,i #aae? ,,congress #b;d ,session ,h4 ,r4 #fcgh ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #af1 #bjah,mrs4 ,brooks ( ,indiana 7= h]self1 ,ms4 ,e%oo1 ,mr4 ,wald51 & ,mr4 ,pallone7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ! ,judici>y1 ,vet]ans' ,affairs1 & ,homel& ,security1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to reau?orize c]ta9 programs "u ! ,public ,heal? ,s]vice ,act & ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act ) respect to public heal? security & all-haz>ds prep>$ness & response1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,p&emic & ,all-,haz>ds ,prep>$ness & ,advanc+ ,innovation ,act ( #bjah4 #b4 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4 ,sec4 #b4 ,table ( cont5ts4 ,title ,i--,/r5g!n+ national prep>$ness & response = public heal? em]g5cies ,sec4 #aja4 ,coord9ation ( prep>$ness = & response to all-haz>ds public heal? em]g5cies4 ,sec4 #ajb4 ,public heal? em]g5cy m$ical c\nt]measures ent]prise4 ,sec4 #ajc4 ,national ,heal? ,security ,/rategy4 ,sec4 #ajd4 ,improv+ em]g5cy prep>$ness & response consid]ations = *ildr54 ,sec4 #aje4 ,reau?oriz+ ! ,national ,advisory ,committee on ,*ildr5 & ,disa/]s4 ,sec4 #ajf4 ,national ,disa/] ,m$ical ,sy/em4 ,sec4 #ajg4 ,volunte] ,m$ical ,res]ve ,corps4 ,sec4 #ajh4 ,cont9u+ ! role ( ! ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #aji4 ,au?oriz+ ! ,national ,advisory ,committee on ,s5iors & ,disa/]s4 ,sec4 #aaj4 ,national ,advisory ,committee on ,individuals ) ,disabilities 9 ,all-,haz>ds ,em]g5cies4 ,sec4 #aaa4 ,consid]ation = at-risk individuals4 ,sec4 #aab4 ,public heal? surveillance4 ,sec4 #aac4 ,,gao /udy & report on disa/] m$ical assi/ance teams4 ,sec4 #aad4 ,milit>y & civilian p>tn]%ip = trauma read9ess grant program4 ,sec4 #aae4 ,improvem5t ( loan repaym5t program = prev5tion activities4 ,sec4 #aaf4 ,report on adequate national blood supply4 ,title ,,ii--,optimiz+ ,/ate & local all-haz>ds prep>$ness & response ,sec4 #bja4 ,public heal? em]g5cies4 ,sec4 #bjb4 ,improv+ ,/ate & local public heal? security4 ,sec4 #bjc4 ,/r5g!n+ ! hospital prep>$ness program4 ,sec4 #bjd4 ,improv+ b5*m>ks & /&>ds = prep>$ness & response4 ,sec4 #bje4 ,au?orization ( appropriations = revitaliz+ ! ,c5t]s = ,disease ,control & ,prev5tion4 ,sec4 #bjf4 ,au?orization ( appropriations = ,em]g5cy ,sy/em = ,advanc$ ,regi/ration ( ,volunte] ,heal? ,pr(essionals4 ,sec4 #bjg4 ,regional heal? c>e em]g5cy prep>$ness & response sy/ems4 ,sec4 #bjh4 ,national ,academy ( ,m$ic9e evaluation & report on ! prep>$ness ( hospitals1 long-t]m c>e facilities1 dialysis c5t]s1 & o!r m$ical facilities = public heal? em]g5cies4 ,sec4 #bji4 ,limitation on liability = volunte] heal? c>e pr(essionals4 ,title ,,iii--,accel]at+ m$ical c\nt]measure advanc$ rese>* & developm5t ,sec4 #cja4 ,/rategic national /ockpile & security c\nt]measure procurem5t4 ,sec4 #cjb4 ,biom$ical advanc$ rese>* & developm5t au?ority4 ,sec4 #cjc4 ,report on ! developm5t ( vacc9es to prev5t future epidemics4 ,title ,,iv--,miscellane\s provisions ,sec4 #dja4 ,cyb]security4 ,sec4 #djb4 ,miscellane\s ,,fda am5dm5ts4 ,sec4 #djc4 ,=mal /rategy relat+ to *ildr5 sep>at$ f p>5ts & gu>dians z a result ( z]o tol]ance policy4 ,sec4 #djd4 ,biological ?reat detection4 ,sec4 #dje4 ,/r5g!n+ ,mosquito ,abatem5t = ,safety & ,heal?4 ,sec4 #djf4 ,additional /rategies = combat+ antibiotic resi/ance4 ,sec4 #djg4 ,additional purposes = grants = c]ta9 trauma c5t]s4 ,i ,/r5g!n+ national prep>$ness & response = public heal? em]g5cies #aja4 ,coord9ation ( prep>$ness = & response to all-haz>ds public heal? em]g5cies 7a7 ,9 g5]al ,section #bhaa ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aj7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#d7-- 7i7 9 subp>agraph 7,g7-- 7,i7 by ins]t+ ! p&emic influ5za & em]g+ infecti\s disease program e/abli%$ "u section #cai,l7d71 or be=e all-haz>ds m$ical & public heal? prep>$ness & response2 & 7,,ii7 by add+ at ! end 7aft] & bel[ clause 7ii77 ! foll[+3 ,su* drills & op]ations ex]cises %all be compreh5sive1 syn*roniz$1 & mutually supportive4 2 & 7ii7 by add+ at ! end ! foll[+ new subp>agraph3 7,i7 ,?reat aw>5ess ,coord9ate ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,director ( ,national ,intellig5ce1 ! ,secret>y ( ,homel& ,security1 ! ,assi/ant to ! ,presid5t = ,national ,security ,affairs1 ! ,secret>y ( ,def5se1 & o!r relevant ,f$]al (ficials1 su* z ! ,secret>y ( ,agriculture1 to ma9ta9 a curr5t assessm5t ( national security ?reats & in=m prep>$ness & response capabilities bas$ on ! range ( ! ?reats t h ! pot5tial to result 9 a public heal? em]g5cy4 2 7,b7 9 p>agraph 7#e71 by add+ at ! end ! foll[+3 ,su* logi/ical support %all include work+ ) o!r relevant ,f$]al1 ,/ate1 local1 tribal1 & t]ritorial public heal? (ficials & private sector entities to id5tify ! critical infra/ructure assets1 sy/ems1 & networks ne$$ = ! prop] function+ ( ! heal? c>e & public heal? sectors t ne$ to be ma9ta9$ ?r\gh any em]g5cy or disa/]1 includ+ entities capable ( assi/+ )1 respond+ to1 & mitigat+ ! effect ( a public heal? em]g5cy1 includ+ a public heal? em]g5cy decl>$ by ! ,secret>y pursuant to section #cai1 or an em]g5cy or major disa/] decl>$ by ! ,presid5t pursuant to ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act or ! ,national ,em]g5cies ,act1 includ+ by e/abli%+ me?ods to ex*ange critical in=mation & deliv] products consum$ or us$ to pres]ve1 protect1 or su/a9 life1 heal?1 or safety1 & %>+ ( specializ$ exp]tise42 7,c7 9 p>agraph 7#g7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a7-- 7,i7 by ins]t+ ! rese>* & developm5t activities ( ! p&emic influ5za & em]g+ infecti\s disease program e/abli%$ "u section #cai,l7d7 ) respect to qualifi$ p&emic or epidemic products 7z def9$ 9 section #cai;,f-#c71 & be=e ! m$ical c\nt]measure priorities describ$ 9 subsection 7d72 & 7,,ii7 by /rik+ ,develop1 & update n lat] ?an ,m>* #a ( ea* ye> & ins]t+ ,develop1 by n lat] ?an ,septemb] #cj1 #bjai1 & update no lat] ?an e two ye>s aft] ! initial developm5t12 & 7ii7 9 ea* ( subp>agraphs 7,d7 & 7,e71 by /rik+ n lat] ?an ,m>* #ae ( ea* ye> & ins]t+ 9 ea* su* place n lat] ?an #ad days aft] ea* bi5nial developm5t date2 & 7,d7 by add+ at ! end ! foll[+ new p>agraph3 7#h7 ,report+ ,! ,assi/ant ,secret>y = ,prep>$ness & ,response %all1 beg9n+ on ! date ( ! enactm5t ( ?is p>agraph1 submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives weekly reports on ! /atus & welf>e ( ! *ildr5 :o1 z a result ( ! z]o tol]ance policy1 7 sep>at$ f _! p>5t or gu>dian & are await+ reunification ) _! p>5t or gu>dian1 z well z ! numb] ( su* *ildr5 9 facilities fund$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 2 7#b7 9 subsection 7c71 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ %all & ins]t+ %all1 utiliz+ exp]i5ce relat$ to public heal? em]g5cy prep>$ness & response1 biodef5se1 m$ical c\nt]measures1 & o!r relevant topics2 & 7#c7 9 subsection 7d7-- 7,a7 9 p>agraph 7#a71 by /rik+ ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is subsection1 & e ye> !reaft] & ins]t+ ,n lat] ?an ,septemb] #cj1 #bjai1 & e second ye> !reaft]2 7,b7 9 p>agraph 7#b77;,c71 by ins]t+ aft] products ! foll[+3 1 & ancill>y m$ical supplies to assi/ ) ! utilization ( su* products12 & 7,c7 9 p>agraph 7#b77;,j77v71 by /rik+ ! "o-ye> p]iod = :i* ! report is submitt$ & ins]t+ ! two-ye> p]iod = :i* ! report is submitt$4 7b7 ,c\nt]measures budget plan ,section #bhaa7;b77#g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aj7;b77#g77 is am5d$-- 7#a7 by /rik+ subp>agraph 7,a7 & ins]t+ ! foll[+3 7,a7 include consid]ation ( ! entire m$ical c\nt]measures ent]prise1 includ+-- 7i7 basic rese>* & advanc$ rese>* & developm5t2 7ii7 approval1 cle>ance1 lic5sure1 & au?oriz$ uses ( products2 7iii7 procurem5t1 /ockpil+1 ma9t5ance1 & pot5tial repl5i%m5t 7includ+ manufactur+ capabilities7 ( all products 9 ! ,/rategic ,national ,/ockpile2 & 7iv7 ! availability ( te*nologies t may assi/ 9 ! advanc$ rese>* & developm5t ( c\nt]measures & opportunities to use su* te*nologies to accel]ate & navigate *all5ges unique to c\nt]measure rese>* & developm5t2 2 7#b7 by r$esignat+ subp>agraphs 7,d7 & 7,e7 z subp>agraphs 7,e7 & 7,f71 respectively2 & 7#c7 by ins]t+ aft] subp>agraph 7,c7 ! foll[+3 7,d7 id5tify ! full range ( anticipat$ m$ical c\nt]measure ne$s relat$ to rese>* & developm5t1 procurem5t1 & /ockpil+1 includ+ ! pot5tial ne$ = indications1 dos+1 & adm9i/ration te*nologies1 & o!r c\nt]measure ne$s z applicable & appropriate2 4 #ajb4 ,public heal? em]g5cy m$ical c\nt]measures ent]prise ,subtitle ,b ( title ,,xxviii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aj et seq47 is am5d$-- 7#a7 by r$esignat+ section #bhaa;,a z #bhaa;,b2 & 7#b7 by ins]t+ aft] section #bhaa ! foll[+3 #bhaa;,a4 ,public ,heal? ,em]g5cy ,m$ical ,c\nt]measures ,ent]prise 7a7 ,9 g5]al ,! ,secret>y %all e/abli% & ! ,assi/ant ,secret>y = ,prep>$ness & ,response may conv5e an int]ag5cy panel ( advisors to be kn[n z ! ,public ,heal? ,em]g5cy ,m$ical ,c\nt]measures ,ent]prise 79 ?is section ref]r$ to z ! ,,phemce74 7b7 ,memb]s 7#a7 ,9 g5]al ,9 addition to ! ,assi/ant ,secret>y = ,prep>$ness & ,response1 :o %all s]ve z *air1 ! ,,phemce %all include ! vot+ memb]s describ$ 9 p>agraph 7#b7 & ! non-vot+ memb]s describ$ 9 p>agraph 7#c74 7#b7 ,vot+ memb]s ,= purposes ( p>agraph 7#a71 ! vot+ memb]s describ$ 9 ?is p>agraph are foll[+ memb]s3 7,a7 ,! ,director ( ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority 7or ! ,director's designee74 7,b7 ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7or ! ,director's designee74 7,c7 ,! ,director ( ! ,national ,in/itutes ( ,heal? 7or ! ,director's designee74 7,d7 ,! ,commission] ( ,food & ,drugs 7or ! ,commission]'s designee74 7,e7 ,! ,secret>y ( ,def5se 7or ! ,secret>y's designee74 7,f7 ,! ,secret>y ( ,homel& ,security 7or ! ,secret>y's designee74 7,g7 ,! ,secret>y ( ,agriculture 7or ! ,secret>y's designee74 7,h7 ,! ,secret>y ( ,vet]ans ,affairs 7or ! ,secret>y's designee74 7,i7 ,repres5tatives ( any o!r ,f$]al ag5cies1 z ! ,assi/ant ,secret>y = ,prep>$ness & ,response det]m9es appropriate4 7#c7 ,non-vot+ memb]s ,= purposes ( p>agraph 7#a71 ! non-vot+ memb]s describ$ 9 ?is p>agraph are ! foll[+ memb]s3 7,a7 ,! ,secret>y ( ,/ate 7or ! ,secret>y's designee74 7,b7 ,! ,director ( ,national ,intellig5ce 7or ! ,director's designee74 7,c7 ,! ,director ( ! ,c5tral ,intellig5ce ,ag5cy 7or ! ,director's designee74 7c7 ,functions ,! ,,phemce %all-- 7#a7 advise ! ,assi/ant ,secret>y = ,prep>$ness & ,response reg>d+ rese>*1 developm5t1 & procurem5t ( security c\nt]measures 7z def9$ 9 section #cai;,f-#b7;c77 bas$ on ! heal? security ne$s ( ! ,unit$ ,/ates2 & 7#b7 assi/ ! ,assi/ant ,secret>y = ,prep>$ness & ,response 9 ! id5tification ( gaps 9 public heal? prep>$ness & response relat$ to su* security c\nt]measures & *all5ges to address+ su* ne$s 7includ+ any regulatory *all5ges74 4 #ajc4 ,national ,heal? ,security ,/rategy ,section #bhjb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#a7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ #bjad & ins]t+ #bjah2 & 7ii7 by /rik+ ! second s5t5ce & ins]t+ ! foll[+3 ,su* ,national ,heal? ,security ,/rategy %all describe pot5tial em]g5cy heal? security ?reats & id5tify ! process = a*iev+ ! prep>$ness goals describ$ 9 subsection 7b7 to be prep>$ to id5tify & respond to su* ?reats & %all be consi/5t ) ! national prep>$ness goal 7z describ$ 9 section #ejd7;a77#ai7 ( ! ,homel& ,security ,act ( #bjjb71 ! ,national ,incid5t ,managem5t ,sy/em 7z def9$ 9 section #eja7g7 ( su* ,act71 & ! ,national ,response ,plan develop$ pursuant to section #ejd ( su* ,act1 or any successor plan42 7,b7 9 p>agraph 7#b71 by ins]t+ be=e ! p]iod at ! end ( ! second s5t5ce ! foll[+3 1 & an analysis ( any *anges to ! evid5ce-bas$ b5*m>ks & objective /&>ds "u sections #cai;,c-#a & #cai;,c-#b2 & 7,c7 9 p>agraph 7#c7-- 7i7 by /rik+ #bjji & ins]t+ #bjbb2 7ii7 by ins]t+ 7includ+ gaps 9 ! environm5tal heal? & animal heal? work=ces1 z applicable71 describ+ ! /atus ( su* work=ce aft] gaps 9 su* work=ce2 7iii7 by /rik+ & id5tify+ /rategies & ins]t+ id5tify+ /rategies2 & 7iv7 by ins]t+ be=e ! p]iod at ! end 1 & id5tify+ curr5t capabilities to meet ! requirem5ts ( section #bhjc2 & 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a71 by /rik+ & inve/igation & ins]t+ inve/igation1 & relat$ in=mation te*nology activities2 7ii7 9 subp>agraph 7,b71 by /rik+ & decontam9ation & ins]t+ decontam9ation1 relevant heal? c>e s]vices & supplies1 & transportation & disposal ( m$ical wa/e2 & 7iii7 by add+ at ! end ! foll[+3 7,e7 ,response to environm5tal haz>ds4 2 7,b7 9 p>agraph 7#c7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ includ+ m5tal heal? & ins]t+ includ+ ph>macies1 m5tal heal? facilities12 7ii7 9 subp>agraph 7,f71 by ins]t+ or exposures to ag5ts t c\ld cause a public heal? em]g5cy be=e ! p]iod2 & 7iii7 by am5d+ subp>agraph 7,g7 to read z foll[s3 7,g7 ,optimiz+ a coord9at$ & flexible approa* to ! em]g5cy response & m$ical surge capacity ( hospitals1 o!r heal? c>e facilities1 critical c>e1 trauma c>e 7:i* may include trauma c5t]s71 & em]g5cy m$ical sy/ems1 :i* may include ! implem5tation ( guidel9es = regional heal? c>e em]g5cy prep>$ness & response sy/ems "u section #cai;,c-#c4 2 7,c7 9 p>agraph 7#e71 by ins]t+ & o!r applicable compacts aft] ,compact2 & 7,d7 by add+ at ! end ! foll[+3 7#i7 ,zoonotic disease1 food1 & agriculture ,improv+ coord9ation among ,f$]al1 ,/ate1 local1 tribal1 & t]ritorial entities 7includ+ ?r\gh consultation ) ! ,secret>y ( ,agriculture7 to prev5t1 detect1 & respond to outbreaks ( plant or animal disease 7includ+ zoonotic disease7 t c\ld compromise national security result+ f a delib]ate attack1 a naturally occurr+ ?reat1 ! int5tional adult]ation ( food1 or o!r public heal? ?reats1 tak+ into acc\nt int]actions betwe5 animal heal?1 human heal?1 & animals' & humans' %>$ environm5t z directly relat$ to public heal? em]g5cy prep>$ness & response capabilities1 z applicable4 7#aj7 ,global heal? security ,assess+ curr5t or pot5tial heal? security ?reats f abroad to in=m dome/ic public heal? prep>$ness & response capabilities4 4 #ajd4 ,improv+ em]g5cy prep>$ness & response consid]ations = *ildr5 ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdc et seq47 is am5d$ by ins]t+ aft] section #cai;,d ! foll[+3 #cai;,d-#a4 ,*ildr5's prep>$ness unit 7a7 ,enhanc+ em]g5cy prep>$ness = *ildr5 ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7ref]r$ to 9 ?is subsection z ! ,director71 %all ma9ta9 an int]nal team ( exp]ts1 to be kn[n z ! ,*ildr5's ,prep>$ness ,unit 7ref]r$ to 9 ?is subsection z ! ,unit71 to "w collaboratively to provide guidance on ! consid]ations =1 & ! specific ne$s (1 *ildr5 be=e1 dur+1 & aft] public heal? em]g5cies4 ,! ,unit %all in=m ! ,director reg>d+ em]g5cy prep>$ness & response ef=ts p]ta9+ to *ildr5 at ! ,c5t]s = ,disease ,control & ,prev5tion4 7b7 ,exp]tise ,! team describ$ 9 subsection 7a7 %all include "o or m p$iatricians1 :i* may be a developm5tal-behavioral p$iatrician1 & may also include behavioral sci5ti/s1 *ild psy*ologi/s1 epidemiologi/s1 bio/ati/icians1 heal? communications /aff1 & individuals ) o!r areas ( exp]tise1 z ! ,secret>y det]m9es appropriate4 7c7 ,duties ,! team describ$ 9 subsection 7a7 may-- 7#a7 assi/ ,/ate1 local1 tribal1 & t]ritorial em]g5cy plann+ & response activities relat$ to *ildr51 :i* may include develop+1 id5tify+1 & %>+ be/ practices2 7#b7 provide te*nical assi/ance1 tra9+1 & consultation to ,f$]al1 ,/ate1 local1 tribal1 & t]ritorial public heal? (ficials to improve prep>$ness & response capabilities ) respect to ! ne$s ( *ildr51 includ+ provid+ su* te*nical assi/ance1 tra9+1 & consultation to eligible entities 9 ord] to support ! a*ievem5t ( measurable evid5ce-bas$ b5*m>ks & objective /&>ds applicable to sections #cai;,c-#a & #cai;,c-#b2 7#c7 improve ! utilization ( me?ods to incorporate ! ne$s ( *ildr5 9 plann+ = & respond+ to a public heal? em]g5cy1 includ+ public aw>5ess ( su* me?ods2 7#d7 coord9ate )1 & improve1 public-private p>tn]%ips1 su* z heal? c>e coalitions pursuant to sections #cai;,c-#b & #cai;,c-#c1 to address gaps & ineffici5cies 9 em]g5cy prep>$ness & response ef=ts = *ildr52 7#e7 provide exp]tise & input dur+ ! developm5t ( guidance & cl9ical recomm5dations to address ! ne$s ( *ildr5 :5 prep>+ =1 & respond+ to1 public heal? em]g5cies1 includ+ pursuant to section #cai;,c-#c2 & 7#f7 c>ry out o!r duties relat$ to prep>$ness & response activities = *ildr51 z ! ,secret>y det]m9es appropriate4 4 #aje4 ,reau?oriz+ ! ,national ,advisory ,committee on ,*ildr5 & ,disa/]s ,section #bhaa;,b ( ! ,public ,heal? ,s]vice ,act1 z r$esignat$ by section #ajb7a71 is am5d$-- 7#a7 9 subsection 7b77#b71 by ins]t+ 1 m5tal & behavioral1 aft] m$ical2 7#b7 9 subsection 7d7-- 7,a7 9 p>agraph 7#a71 by /rik+ #ae & ins]t+ #be2 & 7,b7 by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,requir$ non-,f$]al memb]s ,! ,secret>y1 9 consultation ) su* o!r heads ( ,f$]al ag5cies z may be appropriate1 %all appo9t to ! ,advisory ,committee "u p>agraph 7#a7 at lea/ #ac individuals to p]=m ! duties describ$ 9 subsections 7b7 & 7c71 includ+-- 7,a7 at lea/ #b non-,f$]al pr(essionals ) exp]tise 9 p$iatric m$ical disa/] plann+1 prep>$ness1 response1 or recov]y2 7,b7 at lea/ #b repres5tatives f ,/ate1 local1 tribal1 or t]ritorial ag5cies ) exp]tise 9 p$iatric disa/] plann+1 prep>$ness1 response1 or recov]y2 7,c7 at lea/ #d memb]s repres5t+ heal? c>e pr(essionals1 :i* may include memb]s ) exp]tise 9 p$iatric em]g5cy m$ic9e2 p$iatric trauma1 critical c>e1 or surg]y2 ! treatm5t ( p$iatric pati5ts affect$ by *emical1 biological1 radiological1 or nucle> ag5ts & em]g+ infecti\s diseases2 p$iatric m5tal or behavioral heal? relat$ to *ildr5 affect$ by a public heal? em]g5cy2 or p$iatric prim>y c>e2 & 7,d7 o!r memb]s z ! ,secret>y det]m9es appropriate1 ( :om-- 7i7 at lea/ "o su* memb] %all repres5t a *ildr5's hospital2 7ii7 at lea/ "o su* memb] %all be an individual ) exp]tise 9 s*ools or *ild c>e sett+s2 7iii7 at lea/ "o su* memb] %all be an individual ) exp]tise 9 *ildr5 & y\? ) special heal? c>e ne$s2 & 7iv7 at lea/ "o su* memb] %all be an individual ) exp]tise 9 ! ne$s ( p>5ts or family c>egiv]s1 includ+ ! p>5ts or c>egiv]s ( *ildr5 ) disabilities4 7#c7 ,f$]al memb]s ,! ,advisory ,committee "u p>agraph 7#a7 %all include ! foll[+ ,f$]al memb]s or _! designees3 7,a7 ,! ,assi/ant ,secret>y = ,prep>$ness & ,response4 7,b7 ,! ,director ( ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority4 7,c7 ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7,d7 ,! ,commission] ( ,food & ,drugs4 7,e7 ,! ,director ( ! ,national ,in/itutes ( ,heal?4 7,f7 ,! ,assi/ant ,secret>y ( ! ,adm9i/ration = ,*ildr5 & ,families4 7,g7 ,! