shall make recommendations to the ,secretary1 in consultation with the ,secretary of ,agriculture and the ,secretary of ,defense1 regarding programs and policies intended to-- 7,a7 preserve the effectiveness of antibiotics by optimizing their use2 7,b7 advance research to develop improved methods for combating antibiotic resistance and conducting antimicrobial stewardship1 as defined in section #cai;,e7h77#c72 7,c7 strengthen surveillance of antibiotic-resistant bacterial infections2 7,d7 prevent the transmission of antibiotic-resistant bacterial infections2 7,e7 advance the development of rapid point-of-care and agricultural diagnostics2 7,f7 further research on new treatments for bacterial infections2 7,g7 develop alternatives to antibiotics for animal health purposes2 7,h7 maximize the dissemination of up-to-date information on the appropriate and proper use of antibiotics to the general public and human and animal health care providers2 and 7,i7 improve international coordination of efforts to combat antibiotic resistance4 7#c7 ,coordination ,the ,advisory ,council shall1 to the greatest extent practicable1 coordinate activities carried out by the ,council with the ,transatlantic ,taskforce on ,antimicrobial ,resistence4 4 #djg4 ,additional purposes for grants for certain trauma centers ,section #abda7;a77#b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;d-#da7;a77#b77 is amended to read as follows3 7#b7 to further the core missions of such trauma centers1 including by addressing costs associated with patient stabilization and transfer1 trauma education and outreach1 coordination with local and regional trauma systems1 essential personnel and other fixed costs1 expenses associated with employee and non-employee physician services1 trauma staff recruitment and retention1 ensuring surge capacity1 trauma-related emotional and mental health services1 and other investments needed to implement and maintain ,regional ,health ,care ,emergency ,preparedness and ,response ,systems4 4