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 7,h7 ,! ,adm9i/rator ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy4 7,i7 ,! ,adm9i/rator ( ! ,adm9i/ration = ,community ,liv+4 7,j7 ,! ,secret>y ( ,education4 7,k7 ,repres5tatives f su* ,f$]al ag5cies 7su* z ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & ! ,dep>tm5t ( ,homel& ,security7 z ! ,secret>y det]m9es appropriate to fulfill ! duties ( ! ,advisory ,committee "u subsections 7b7 & 7c74 7#d7 ,t]m ( appo9tm5t ,ea* memb] ( ! ,advisory ,committee appo9t$ "u p>agraph 7#b7 %all s]ve = a t]m ( #c ye>s1 except t ! ,secret>y may adju/ ! t]ms ( ! ,advisory ,committee appo9tees s]v+ on ! date ( enactm5t ( ! ,p&emic & ,all-,haz>ds ,prep>$ness & ,advanc+ ,innovation ,act ( #bjah1 or appo9tees :o are initially appo9t$ aft] su* date ( enactm5t1 9 ord] to provide = a /agg]$ t]m ( appo9tm5t = all memb]s4 7#e7 ,consecutive appo9tm5ts2 maximum t]ms ,a memb] appo9t$ "u p>agraph 7#b7 may s]ve n m ?an #c t]ms on ! ,advisory ,committee1 & n m ?an #b ( :i* may be s]v$ consecutively4 2 7#c7 9 subsection 7e71 by add+ at ! end ,at lea/ "o meet+ p] ye> %all be an 9-p]son meet+42 7#d7 by r$esignat+ subsection 7f7 z subsection 7g72 7#e7 by ins]t+ aft] subsection 7e7 ! foll[+3 7f7 ,coord9ation ,! ,secret>y %all coord9ate activities au?oriz$ "u ?is section & section #bhaa;,c1 9 accordance ) section #bhaa;,c7d74 2 & 7#f7 9 subsection 7g71 z s r$esignat$1 by /rik+ #bjah & ins]t+ #bjbc4 #ajf4 ,national ,disa/] ,m$ical ,sy/em 7a7 ,purpose ( sy/em ,clause 7ii7 ( section #bhab7;a77#c77;,a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aa7;a77#c77;,a77 is am5d$ to read z foll[s3 7ii7 be pres5t at locations1 & = limit$ p]iods ( "t1 specifi$ by ! ,secret>y on ! basis t ! ,secret>y has det]m9$ t a location is at risk ( a public heal? em]g5cy dur+ ! "t specifi$1 or !re is a significant pot5tial = a public heal? em]g5cy4 4 7b7 ,review ( ! ,national ,disa/] ,m$ical ,sy/em ,section #bhab7;b77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aa7;b77#b77 is am5d$ to read z foll[s3 7#b7 ,jo9t review & m$ical surge capacity /rategic plan 7,a7 ,review ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ! ,p&emic & ,all-,haz>ds ,prep>$ness & ,advanc+ ,innovation ,act ( #bjah1 ! ,secret>y1 9 coord9ation ) ! ,secret>y ( ,homel& ,security1 ! ,secret>y ( ,def5se1 & ! ,secret>y ( ,vet]ans ,affairs1 %all conduct a jo9t review ( ! ,national ,disa/] ,m$ical ,sy/em4 ,su* review %all include-- 7i7 an evaluation ( m$ical surge capacity1 z describ$ 9 section #bhjc7;a72 7ii7 an assessm5t ( ! available work=ce ( ! int]mitt5t disa/]-response p]sonnel describ$ 9 subsection 7c72 7iii7 ! capacity ( ! work=ce describ$ 9 clause 7ii7 to respond to all haz>ds1 includ+ capacity to simultane\sly respond to multiple public heal? em]g5cies & to respond to a nationwide public heal? em]g5cy2 7iv7 ! effectiv5ess ( ef=ts to recruit1 reta91 & tra9 su* work=ce2 & 7v7 gaps t may exi/ 9 su* work=ce & recomm5dations = address+ su* gaps4 7,b7 ,updates ,z "p ( ! ,national ,heal? ,security ,/rategy "u section #bhjb1 ! ,secret>y %all update ! f9d+s f ! review "u subp>agraph 7,a7 & provide recomm5dations to modify ! policies ( ! ,national ,disa/] ,m$ical ,sy/em z necess>y4 4 7c7 ,direct hire au?ority ,section #bhab7;c77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aa7;c77#a77 is am5d$ by ins]t+ 7or1 = ! p]iod beg9n+ on ! date ( ! enactm5t ( ! ,p&emic & ,all-,haz>ds ,prep>$ness ,reau?orization ,act ( #bjah & end+ on ,septemb] #cj1 #bjba1 )\t reg>d to ^? provisions ( title #e1 ,unit$ ,/ates ,code1 gov]n+ appo9tm5ts 9 ! competitive s]vice7 aft] 9 accordance ) applicable civil s]vice laws & regulations4 7d7 ,s]vice b5efit2 notification ( %ortage ,section #bhab7;c7 7#db ,u4,s4,c4 #cjj;hh-#aa7;c77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,s]vice b5efit ,individuals appo9t$ to s]ve "u ?is subsection %all be consid]$ public safety (fic]s "u "p ,l ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh4 ,! ,secret>y %all provide notification to eligible individuals ( any effect su* designation may h on o!r b5efits = :i* su* individuals are eligible1 includ+ b5efits f private entities4 7#d7 ,notification ,n lat] ?an #cj days aft] ! date on :i* ! ,secret>y det]m9es ! numb] ( int]mitt5t disa/]-response p]sonnel ( ! ,national ,disa/] ,m$ical ,sy/em is insuffici5t to address a public heal? em]g5cy or pot5tial public heal? em]g5cy1 ! ,secret>y %all submit to ! congressional committees ( jurisdiction a notification detail+-- 7,a7 ! impact su* %ortage c\ld h on meet+ public heal? ne$s & em]g5cy m$ical p]sonnel ne$s dur+ a public heal? em]g5cy2 & 7,b7 any id5tifi$ measures to address su* %ortage4 4 7e7 ,dea? b5efits ,section #abjd7i7 ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajbhd7i77 is am5d$-- 7#a7 9 subp>agraph 7,c71 by /rik+ or at ! end2 7#b7 9 subp>agraph 7,d71 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7#c7 by add+ at ! end ! foll[+3 7,e7 an individual appo9t$ to assi/ ! ,national ,disa/] ,m$ical ,sy/em pursuant to section #bhab7;c77#a7 ( ! ,public ,heal? ,s]vice ,act4 4 7f7 ,au?orization ( appropriations ,section #bhab7;g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aa7;g77 is am5d$ by /rik+ #eb1gjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah & ins]t+ #eg1djj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #ajg4 ,volunte] ,m$ical ,res]ve ,corps ,section #bhac ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#ae77 is am5d$-- 7#a7 9 subsection 7a71 by am5d+ ! second s5t5ce to read z foll[s3 ,! ,secret>y may appo9t a ,director to head ! ,corps & ov]see ! activities ( ! ,corps *apt]s t exi/ at ! ,/ate1 local1 & tribal levels42 & 7#b7 9 subsection 7i71 by /rik+ #aa1bjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah & ins]t+ #f1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #ajh4 ,cont9u+ ! role ( ! ,dep>tm5t ( ,vet]ans ,affairs ,section #haag7;g7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by /rik+ #aee1cjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah & ins]t+ #abf1hjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #aji4 ,au?oriz+ ! ,national ,advisory ,committee on ,s5iors & ,disa/]s ,subtitle ,b ( title ,,xxviii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh et seq471 z am5d$ by section #ajb1 is fur!r am5d$ by ins]t+ aft] section #bhaa;,b ! foll[+3 #bhaa;,c4 ,national ,advisory ,committee on ,s5iors & ,disa/]s 7a7 ,e/abli%m5t ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,homel& ,security & ! ,secret>y ( ,vet]ans ,affairs1 %all e/abli% an advisory committee to be kn[n z ! ,national ,advisory ,committee on ,s5iors & ,disa/]s 7ref]r$ to 9 ?is section z ! ,advisory ,committee74 7b7 ,duties 7#a7 ,9 g5]al ,! ,advisory ,committee %all-- 7,a7 provide advice & consultation ) respect to ! activities c>ri$ out pursuant to section #bhad1 z applicable & appropriate2 7,b7 evaluate & provide input ) respect to ! m$ical & public heal? ne$s ( s5iors relat$ to ! prep>ation =1 response to1 & recov]y f all-haz>ds em]g5cies2 & 7,c7 provide advice & consultation ) respect to ,/ate em]g5cy prep>$ness & response activities & s5iors1 includ+ relat$ drills & ex]cises pursuant to ! prep>$ness goals "u section #bhjb7;b74 7#b7 ,additional duties ,! ,advisory ,committee may provide advice & recomm5dations to ! ,secret>y ) respect to s5iors & ! m$ical & public heal? grants & coop]ative agreem5ts z applicable to prep>$ness & response activities "u ?is title & title ,,iii4 7#c7 ,memb]%ip 7,a7 ,9 g5]al ,! ,secret>y1 9 consultation ) su* o!r heads ( ag5cies z appropriate1 %all appo9t n m ?an #ae memb]s to ! ,advisory ,committee4 ,9 appo9t+ su* memb]s1 ! ,secret>y %all ensure t ! total memb]%ip ( ! ,advisory ,committee is an odd numb]4 7,b7 ,requir$ memb]s ,! memb]s appo9t$ "u p>agraph 7#a7 %all include-- 7i7 ! ,assi/ant ,secret>y = ,prep>$ness & ,response2 7ii7 ! ,director ( ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority2 7iii7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion2 7iv7 ! ,commission] ( ,food & ,drugs2 7v7 ! ,director ( ! ,national ,in/itutes ( ,heal?2 7vi7 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7vii7 ! ,adm9i/rator ( ! ,adm9i/ration = ,community ,liv+2 7viii7 ! ,adm9i/rator ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy2 7ix7 ! ,"u ,secret>y = ,heal? ( ! ,dep>tm5t ( ,vet]ans ,affairs2 7x7 at lea/ #b non-,f$]al heal? c>e pr(essionals ) exp]tise 9 m$ical disa/] plann+1 prep>$ness1 response1 or recov]y2 7xi7 at lea/ #b repres5tatives ( ,/ate1 local1 t]ritorial1 or tribal ag5cies ) exp]tise 9 disa/] plann+1 prep>$ness1 response1 or recov]y2 & 7xii7 repres5tatives ( su* o!r ,f$]al ag5cies 7su* z ! ,dep>tm5t ( ,en]gy & ! ,dep>tm5t ( ,homel& ,security7 z ! ,secret>y det]m9es necess>y to fulfill ! duties ( ! ,advisory ,committee4 7c7 ,meet+s ,! ,advisory ,committee %all meet n less frequ5tly ?an biannually4 7d7 ,advisory committee coord9ation 7#a7 ,9 g5]al ,! ,secret>y %all coord9ate activities au?oriz$ "u ?is section & section #bhaa;,b1 & make ef=ts to r$uce unnecess>y or duplication ( meet+s1 recomm5dations1 & report+ "u su* sections4 ,memb]s ( ! advisory committees "u ?is section & section #bhaa;,b1 or _! designees1 %all meet p]iodically1 & n less ?an annually1 to-- 7,a7 review ! recomm5dations develop$ by su* committees to coord9ate1 z appropriate1 ! implem5tation ( recomm5dations1 9 ord] to r$uce gaps1 ov]lap1 & duplication ( ef=t 9 ,f$]al programs or by ,f$]al grantees2 & 7,b7 align prep>$ness & response programs or activities to address ! dual or ov]lapp+ ne$s ( *ildr5 & s5iors & any *all5ges 9 prep>+ = & respond+ to su* ne$s4 7#b7 ,notification ,! ,secret>y %all notify ! congressional committees ( jurisdiction ^u ! conv5+ ( ea* meet+ "u p>agraph 7#a71 & provide m9utes f su* meet+ n lat] ?an #ij days aft] ! meet+4 7e7 ,sunset ,! ,advisory ,committee %all t]m9ate on ,septemb] #cj1 #bjbc4 4 #aaj4 ,national ,advisory ,committee on ,individuals ) ,disabilities 9 ,all-,haz>ds ,em]g5cies ,subtitle ,b ( title ,,xxviii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh et seq471 z am5d$ by sections #ajb & #aji1 is fur!r am5d$ by ins]t+ aft] section #bhaa;,c ! foll[+3 #bhaa;,d4 ,national ,advisory ,committee on ,individuals ) ,disabilities 9 ,all-,haz>ds ,em]g5cies 7a7 ,e/abli%m5t ,n lat] ?an #ij days aft] ! date ( ?is section1 ! ,secret>y %all e/abli% a national advisory committee to be kn[n z ! ,national ,advisory ,committee on ,individuals ) ,disabilities 9 ,all-,haz>ds ,em]g5cies 7ref]r$ to 9 ?is section z ! ,advisory ,committee74 7b7 ,duties ,! ,advisory ,committee %all-- 7#a7 provide advice & consultation ) respect to activities c>ri$ out pursuant to section #bhad1 z applicable & appropriate2 7#b7 evaluate & provide input ) respect to ! public heal?1 accessibility1 & m$ical ne$s ( individuals ) disabilities z !y relate to prep>ation =1 response to1 & recov]y f all-haz>ds em]g5cies2 & 7#c7 provide advice & consultation ) respect to ,/ate em]g5cy prep>$ness & response activities1 includ+ relat$ drills & ex]cises pursuant to ! prep>$ness goals "u section #bhjb7;b74 7c7 ,report ,n lat] ?an ,febru>y #a1 #bjbj1 ! ,advisory ,committee %all submit to ! ,secret>y1 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 ! ,committee on ,homel& ,security ( ! ,h\se ( ,repres5tatives1 ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate1 & ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ( ! ,s5ate a report t evaluates ! ext5t to :i* individuals ) disabilities are ?or\ghly includ$ 9 disa/] prep>$ness plann+ & disa/] recov]y4 ,su* report %all-- 7#a7 include recomm5dations t (f] specific improvem5ts t c\ld be made across local1 ,/ate1 tribal1 t]ritorial1 & ,f$]al ef=ts to improve outcomes 9 areas t include-- 7,a7 prep>$ness2 7,b7 plann+2 7,c7 ex]cises & drills2 7,d7 al]ts1 w>n+1 & notifications2 7,e7 evacuation2 7,f7 %elt]+2 7,g7 heal? ma9t5ance2 7,h7 access+ em]g5cy programs & s]vices2 7,i7 m$ical c>e 7includ+ m5tal heal? c>e72 7,j7 tempor>y h\s+2 7,k7 mitigation2 & 7,l7 community resili5ce2 & 7#b7 assess ! /r5g? ( exi/+ policies to incorporate su* individuals z well z ! efficacy ( implem5tation4 7d7 ,composition 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) su* o!r heads ( ag5cies & dep>tm5ts z may be appropriate1 %all appo9t n to exce$ #be memb]s to ! ,advisory ,committee4 7#b7 ,requir$ memb]s ,9 c>ry+ out p>agraph 7#a71 ! ,secret>y %all appo9t to ! ,advisory ,committee su* individuals z may be appropriate to p]=m ! duties describ$ 9 subsections 7b71 :i* %all include-- 7,a7 ! ,assi/ant ,secret>y = ,prep>$ness & ,response 7or _! designee72 7,b7 ! ,director ( ! ,adm9i/ration = ,community ,liv+ 7or _! designee72 7,c7 ! ,director ( ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority 7or _! designee72 7,d7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7or _! designee72 7,e7 ! ,commission] ( ,food & ,drugs 7or _! designee72 7,f7 ! ,director ( ! ,national ,in/itutes ( ,heal? 7or _! designee72 7,g7 ! ,adm9i/rator ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy 7or _! designee72 7,h7 ! ,director ( ,(fice ( ,disability ,integration & ,coord9ation 7or _! designee72 7,i7 ! ,(fic] = ,civil ,rights & ,civil ,lib]ties ( ! ,dep>tm5t ( ,homel& ,security 7or _! designee72 7,j7 ! ,*air ( ! ,national ,c\ncil on ,disability 7or _! designee72 7,k7 ! ,*air ( ! ,unit$ ,/ates ,access ,bo>d 7or _! designee72 7,l7 ! ,director ( ! ,disability ,rights ,section ( ! ,dep>tm5t ( ,ju/ice 7or _! designee72 7,m7 ! ,secret>y ( ! ,dep>tm5t ( ,education 7or _! designee72 7,n7 ! ,secret>y ( ! ,dep>tm5t ( ,transportation 7or _! designee72 7,o7 ! ,secret>y ( ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t 7or _! designee72 7,p7 a repres5tative f ! ,dep>tm5t ( ,vet]ans ,affairs ,heal? ,adm9i/ration's ,(fice ( ,em]g5cy ,managem5t2 7,q7 ! ,director ( ! ,bureau ( ,prisons 7or _! designee72 7,r7 at lea/ f\r repres5tatives :o are individuals ) disabilities t h sub/antive exp]tise 9 disability inclusive em]g5cy managem5t policy & op]ations2 7,s7 at lea/ two non-,f$]al heal? c>e pr(essionals ) exp]tise 9 disability accessibility be=e1 dur+1 & aft] disa/]s1 m$ical & mass c>e disa/] plann+1 prep>$ness1 response1 or recov]y2 & 7,t7 at lea/ two repres5tatives f ,/ate1 local1 t]ritorial1 or tribal ag5cies ) exp]tise 9 disability-inclusive disa/] plann+1 prep>$ness1 response1 or recov]y4 7e7 ,meet+s ,! ,advisory ,committee %all meet n less ?an biannually4 7f7 ,disability def9$ ,= purposes ( ?is section1 ! t]m disability has ! mean+ giv5 su* t]m 9 section #c ( ! ,am]icans ) ,disabilities ,act ( #aiij4 7g7 ,t]m9ation ( ,committee 7#a7 ,9 g5]al ,! ,advisory ,committee %all t]m9ate on ,septemb] #cj1 #bjbc4 7#b7 ,recomm5dation ,n lat] ?an ,m>* #cj1 #bjbc1 ! ,secret>y %all submit to ,congress a recomm5dation on :e!r ! ,advisory ,committee %\ld be ext5d$4 4 #aaa4 ,consid]ation = at-risk individuals 7a7 ,at-,risk individuals 9 ! ,national ,heal? ,security ,/rategy ,section #bhjb7;b77#d77;,b7 7#db ,u4,s4,c4 #cjj;hh-#a7;b77#d77;,b77 is am5d$ by /rik+ ?is section & sections #cai;,c-#a1 #cai;,f1 & #cai,l & ins]t+ ?is ,act4 7b7 ,c\nt]measure ,consid]ations ,section #cai,l7c77#f7 7#db ,u4,s4,c4 #bdg;d-#g;e7c77#f77 is am5d$-- 7#a7 by /rik+ eld]ly & ins]t+ s5ior citiz5s2 & 7#b7 by ins]t+ ) relevant *>act]i/ics t w>rant consid]ation dur+ ! process ( rese>*+ & develop+ su* c\nt]measures & products be=e ! p]iod at ! end4 #aab4 ,public heal? surveillance 7a7 ,goal ,section #bhjb7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#a7;b771 z am5d$ by sections #ajc & #aaa1 is fur!r am5d$ by add+ at ! end ! foll[+3 7#aa7 ,public heal? surveillance ,/r5g!n+ ! ability ( ,/ate1 tribal1 t]ritorial1 & local heal? dep>tm5ts to adapt & exp& exi/+ public heal? surveillance infra/ructure to develop a robu/ national surveillance capacity to capture data on ! impact ( em]g+ public heal? ?reats4 ,su* capacity %all include em]g+ ?reats to pregnant & po/p>tum wom5 & infants1 includ+ ?r\gh monitor+ bir? defects1 developm5tal disabilities1 & o!r %ort-t]m & long-t]m adv]se outcomes4 4 7b7 ,assurance ( confid5tiality ,section #cjh7;d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdbm7d77 is am5d$-- 7#a7 by /rik+ or #cjg & ins]t+ #cjg1 or #bhjb7;b77#aa72 & 7#b7 by /rik+ or #cjf & ins]t+ #cjf1 or #bhjb7;b77#aa74 #aac4 ,,gao /udy & report on disa/] m$ical assi/ance teams 7a7 ,/udy & report 7#a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy on ! mission read9ess ( disa/] m$ical assi/ance teams ) respect to curr5t & em]g+ natural & manmade ?reats4 7#b7 ,compon5ts ,! /udy conduct$ pursuant to p>agraph 7#a7 %all include an assessm5t1 9 relation to disa/] m$ical assi/ance teams1 (-- 7,a7 :e!r ! mission read9ess ( su* teams1 & ! ne$s relat+ to su* read9ess1 h *ang$ ov] "t2 7,b7 ! /&>ds ! ,assi/ant ,secret>y = ,prep>$ness & ,response ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices uses to det]m9e-- 7i7 ! tra9+ ne$s ( su* teams2 & 7ii7 :e!r su* teams are mission ready2 7,c7 h[ to improve ! det]m9ations describ$ 9 subp>agraph 7,b72 7,d7 ! ext5t to :i* ! provision ( additional res\rces 7includ+ p]sonnel1 tra9+1 & equipm5t7 has address$ mission read9ess conc]ns2 & 7,e7 ! ext5t to :i* ! ,assi/ant ,secret>y has develop$ plans to address mission read9ess issues4 7#c7 ,report ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor & ,p5sions ( ! ,s5ate a report conta9+-- 7,a7 ! f9d+s ( ! /udy conduct$ pursuant to p>agraph 7#a72 & 7,b7 relat$ recomm5dations4 7b7 ,disa/] m$ical assi/ance team def9$ ,9 ?is section1 ! t]m disa/] m$ical assi/ance team means a disa/] m$ical assi/ance team op]at+ pursuant to ! ,national ,disa/] ,m$ical ,sy/em e/abli%$ "u section #bhab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aa74 #aad4 ,milit>y & civilian p>tn]%ip = trauma read9ess grant program ,title ,,xii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;d et seq47 is am5d$ by add+ at ! end ! foll[+ new "p3 ,i ,milit>y & ,civilian ,p>tn]%ip = ,trauma ,read9ess ,grant ,program #abia4 ,milit>y & ,civilian ,p>tn]%ip = ,trauma ,read9ess ,grant ,program 7a7 ,milit>y trauma team placem5t program 7#a7 ,9 g5]al ,! ,secret>y %all aw>d grants to n m ?an #bj eligible high-acuity trauma c5t]s to enable milit>y trauma teams to provide1 on a full-"t basis1 trauma c>e & relat$ acute c>e at su* trauma c5t]s4 7#b7 ,limitations ,9 ! case ( a grant aw>d$ "u p>agraph 7#a7 to an eligible high-acuity trauma c5t]1 su* grant-- 7,a7 %all be = a p]iod ( at lea/ #c ye>s & n m ?an #e ye>s 7& may be r5ew$ at ! end ( su* p]iod72 & 7,b7 %all be 9 an am\nt t does n exce$ #a1jjj1jjj p] ye>4 7#c7 ,availability ( funds aft] p]=mance p]iod ,not)/&+ section #aeeb ( title #ca1 ,unit$ ,/ates ,code1 or any o!r provision ( law1 funds available to ! ,secret>y = obligation = a grant "u ?is subsection %all rema9 available = exp5diture = #ajj days aft] ! la/ day ( ! p]=mance p]iod ( su* grant4 7b7 ,milit>y trauma c>e provid] placem5t program 7#a7 ,9 g5]al ,! ,secret>y %all aw>d grants to eligible trauma c5t]s to enable milit>y trauma c>e provid]s to provide trauma c>e & relat$ acute c>e at su* trauma c5t]s4 7#b7 ,limitations ,9 ! case ( a grant aw>d$ "u p>agraph 7#a7 to an eligible trauma c5t]1 su* grant-- 7,a7 %all be = a p]iod ( at lea/ #a ye> & n m ?an #c ye>s 7& may be r5ew$ at ! end ( su* p]iod72 & 7,b7 %all be 9 an am\nt t does n exce$1 9 a ye>-- 7i7 #ajj1jjj = ea* milit>y trauma c>e provid] t is a physician at su* eligible trauma c5t]2 & 7ii7 #ej1jjj = ea* o!r milit>y trauma c>e provid] at su* eligible trauma c5t]4 7c7 ,grant requirem5ts 7#a7 ,deploym5t ,z a condition ( receipt ( a grant "u ?is section1 a grant recipi5t %all agree to all[ milit>y trauma c>e provid]s provid+ c>e pursuant to su* grant to be deploy$ by ! ,secret>y ( ,def5se = milit>y op]ations1 = tra9+1 or = response to a mass casualty incid5t4 7#b7 ,use ( funds ,grants aw>d$ "u ?is section to an eligible trauma c5t] may be us$ to tra9 & incorporate milit>y trauma c>e provid]s into su* trauma c5t]1 includ+ exp5ditures = malpractice insurance1 (fice space1 in=mation te*nology1 specialty education & sup]vision1 trauma programs1 rese>*1 & ,/ate lic5se fees = su* milit>y trauma c>e provid]s4 7d7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to affect ! ext5t to :i* ,/ate lic5s+ requirem5ts = heal? c>e pr(essionals are preempt$ by o!r ,f$]al law f apply+ to milit>y trauma c>e provid]s4 7e7 ,report+ requirem5ts 7#a7 ,report to ! ,secret>y & ! ,secret>y ( ,def5se ,ea* eligible trauma c5t] or eligible high-acuity trauma c5t] aw>d$ a grant "u subsection 7a7 or 7b7 = a ye> %all submit to ! ,secret>y & ! ,secret>y ( ,def5se a report = su* ye> t includes in=mation on-- 7,a7 ! numb] & types ( trauma cases manag$ by milit>y trauma teams or milit>y trauma c>e provid]s pursuant to su* grant dur+ su* ye>2 7,b7 ! f9ancial impact ( su* grant on ! trauma c5t]2 7,c7 ! educational impact on resid5t tra9ees 9 c5t]s :]e milit>y trauma teams are assign$2 7,d7 any rese>* conduct$ dur+ su* ye> support$ by su* grant2 & 7,e7 any o!r in=mation requir$ by ! ,secret>ies = ! purpose ( evaluat+ ! effect ( su* grant4 7#b7 ,report to ,congress ,n less ?an once e #b ye>s1 ! ,secret>y1 9 consultation ) ! ,secret>y ( ,def5se1 %all submit a report to ,congress t includes in=mation on ! effect ( plac+ milit>y trauma c>e provid]s 9 trauma c5t]s aw>d$ grants "u ?is section on-- 7,a7 ma9ta9+ read9ess ( milit>y trauma c>e provid]s = battlefield injuries2 7,b7 provid+ heal? c>e to civilian trauma pati5ts 9 bo? urban & rural sett+s2 7,c7 ! capability to respond to surges 9 trauma cases1 includ+ z a result ( a l>ge scale ev5t2 & 7,d7 ! f9ancial ,/ate ( ! trauma c5t]s4 7f7 ,def9itions ,= purposes ( ?is "p3 7#a7 ,eligible trauma c5t] ,! t]m eligible trauma c5t] means a ,level ,i1 ,,ii1 or ,,iii trauma c5t] t satisfies ea* ( ! foll[+3 7,a7 ,su* trauma c5t] has an agreem5t ) ! ,secret>y ( ,def5se to enable milit>y trauma c>e provid]s to provide trauma c>e & relat$ acute c>e at su* trauma c5t]4 7,b7 ,su* trauma c5t] utilizes a risk-adju/$ b5*m>k+ sy/em to measure p]=mance & outcomes1 su* z ! ,trauma ,quality ,improvem5t ,program ( ! ,am]ican ,college ( ,surgeons4 7,c7 ,su* trauma c5t] demon/rates a ne$ = integrat$ milit>y trauma c>e provid]s to ma9ta9 or improve ! trauma cl9ical capability ( su* trauma c5t]4 7#b7 ,eligible high-acuity trauma c5t] ,! t]m eligible high-acuity trauma c5t] means a ,level ,i trauma c5t] t satisfies ea* ( ! foll[+3 7,a7 ,su* trauma c5t] has an agreem5t ) ! ,secret>y ( ,def5se to enable milit>y trauma teams to provide trauma c>e & relat$ acute c>e at su* trauma c5t]4 7,b7 ,at lea/ #bj p]c5t ( pati5ts ( su* trauma c5t] 9 ! mo/ rec5t #c-mon? p]iod = :i* data is available are treat$ = a major trauma at su* trauma c5t]4 7,c7 ,su* trauma c5t] utilizes a risk-adju/$ b5*m>k+ sy/em to measure p]=mance & outcomes1 su* z ! ,trauma ,quality ,improvem5t ,program ( ! ,am]ican ,college ( ,surgeons4 7,d7 ,su* trauma c5t] is an academic tra9+ c5t]-- 7i7 affiliat$ ) a m$ical s*ool2 7ii7 t ma9ta9s resid5cy programs & fell[%ips 9 critical trauma specialties & subspecialties1 & provides education & sup]vision ( milit>y trauma team memb]s accord+ to ^? specialties & subspecialties2 & 7iii7 t und]takes rese>* 9 ! prev5tion & treatm5t ( traumatic injury4 7,e7 ,su* trauma c5t] s]ves z a disa/] response lead] = its community1 su* z by p>ticipat+ 9 a p>tn]%ip = ,/ate & regional hospital prep>$ness e/abli%$ "u section #cai;,c-#b4 7#c7 ,major trauma ,! t]m major trauma means an injury t is great] ?an or equal to #ae on ! injury sev]ity score4 7#d7 ,milit>y trauma team ,! t]m milit>y trauma team means a complete milit>y trauma team consi/+ ( milit>y trauma c>e provid]s4 7#e7 ,milit>y trauma c>e provid] ,! t]m milit>y trauma c>e provid] means a memb] ( ! ,arm$ ,=ces :o furni%es em]g5cy1 critical c>e1 & o!r trauma acute c>e1 includ+ a physician1 milit>y surgeon1 physician assi/ant1 nurse1 respiratory !rapi/1 flight p>am$ic1 combat m$ic1 or enli/$ m$ical te*nician4 7g7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section1 #ae1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc1 ( :i*-- 7#a7 #aj1jjj1jjj %all be = c>ry+ out subsection 7a72 & 7#b7 #e1jjj1jjj %all be = c>ry+ out subsection 7b74 4 #aae4 ,improvem5t ( loan repaym5t program = prev5tion activities ,section #cag;,f ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 ,sec4 #bdg;b-#g7 is am5d$-- 7#a7 9 subsection 7a77#a7-- 7,a7 by ins]t+ aft] conduct prev5tion activities ! foll[+3 1 includ+ rapid response to major heal? ?reats12 & 7,b7 by /rik+ #ce1jjj & ins]t+ #ej1jjj2 7#b7 9 subsection 7a77#b77;,b71 by /rik+ #c ye>s & ins]t+ #b ye>s2 & 7#c7 9 subsection 7c71 by /rik+ #ejj1jjj & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ #a1jjj1jjj = ea* ( ! fiscal ye>s #bjai ?r\gh #bjbc44 #aaf4 ,report on adequate national blood supply ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ,congress a report conta9+ recomm5dations relat$ to ma9ta9+ an adequate national blood supply1 includ+ *all5ges associat$ ) cont9u\s recruitm5t ( blood donors1 ensur+ adequacy ( blood supply 9 ! case ( public heal? em]g5cies1 & implem5tation ( safety measures & innovation4 ,,ii ,optimiz+ ,/ate & local all-haz>ds prep>$ness & response #bja4 ,public heal? em]g5cies 7a7 ,response fund ,section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 ! fir/ s5t5ce1 by ins]t+ be=e ! p]iod ! foll[+3 1 or if ! ,secret>y det]m9es !re is ! significant pot5tial = a public heal? em]g5cy1 to all[ ! ,secret>y to rapidly respond to ! imm$iate ne$s result+ f su* public heal? em]g5cy or pot5tial public heal? em]g5cy2 & 7ii7 by ins]t+ aft] ! fir/ s5t5ce ! foll[+3 ,! ,secret>y %all plan = ! exp$it$ di/ribution ( am\nts 9 ! ,fund to appropriate ag5cies & entities42 7,b7 by r$esignat+ p>agraph 7#b7 z p>agraph 7#c72 7,c7 by ins]t+ aft] p>agraph 7#a7 ! foll[+3 7#b7 ,uses ,! ,secret>y may use am\nts 9 ! ,fund e/abli%$ "u p>agraph 7#a7-- 7,a7 to facilitate coord9ation betwe5 & among ,f$]al1 ,/ate1 local1 tribal1 & t]ritorial entities & public & private heal? c>e entities t ! ,secret>y det]m9es may be affect$ by a public heal? em]g5cy or pot5tial public heal? em]g5cy ref]r$ to 9 p>agraph 7#a7 7includ+ communication ( su* entities ) relevant int]national entities1 z applicable72 7,b7 to make grants1 provide = aw>ds1 ent] into contracts1 & conduct supportive inve/igations p]ta9+ to su* a public heal? em]g5cy or pot5tial public heal? em]g5cy1 includ+ fur!r support+ programs "u sections #cai;,c-#a & #cai;,c-#b2 7,c7 to facilitate & accel]ate1 z applicable1 advanc$ rese>* & developm5t ( security c\nt]measures 7z def9$ 9 section #cai;,f-#b71 qualifi$ c\nt]measures 7z def9$ 9 section #cai;,f-#a71 or qualifi$ p&emic or epidemic products 7z def9$ 9 section #cai;,f-#c71 t are applicable to su* a public heal? em]g5cy or pot5tial public heal? em]g5cy2 7,d7 to /r5g!n biosurveillance capabilities & laboratory capacity to id5tify1 collect1 & analyze in=mation reg>d+ su* a public heal? em]g5cy or pot5tial public heal? em]g5cy1 includ+ ! sy/ems "u section #cai;,d2 7,e7 to support initial em]g5cy op]ations & assets relat$ to prep>ation & deploym5t ( int]mitt5t disa/]-response p]sonnel "u section #bhab1 & ! ,m$ical ,res]ve ,corps "u section #bhac2 & 7,f7 to c>ry out o!r activities1 z ! ,secret>y det]m9es applicable & appropriate4 2 & 7,d7 by ins]t+ aft] p>agraph 7#c71 z s r$esignat$1 ! foll[+3 7#d7 ,review ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,p&emic & ,all-,haz>ds ,prep>$ness ,reau?orization ,act ( #bjah1 ! ,secret>y1 9 coord9ation ) ! ,assi/ant ,secret>y = ,prep>$ness & ,response1 %all conduct a review ( ! ,fund "u ?is subsection1 & provide recomm5dations to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,appropriations ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives on policies to improve su* ,fund = ! uses describ$ 9 p>agraph 7#b74 7#e7 ,,gao review & report ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a review ( ! ,fund "u ?is subsection1 includ+ ! uses & ! res\rces available 9 ! ,fund4 ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ! ,p&emic & ,all-,haz>ds ,prep>$ness ,reau?orization ,act ( #bjah1 ! ,comptroll] ,g5]al %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on su* review1 includ+ recomm5dations relat$ to su* review4 2 & 7#b7 9 subsection 7c71 by /rik+ section4 & ins]t+ section or funds o!rwise provid$ = em]g5cy response44 7b7 ,tempor>y reassignm5t ( ,f$]ally fund$ p]sonnel ,section #cai7;e77#h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d7e77#h77 is am5d$ by /rik+ #bjah & ins]t+ #bjbc4 #bjb4 ,improv+ ,/ate & local public heal? security 7a7 ,9 g5]al ,section #cai;,c-#a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#c;a7 is am5d$-- 7#a7 9 subsection 7a71 by ins]t+ 1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 aft] ! ,secret>y2 7#b7 9 subsection 7b77#b77;,a7-- 7,a7 9 clause 7viii71 by /rik+ at ! end &2 7,b7 9 clause 7ix71 by add+ at ! end &2 & 7,c7 by ins]t+ aft] clause 7ix7 ! foll[+ new clause3 7x7 a description (-- 7,i7 ! measures ! entity w h 9 place to prioritize nurs+ facilities & skill$ nurs+ facilities ) respect to public heal? em]g5cy prep>$ness 9 ! same mann] z su* plan w prioritize hospitals1 :ile ensur+ t1 9 prioritiz+ nurs+ facilities1 skill$ nurs+ facilities1 & hospitals1 ! entity w reta9 ! discretion to prioritize among su* facilities2 & 7,,ii7 ! plans t ea* electric utility company )9 ! entity's jurisdiction has 9 place to ensure t ea* su* company w rema9 function+ or return to function+ z soon z practicable dur+ p[] outages caus$ by natural or manmade disa/]s2 2 7#c7 9 subsection 7e71 by /rik+ 1 & local em]g5cy plans4 & ins]t+ 1 local em]g5cy plans1 & any regional heal? c>e em]g5cy prep>$ness & response sy/em e/abli%$ pursuant to ! applicable guidel9es "u section #cai;,c-#c42 & 7#d7 9 subsection 7h77#a77;,a71 by /rik+ #fda1ijj1jjj = fiscal ye> #bjad = aw>ds pursuant to p>agraph 7#c7 7subject to ! au?ority ( ! ,secret>y to make aw>ds pursuant to p>agraphs 7#d7 & 7#e771 & #fda1ijj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjah & ins]t+ #fgj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all take effect on ! date ( enactm5t ( ?is ,act & apply ) respect to coop]ative agreem5ts aw>d$ on or aft] su* date ( enactm5t4 #bjc4 ,/r5g!n+ ! hospital prep>$ness program ,section #cai;,c-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#c;b7 is am5d$-- 7#a7 by am5d+ ! section head+ to read z foll[s3 ,/ate & regional heal? c>e prep>$ness & response to improve surge capacity2 7#b7 9 subsection 7a71 by /rik+ hospital prep>$ness = & ins]t+ heal? c>e prep>$ness = & response to2 7#c7 9 subsection 7b77#a77;,a7-- 7,a7 9 ! matt] prec$+ clause 7i7-- 7i7 by /rik+ p>tn]%ip & ins]t+ coalition2 & 7ii7 by /rik+ consi/+ ( & ins]t+ t includes2 7,b7 9 clause 7ii71 by /rik+ & at ! end2 7,c7 9 clause 7iii77,,iii71 by /rik+ & at ! end2 & 7,d7 by add+ at ! end ! foll[+3 7iv7 an em]g5cy m$ical s]vice organization2 & 7v7 an em]g5cy managem5t organization2 & 2 7#d7 9 subsection 7c71 by ins]t+ aft] prep>$ness ! foll[+3 & response2 7#e7 9 subsection 7d7-- 7,a7 9 p>agraph 7#a77;,a7-- 7i7 9 clause 7i71 by /rik+ 2 & & ins]t+ a semicolon2 7ii7 by r$esignat+ clause 7ii7 z clause 7iii72 & 7iii7 by ins]t+ aft] clause 7i7 ! foll[+3 7ii7 among "o or m facilities 9 a regional heal? c>e em]g5cy sy/em "u section #cai;,c-#c2 & 2 7,b7 9 p>agraph 7#a77;,b71 by /rik+ p>tn]%ip ea* place x appe>s & ins]t+ coalition2 & 7,c7 9 p>agraph 7#b77;,c71 by /rik+ m$ical prep>$ness & ins]t+ prep>$ness & response2 7#f7 9 subsection 7f71 by /rik+ p>tn]%ip & ins]t+ coalition2 7#g7 9 subsection 7g77#b7-- 7,a7 by /rik+ ,p>tn]%ips & ins]t+ ,coalitions2 7,b7 by /rik+ p>tn]%ips & ins]t+ coalitions2 & 7,c7 by ins]t+ aft] prep>$ness ! foll[+3 & response2 7#h7 9 subsection 7i7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ ,! requirem5ts & ins]t+ ,except z provid$ 9 p>agraph 7#b71 ! requirem5ts2 7ii7 by /rik+ ,an entity & ins]t+ ,a coalition2 7iii7 by /rik+ su* p>tn]%ip & ins]t+ su* coalition2 & 7iv7 by add+ at ! end ! foll[+3 ,9 submitt+ reports pursuant to ?is p>agraph1 an entity %all include in=mation on ! progress 7if any7 t ! entity has made t[>ds ! implem5tation ( section #cai;,c-#c42 7,b7 by r$esignat+ p>agraph 7#b7 z p>agraph 7#c72 & 7,c7 by ins]t+ aft] p>agraph 7#a7 ! foll[+3 7#b7 ,exception relat+ to application ( c]ta9 requirem5ts ,beg9n+ ) fiscal ye> #bjai1 & 9 ea* succe$+ fiscal ye>1 ) respect to entities receiv+ aw>ds "u ?is section-- 7,a7 p>agraph 7#e77;,a7 ( section #cai;,c-#a7;g7 %all be appli$-- 7i7 by sub/itut+ = ! imm$iately prec$+ fiscal ye> ) ! foll[+3 = ei!r ( ! two imm$iately prec$+ fiscal ye>s2 & 7ii7 by sub/itut+ #bjai = #bjjh2 & 7,b7 p>agraph 7#f77;,a7 ( section #cai;,c-#a7;g7 %all be appli$ by sub/itut+-- 7i7 clause 7i7 ( su* p>agraph ) ! foll[+3 ,= ea* ( ! fir/ two fiscal ye>s imm$iately foll[+ a fiscal ye> 9 :i* an entity exp]i5c$ a failure describ$ 9 subp>agraph 7,a7 or 7,b7 ( p>agraph 7#e7 by ! entity1 an am\nt equal to #aj p]c5t ( ! am\nt ! entity 0 eligible to receive = ea* su* fiscal ye>42 7ii7 clause 7ii7 ( su* p>agraph ) ! foll[+3 ,= ea* ( ! fir/ two fiscal ye>s imm$iately foll[+ two consecutive fiscal ye>s 9 :i* an entity exp]i5c$ su* a failure1 an am\nt equal to #ae p]c5t ( ! am\nt ! entity 0 eligible to receive = ea* ( su* fir/ two fiscal ye>s1 disreg>d+ any )hold+ ( funds t w\ld h be5 made 9 ea* su* ye> by virtue ( clause 7i74 ,! am\nt det]m9$ pursuant to ! previ\s s5t5ce %all be 9 lieu ( any am\nt t w\ld h be5 )held = ea* su* ye> by virtue ( clause 7i742 7iii7 clause 7iii7 ( su* p>agraph ) ! foll[+3 ,= ea* ( ! fir/ two fiscal ye>s imm$iately foll[+ ?ree consecutive fiscal ye>s 9 :i* an entity exp]i5c$ su* a failure1 an am\nt equal to #bj p]c5t ( ! am\nt ! entity 0 eligible to receive = ea* ( su* fir/ two fiscal ye>s1 disreg>d+ any )hold+ ( funds t w\ld h be5 made 9 ea* su* ye> by virtue ( clauses 7i7 & 7ii74 ,! am\nt det]m9$ pursuant to ! previ\s s5t5ce %all be 9 lieu ( any am\nt t w\ld h be5 )held = ea* su* ye> by virtue ( clauses 7i7 & 7ii742 & 7iv7 clause 7iv7 ( su* p>agraph ) ! foll[+3 ,= ea* ( ! fir/ two fiscal ye>s imm$iately foll[+ f\r consecutive fiscal ye>s 9 :i* an entity exp]i5c$ su* a failure1 an am\nt equal to #be p]c5t ( ! am\nt ! entity 0 eligible to receive = ea* ( su* fir/ two fiscal ye>s1 disreg>d+ any )hold+ ( funds t w\ld h be5 made 9 ea* su* ye> by virtue ( clauses 7i71 7ii71 & 7iii74 ,! am\nt det]m9$ pursuant to ! previ\s s5t5ce %all be 9 lieu ( any am\nt t w\ld h be5 )held = ea* su* ye> by virtue ( clauses 7i71 7ii71 & 7iii744 2 & 7#i7 9 subsection 7j77#b71 9 ! p>agraph head+1 by /rik+ ,p>tn]%ips & ins]t+ ,coalitions4 #bjd4 ,improv+ b5*m>ks & /&>ds = prep>$ness & response 7a7 ,evaluat+ measurable evid5ce-,bas$ b5*m>ks & objective /&>ds ,section #cai;,c-#a 7#db ,u4,s4,c4 #bdg;d-#c;a7 is am5d$ by ins]t+ aft] subsection 7j7 ! foll[+3 7k7 ,evaluation 7#a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,p&emic & ,all-,haz>ds ,prep>$ness & ,advanc+ ,innovation ,act ( #bjah & e #b ye>s !reaft]1 ! ,secret>y %all conduct an evaluation ( ! evid5ce-bas$ b5*m>ks & objective /&>ds requir$ "u subsection 7g74 ,su* evaluation %all be submitt$ to ! congressional committees ( jurisdiction toge!r ) ! ,national ,heal? ,security ,/rategy "u section #bhjb1 at su* "t z su* /rategy is submitt$4 7#b7 ,cont5t ,! evaluation "u ?is p>agraph %all include-- 7,a7 a review ( evid5ce-bas$ b5*m>ks & objective /&>ds1 & associat$ metrics & t>gets2 7,b7 a discussion ( *anges to any evid5ce-bas$ b5*m>ks & objective /&>ds1 & ! effect ( su* *anges on ! ability to track :e!r entities are meet+ or mak+ progress t[>d ! goals "u ?is section &1 to ! ext5t practicable1 ! applicable goals ( ! ,national ,heal? ,security ,/rategy "u section #bhjb2 7,c7 a description ( am\nts receiv$ by eligible entities1 z describ$ 9 subsection 7b7 & section #cai;,c-#b7;b71 & am\nts receiv$ by subrecipi5ts & ! effect ( su* fund+ on meet+ evid5ce-bas$ b5*m>ks & objective /&>ds2 & 7,d7 recomm5dations1 z applicable & appropriate1 to improve evid5ce-bas$ b5*m>ks & objective /&>ds to m accurately assess ! ability ( entities receiv+ aw>ds "u ?is section to bett] a*ieve ! goals "u ?is section & section #bhjb4 4 7b7 ,evaluat+ ! p>tn]%ip = ,/ate & regional hospital prep>$ness ,section #cai;,c-#b7;i77#a7 7#db ,u4,s4,c4 #bdg-c;b7i77#a771 z am5d$ by section #bjc1 is fur!r am5d$ by /rik+ section #cai;,c-#a7;g71 7i71 & 7j7 & ins]t+ section #cai;,c-#a7;g71 7i71 7j71 & 7k74 #bje4 ,au?orization ( appropriations = revitaliz+ ! ,c5t]s = ,disease ,control & ,prev5tion ,section #cai;,d7f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#d7;f77 is am5d$ by /rik+ #ach1cjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah & ins]t+ #afa1hjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 #bjf4 ,au?orization ( appropriations = ,em]g5cy ,sy/em = ,advanc$ ,regi/ration ( ,volunte] ,heal? ,pr(essionals ,section #cai;,i7k7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#g;b7k77 is am5d$ by /rik+ fiscal ye>s #bjad ?r\gh #bjah & ins]t+ fiscal ye>s #bjai ?r\gh #bjbc4 #bjg4 ,regional heal? c>e em]g5cy prep>$ness & response sy/ems ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdc et seq47 is am5d$ by ins]t+ aft] section #cai;,c-#b ! foll[+ new section3 #cai;,c-#c4 ,guidel9es = regional heal? c>e em]g5cy prep>$ness & response sy/ems 7a7 ,purpose ,x is ! purpose ( ?is section to id5tify & provide guidel9es = regional sy/ems ( hospitals1 heal? c>e facilities1 & o!r public & private sector entities1 ) v>y+ levels ( capability to treat pati5ts & increase m$ical surge capacity dur+1 9 advance (1 & imm$iately foll[+ a public heal? em]g5cy1 includ+ ?reats pos$ by "o or m *emical1 biological1 radiological1 & nucle> ag5ts1 includ+ em]g+ infecti\s diseases4 7b7 ,guidel9es ,! ,assi/ant ,secret>y = ,prep>$ness & ,response1 9 consultation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,commission] ( ,food & ,drugs1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 ! ,assi/ant ,secret>y ( ,labor = ,occupational ,safety & ,heal?1 ! ,secret>y ( ,vet]ans ,affairs1 ! heads ( su* o!r ,f$]al ag5cies z ! ,secret>y det]m9es to be appropriate1 & ,/ate1 local1 tribal1 & t]ritorial public heal? (ficials1 %all1 n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is section-- 7#a7 id5tify & develop a set ( guidel9es relat+ to practices & protocols = all-haz>ds public heal? em]g5cy prep>$ness & response = hospitals & heal? c>e facilities to provide appropriate pati5t c>e dur+1 9 advance (1 or imm$iately foll[+1 a public heal? em]g5cy1 result+ f "o or m *emical1 biological1 radiological1 or nucle> ag5ts1 includ+ em]g+ infecti\s diseases 7:i* may include exi/+ practices1 su* z trauma c>e & m$ical surge capacity & capabilities71 ) respect to-- 7,a7 a regional approa* to id5tify+ hospitals & heal? c>e facilities bas$ on v>y+ capabilities & capacity to treat pati5ts affect$ by su* em]g5cy1 includ+-- 7i7 ! mann] 9 :i* ! sy/em w coord9ate ) & integrate ! heal? c>e coalitions & entities describ$ 9 section #cai;,c-#b7;b72 & 7ii7 in=m+ & educat+ appropriate fir/ respond]s & heal? c>e supply *a9 p>tn]s ( ! regional em]g5cy prep>$ness & response capabilities & m$ical surge capacity ( su* hospitals & heal? c>e facilities 9 ! community2 7,b7 physical & te*nological infra/ructure1 laboratory capacity1 /aff+1 blood supply1 & o!r supply *a9 ne$s1 tak+ into acc\nt resili5cy1 geographic consid]ations1 & rural consid]ations2 7,c7 protocols or be/ practices = ! safety & p]sonal protection ( work]s :o h&le human rema9s & heal? c>e work]s 7includ+ ) respect to protective equipm5t & supplies1 wa/e managem5t processes1 & decontam9ation71 %>+ ( specializ$ exp]i5ce among ! heal? c>e work=ce1 behavioral heal?1 psy*ological resili5ce1 & tra9+ ( ! work=ce1 z applicable2 7,d7 9 a mann] t all[s = disease conta9m5t 7)9 ! mean+ ( section #bhjb7;b77#b77;,b771 coord9at$ m$ical triage1 treatm5t1 & transportation ( pati5ts1 bas$ on pati5t m$ical ne$ 7includ+ pati5ts 9 rural areas71 to ! appropriate hospitals or heal? c>e facilities )9 ! regional sy/em or1 z applicable & appropriate1 betwe5 sy/ems 9 diff]5t ,/ates or regions2 & 7,e7 ! ne$s ( *ildr5 & o!r at-risk individuals2 7#b7 make su* guidel9es available on ! public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 9 a mann] t does n compromise national security2 & 7#c7 update su* guidel9es z appropriate1 includ+ bas$ on input receiv$ pursuant to subsections 7c7 & 7f71 to address new & em]g+ public heal? ?reats4 7c7 ,consid]ations ,9 id5tify+1 develop+1 & updat+ guidel9es "u subsection 7b71 ! ,assi/ant ,secret>y = ,prep>$ness & ,response %all-- 7#a7 include input f hospitals & heal? c>e facilities 7includ+ heal? c>e coalitions "u section #cai;,c-#b71 ,/ate1 local1 tribal1 & t]ritorial public heal? dep>tm5ts1 & heal? c>e or subject matt] exp]ts 7includ+ exp]ts ) relevant exp]tise 9 *emical1 biological1 radiological1 or nucle> ?reats1 & em]g+ infecti\s disease71 z ! ,assi/ant ,secret>y det]m9es appropriate1 to meet ! goals "u section #bhjb7;b77#c72 7#b7 consult & engage ) appropriate heal? c>e provid]s & pr(essionals1 includ+ physicians1 nurses1 fir/ respond]s1 heal? c>e facilities 7includ+ hospitals1 prim>y c>e cl9ics1 community heal? c5t]s1 m5tal heal? facilities1 ambulatory c>e facilities1 & d5tal heal? facilities71 ph>macies1 em]g5cy m$ical provid]s1 trauma c>e provid]s1 environm5tal heal? ag5cies1 public heal? laboratories1 poison control c5t]s1 blood banks1 & o!r exp]ts t ! ,assi/ant ,secret>y det]m9es appropriate1 to meet ! goals "u section #bhjb7;b77#c72 7#c7 consid] fe$back relat$ to f9ancial implications = hospitals1 heal? c>e facilities1 public heal? ag5cies1 laboratories1 blood banks1 & o!r entities engag$ 9 regional prep>$ness plann+ to implem5t & foll[ su* guidel9es1 z applicable2 & 7#d7 consid] f9ancial requirem5ts & pot5tial inc5tives = entities to prep>e =1 & respond to1 public heal? em]g5cies z "p ( ! regional heal? c>e em]g5cy prep>$ness & response sy/em4 7d7 ,te*nical assi/ance ,! ,assi/ant ,secret>y = ,prep>$ness & ,response1 9 consultation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,assi/ant ,secret>y ( ,labor = ,occupational ,safety & ,heal?1 may provide te*nical assi/ance & consultation t[>ds meet+ ! guidel9es describ$ 9 subsection 7b74 7e7 ,demon/ration project = regional heal? c>e prep>$ness & response sy/ems 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,prep>$ness & ,response may e/abli% a demon/ration project pursuant to ! developm5t & implem5tation ( guidel9es "u subsection 7b7 to aw>d grants to improve m$ical surge capacity = all haz>ds1 build & integrate regional m$ical response capabilities1 improve specialty c>e exp]tise = all-haz>ds response1 & coord9ate m$ical prep>$ness & response across ,/ate1 local1 tribal1 t]ritorial1 & regional jurisdictions4 7#b7 ,sunset ,! au?ority "u ?is subsection %all expire on ,septemb] #cj1 #bjbc4 7f7 ,,gao report to ,congress 7#a7 ,report ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is section1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 7ref]r$ to 9 ?is subsection z ! ,comptroll] ,g5]al7 %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,f9ance ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives a report on ! ext5t to :i* hospitals & heal? c>e facilities h implem5t$ ! recomm5d$ guidel9es "u subsection 7b71 includ+ an analysis & evaluation ( any *all5ges hospitals or heal? c>e facilities exp]i5c$ 9 implem5t+ su* guidel9es4 7#b7 ,cont5t ,! ,comptroll] ,g5]al %all include 9 ! report "u p>agraph 7#a7-- 7,a7 data on ! prep>$ness & response capabilities t h be5 in=m$ by ! guidel9es "u subsection 7b7 to improve regional em]g5cy heal? c>e prep>$ness & response capability1 includ+ hospital & heal? c>e facility capacity & m$ical surge capabilities to prep>e =1 & respond to1 public heal? em]g5cies2 & 7,b7 recomm5dations to r$uce gaps 9 inc5tives = regional heal? p>tn]s1 includ+ hospitals & heal? c>e facilities1 to improve capacity & m$ical surge capabilities to prep>e =1 & respond to1 public heal? em]g5cies1 consi/5t ) subsection 7a71 :i* may include consid]ation ( facilities p>ticipat+ 9 programs "u section #cai;,c-#b1 programs "u ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices 7includ+ innovative heal? c>e deliv]y & paym5t models71 & input f private sector f9ancial in/itutions4 7#c7 ,consultation ,9 c>ry+ out p>agraphs 7#a7 & 7#b71 ! ,comptroll] ,g5]al %all consult ) ! heads ( appropriate ,f$]al ag5cies1 includ+-- 7,a7 ! ,assi/ant ,secret>y = ,prep>$ness & ,response2 7,b7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion2 7,c7 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7,d7 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use2 7,e7 ! ,assi/ant ,secret>y ( ,labor = ,occupational ,safety & ,heal?2 7,f7 ! ,secret>y ( ,vet]ans ,affairs2 & 7,g7 ! heads ( su* o!r ,f$]al ag5cies z ! ,secret>y det]m9es appropriate4 4 #bjh4 ,national ,academy ( ,m$ic9e evaluation & report on ! prep>$ness ( hospitals1 long-t]m c>e facilities1 dialysis c5t]s1 & o!r m$ical facilities = public heal? em]g5cies 7a7 ,evaluation 7#a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all ent] into an arrangem5t ) ! ,national ,academy ( ,m$ic9e or1 if ! ,national ,academy decl9es to ent] into su* an arrangem5t1 ano!r appropriate entity "u :i* ! ,national ,academy 7or o!r appropriate entity7 agrees to evaluate ! prep>$ness ( hospitals1 long-t]m c>e facilities1 dialysis c5t]s1 & o!r m$ical facilities nationwide = public heal? em]g5cies1 includ+ natural disa/]s4 7#b7 ,specific matt]s evaluat$ ,! arrangem5t "u p>agraph 7#a7 %all require ! ,national ,academy ( ,m$ic9e 7or o!r appropriate entity7-- 7,a7 to catalogue1 review1 & evaluate ! efficacy ( curr5t rules & regulations = hospitals1 long-t]m c>e facilities1 dialysis c5t]s1 & m$ical facilities reg>d+ em]g5cy prep>$ness plann+2 7,b7 to id5tify & prioritize options to implem5t policies = hospitals1 long-t]m c>e facilities1 dialysis c5t]s1 & o!r m$ical facilities nationwide t address future ?reats2 7,c7 to review all ,f$]al grant programs t affect ! prep>$ness ( hospitals1 long-t]m c>e facilities1 dialysis c5t]s1 or o!r m$ical facilities = public heal? em]g5cies & provide recomm5dations = improv+ su* prep>$ness by-- 7i7 improv+ su* exi/+ ,f$]al grant programs2 or 7ii7 creat+ new ,f$]al grant programs2 7,d7 to review1 id5tify1 & recomm5d be/ practices = improv+ em]g5cy prep>$ness at hospitals1 long-t]m c>e facilities1 dialysis c5t]s1 & o!r m$ical facilities2 7,e7 to id5tify & recomm5d be/ s\rces & guidel9es = alt]ative or em]g5cy p[] sy/ems1 includ+ r5ewable s\rces1 batt]y /orage1 & g5]ators2 & 7,f7 to id5tify & recomm5d be/ practices & guidel9es = em]g5cy prep>$ness plann+ relat$ to access to clean wat] at hospitals1 long-t]m c>e facilities1 dialysis c5t]s1 & o!r m$ical facilities4 7b7 ,report 7#a7 ,9 g5]al ,! arrangem5t "u subsection 7a77#a7 %all require ! ,national ,academy ( ,m$ic9e 7or o!r appropriate entity7 to submit to ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,congress1 n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 a report on ! results ( ! evaluation conduct$ pursuant to ?is section4 7#b7 ,cont5ts ,! report "u p>agraph 7#a7 %all-- 7,a7 describe ! f9d+s & conclusions ( ! evaluation conduct$ pursuant to ?is section2 & 7,b7 include a /rategy = improv+ ! prep>$ness ( hospitals1 long-t]m c>e facilities1 dialysis c5t]s1 & o!r m$ical facilities nationwide = public heal? em]g5cies1 includ+ natural disa/]s4 #bji4 ,limitation on liability = volunte] heal? c>e pr(essionals 7a7 ,9 g5]al ,title ,,ii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #bbd 7#db ,u4,s4,c4 #bcc7 ! foll[+ new section3 #bbd;,a4 ,limitation on liability = volunte] heal? c>e pr(essionals 7a7 ,limitation on liability ,except z provid$ 9 subsection 7b71 a heal? c>e pr(essional s]v+1 = purposes ( respond+ to a disa/]1 z a volunte] %all n be liable "u ,f$]al or ,/ate law = any h>m caus$ by an act or omission ( ! pr(essional 9 ! provision ( heal? c>e s]vices if ! act or omission occurs-- 7#a7 dur+ ! p]iod ( ! disa/]2 7#b7 9 ! ,/ate or ,/ates = :i* ! disa/] is decl>$2 7#c7 :ile ! heal? c>e pr(essional is act+ 9 ! pr(essional's capacity z a volunte]2 7#d7 9 ! c\rse ( provid+ heal? c>e s]vices t are )9 ! scope ( ! lic5se1 regi/ration1 or c]tification ( ! volunte]1 z def9$ by ! ,/ate ( lic5sure1 regi/ration1 or c]tification2 & 7#e7 :ile ! heal? c>e pr(essional is act+ 9 a good fai? belief t ! individual be+ provid$ su* heal? c>e s]vices is 9 ne$ ( su* heal? c>e s]vices4 7b7 ,exceptions ,subsection 7a7 does n apply ) respect to h>m caus$ by an act or omission ( a heal? c>e pr(essional 9 ! provision ( heal? c>e s]vices z describ$ 9 su* subsection if-- 7#a7 ! h>m 0 caus$ by an act or omission con/itut+ willful or crim9al misconduct1 gross neglig5ce1 reckless misconduct1 or a consci\s flagrant indiff]5ce to ! rights or safety ( ! individual h>m$ by ! heal? c>e pr(essional2 or 7#b7 ! heal? c>e pr(essional provid$ su* heal? c>e s]vices "u ! influ5ce 7z det]m9$ pursuant to applicable ,/ate law7 ( alcohol or an intoxicat+ drug4 7c7 ,preemption ,no ,/ate or political subdivision ( a ,/ate may e/abli% or cont9ue 9 effect any laws relat+ to ! liability = acts or omissions relat+ to ! provision ( heal? c>e s]vices by heal? c>e pr(essionals s]v+1 = purposes ( respond+ to a disa/]1 z volunte]s t are inconsi/5t ) ?is section1 unless su* laws provide great] protection f su* liability4 7d7 ,relation%ip to ,volunte] ,protection ,act ( #aiig ,! protections f liability "u ?is section are 9 addition to ! protections f liability "u ! ,volunte] ,protection ,act ( #aiig4 7e7 ,def9itions ,9 ?is section3 7#a7 ,! t]m disa/] means-- 7,a7 a national em]g5cy decl>$ by ! ,presid5t "u ! ,national ,em]g5cies ,act2 7,b7 an em]g5cy or major disa/] decl>$ by ! ,presid5t "u ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act2 or 7,c7 a public heal? em]g5cy t is det]m9$ by ! ,secret>y "u section #cai ( ?is ,act ) respect to "o or m ,/ates specifi$ 9 su* det]m9ation-- 7i7 dur+ only ! initial p]iod cov]$ by su* det]m9ation2 & 7ii7 exclud+ any p]iod cov]$ by a r5ewal ( su* det]m9ation4 7#b7 ,! t]m h>m includes physical1 nonphysical1 economic1 & noneconomic losses4 7#c7 ,! t]m heal? c>e pr(essional means an individual :o is lic5s$1 regi/]$1 or c]tifi$ "u ,f$]al or ,/ate law to provide heal? c>e s]vices4 7#d7 ,! t]m heal? c>e s]vices means any s]vices provid$ by a heal? c>e pr(essional1 or by any individual work+ "u ! sup]vision ( a heal? c>e pr(essional1 t relate to-- 7,a7 ! diagnosis1 prev5tion1 or treatm5t ( any human disease or impairm5t2 or 7,b7 ! assessm5t or c>e ( ! heal? ( a human be+4 7#e7 ,! t]m ,/ate includes ea* ( ! sev]al ,/ates1 ! ,di/rict ( ,columbia1 ! ,commonweal? ( ,pu]to ,rico1 ! ,virg9 ,isl&s1 ,guam1 ,am]ican ,samoa1 ! ,nor!rn ,m>iana ,isl&s1 & any o!r t]ritory or possession ( ! ,unit$ ,/ates4 7#f7 7,a7 ,! t]m volunte] means a heal? c>e pr(essional :o1 9 provid+ heal? c>e s]vices 9 response to a disa/]1 does n receive-- 7i7 comp5sation2 or 7ii7 any o!r ?+ ( value 9 lieu ( comp5sation1 9 excess ( #ejj p] ye>4 7,b7 ,= purposes ( subp>agraph 7,a71 ! t]m comp5sation-- 7i7 includes paym5t "u any insurance policy or heal? plan1 or "u any ,f$]al heal? c>e program 7z def9$ 9 section #aabh;,b7f7 ( ! ,social ,security ,act7 or ,/ate heal? b5efits program2 & 7ii7 excludes-- 7,i7 reasonable reimbursem5t or all[ance = exp5ses actually incurr$2 7,,ii7 receipt ( paid leave2 & 7,,iii7 receipt ( items to be us$ exclusively = provid+ ! heal? c>e s]vices ref]r$ to 9 subp>agraph 7,a74 4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply ) respect to claims = relief = :i* ! act or omission giv+ rise to ! claim occurr$ on or aft] ! date t is #ij days aft] ! date ( ! enactm5t ( ?is ,act4 7c7 ,s5se ( ,congress ,x is ! s5se ( ! ,congress t-- 7#a7 heal? c>e pr(essionals %\ld be enc\rag$1 to regi/] ) ! ,em]g5cy ,sy/em = ,advance ,regi/ration ( ,volunte] ,heal? ,pr(essionals 7,,es>vhp71 & ,/ates %\ld employ onl9e regi/ration ) ! prompte/ process+ possible ( su* regi/rations to fo/] ! rapid deploym5t & utilization ( volunte] heal? c>e pr(essionals foll[+ a disa/]2 7#b7 ,f$]al & ,/ate ag5cies & lic5s+ bo>ds %\ld coop]ate to facilitate ! timely movem5t ( prop]ly lic5s$ volunte] heal? c>e pr(essionals to areas affect$ by a disa/]2 & 7#c7 ! appropriate lic5s+ entities %\ld v]ify ! lic5ses ( volunte] heal? c>e pr(essionals s]v+ disa/] victims z soon z is reasonably practical foll[+ a disa/]4 ,,iii ,accel]at+ m$ical c\nt]measure advanc$ rese>* & developm5t #cja4 ,/rategic national /ockpile & security c\nt]measure procurem5t 7a7 ,9 g5]al 7#a7 ,coord9ation ) ! ,,aspr ,subsection 7a77#a7 ( section #cai;,f-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7 is am5d$ by ins]t+ ! ,assi/ant ,secret>y = ,prep>$ness & ,response & be=e ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7#b7 ,con=m+ am5dm5ts ,subsection 7c7 ( section #bhaa ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aj71 z am5d$ by section #aja1 is fur!r am5d$-- 7,a7 9 p>agraph 7#b7-- 7i7 by r$esignat+ subp>agraphs 7,c7 ?r\gh 7,f7 z subp>agraphs 7,d7 ?r\gh 7,g71 respectively2 & 7ii7 by ins]t+ aft] subp>agraph 7,b7 ! foll[+ new subp>agraph3 7,c7 ! ,/rategic ,national ,/ockpile pursuant to section #cai;,f-#b2 2 & 7,b7 9 p>agraph 7#c7-- 7i7 9 subp>agraph 7,a71 by add+ & at ! end2 7ii7 by /rik+ subp>agraph 7,b72 & 7iii7 by r$esignat+ subp>agraph 7,c7 z subp>agraph 7,b74 7b7 ,congressional notification ( mat]ial ?reat det]m9ation ,section #cai;,f-#b7;c77#b77;,c7 7#db ,u4,s4,c4 #bdg;d-#f;b7c77#b77;,c77 is am5d$ by /rik+ ,! ,secret>y & ! ,homel& ,security ,secret>y %all promptly notify ! appropriate committees ( ,congress & ins]t+ ,! ,secret>y & ! ,secret>y ( ,homel& ,security %all s5d to ,congress1 on an annual basis1 all curr5t mat]ial ?reat det]m9ations & %all promptly notify ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,homel& ,security & ,gov]nm5t ,affairs ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,homel& ,security ( ! ,h\se ( ,repres5tatives4 7c7 ,au?orization ( appropriations ,section #cai;,f-#b7;f77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7f77#a77 is am5d$ by /rik+ #ecc1hjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah & ins]t+ #faj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc1 to rema9 available until exp5d$4 7d7 ,bio%ield special res]ve fund ,p>agraph 7#a7 ( section #cai;,f-#b7;g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7g77 is am5d$ to read z foll[s3 7#a7 ,au?orization ( appropriations ,9 addition to am\nts appropriat$ to ! special res]ve fund prior to ! date ( ! enactm5t ( ?is subsection1 !re is au?oriz$ to be appropriat$1 = ! procurem5t ( security c\nt]measures "u subsection 7c7 & = c>ry+ out section #cai,l 7relat+ to ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority71 #g1ajj1jjj1jjj = ! fiscal ye>s #bjai ?r\gh #bjbh4 ,funds au?oriz$ by ! prec$+ s5t5ce = fiscal ye>s #bjbj ?r\gh #bjbg may be provid$ by advance appropriation1 to be obligat$ at a rate ( n less ?an #gaj1jjj1jjj p] ye>4 ,am\nts appropriat$ pursuant to ?is p>agraph are au?oriz$ to rema9 available until exp5d$4 4 #cjb4 ,biom$ical advanc$ rese>* & developm5t au?ority 7a7 ,prep>+ = p&emic influ5za1 antimicrobial resi/ance1 & o!r significant ?reats ,section #cai,l7c77#d7 ( ! ,public ,heal? ,s]vice ,act 7#bdg;d-#g;e7c77#d77 is am5d$ by add+ at ! end ! foll[+3 7,f7 ,/rategic initiatives ,! ,secret>y1 act+ ?r\gh ! ,director ( ,,b>da1 may implem5t /rategic initiatives1 includ+ by build+ on exi/+ programs & by aw>d+ grants support+ innovative c&idate products 9 precl9ical & cl9ical developm5t1 to address priority1 naturally occurr+ & man-made ?reats t1 z det]m9$ by ! ,secret>y1 pose a significant level ( risk to national security bas$ on ! *>act]i/ics ( a *emical1 biological1 radiological or nucle> ?reat1 or exi/+ capabilities to respond to su* a ?reat 7includ+ m$ical response & treatm5t capabilities & manufactur+ infra/ructure74 ,su* initiatives %all accel]ate & support ! advanc$ rese>*1 developm5t1 & procurem5t (1 c\nt]measures & products1 z applicable1 to address areas includ+-- 7i7 *emical1 biological1 radiological1 or nucle> ?reats1 includ+ em]g+ infecti\s diseases1 = :i* insuffici5t approv$1 lic5s$1 or au?oriz$ c\nt]measures exi/1 or = :i* su* ?reat1 or ! result ( an exposure to su* ?reat1 may become resi/ant to c\nt]measures or exi/+ c\nt]measures may be r5d]$ ineffective2 7ii7 ?reats t consi/5tly exi/ or cont9ually circulate & h significant pot5tial to become a p&emic1 su* z p&emic influ5za1 :i* may include ! advanc$ rese>* & developm5t1 manufactur+1 & appropriate /ockpil+ ( qualifi$ p&emic or epidemic products1 & products1 te*nologies1 or processes to support ! advanc$ rese>* & developm5t ( su* c\nt]measures 7includ+ multiuse plat=m te*nologies = diagno/ics1 vacc9es1 & !rapeutics2 virus se$s2 cl9ical trial lots2 novel virus /ra9s2 & antig5 & adjuvant mat]ial72 & 7iii7 ?reats t may result prim>ily or second>ily f a *emical1 biological1 radiological1 or nucle> ag5t1 or em]g+ infecti\s disease1 & :i* may pres5t increas$ treatm5t complications su* z ! occurr5ce ( resi/ance to available c\nt]measures or pot5tial c\nt]measures1 includ+ antimicrobial resi/ant pa?og5s4 4 7b7 ,transaction au?orities ,section #cai,l7c77#e77;,a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#g;e7c77#e77;,a77 is am5d$-- 7#a7 by am5d+ clause 7i7 to read z foll[s3 7i7 ,9 g5]al ,! ,secret>y %all h ! au?ority to engage 9 transactions o!r ?an a contract1 grant1 or coop]ative agreem5t ) respect to projects "u ?is section4 2 & 7#b7 9 clause 7ii7-- 7,a7 by am5d+ subclause 7,i7 to read z foll[s3 7,i7 ,to ! maximum ext5t practicable1 competitive proc$ures %all be us$ :5 ent]+ into agreem5ts to c>ry out projects "u ?is section4 2 & 7,b7 9 subclause 7,,ii71 by /rik+ #bj1jjj1jjj & ins]t+ #ajj1jjj1jjj4 7c7 ,p&emic influ5za program ,section #cai,l ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#g;e7 is am5d$-- 7#a7 by r$esignat+ subsections 7d7 ?r\gh 7f7 z subsections 7f7 ?r\gh 7h71 respectively2 & 7#b7 by ins]t+ aft] subsection 7c7 ! foll[+ new subsections3 7d7 ,p&emic influ5za program ,! ,secret>y1 act+ ?r\gh ! ,director ( ,,b>da1 %all e/abli% & implem5t a program t-- 7#a7 supports rese>* & developm5t activities = qualifi$ p&emic or epidemic products 7z def9$ 9 section #cai;,f-#c7;i771 includ+ by develop+ innovative te*nologies to enhance rapid response to ?reats relat+ to p&emic influ5za2 7#b7 ensures read9ess to respond to p&emic influ5za ?reats by support+ ! developm5t & manufactur+ ( influ5za virus se$s1 cl9ical trial lots1 & /ockpiles ( novel influ5za /ra9s2 & 7#c7 su/a9s & repl5i%es p&emic /ockpiles ( bulk antig5 & adjuvant mat]ial1 includ+ annually te/+ ! pot5cy & %elf-life pot5tial ( all exi/+ p&emic /ockpiles held by ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7e7 ,em]g+ infecti\s disease program ,! ,secret>y1 act+ ?r\gh ! ,director ( ,,b>da1 %all e/abli% & implem5t a program t supports rese>* & developm5t1 & manufactur+ infra/ructure1 activities ) respect to an em]g+ infecti\s disease4 4 7d7 ,fund+ ,subsection 7f7 ( section #cai,l ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#g;e71 z r$esignat$ by subsection 7b77#a71 is am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 by ins]t+ 7o!r ?an subsections 7d7 & 7e77 aft] purposes ( ?is section2 & 7,b7 by /rik+ #dae1jjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah & ins]t+ #ecf1gjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc2 & 7#b7 by add+ at ! end ! foll[+ new p>agraphs3 7#c7 ,fund+ = p&emic influ5za program 7,a7 ,9 g5]al ,to c>ry out ! purposes ( subsection 7d71 !re is au?oriz$ to be appropriat$ #bej1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc1 to rema9 available until exp5d$4 7,b7 ,supplem5t n supplant ,any funds provid$ to ! ,secret>y "u ?is p>agraph %all be us$ to supplem5t & n supplant any o!r ,f$]al funds provid$ to c>ry out ! purposes ( subsection 7d74 7#d7 ,fund+ = em]g+ infecti\s disease program 7,a7 ,9 g5]al ,to c>ry out ! purposes ( subsection 7e71 !re is au?oriz$ to be appropriat$ #bej1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc1 to rema9 available until exp5d$4 7,b7 ,supplem5t n supplant ,any funds provid$ to ! ,secret>y "u ?is p>agraph %all be us$ to supplem5t & n supplant any o!r ,f$]al funds provid$ to c>ry out ! purposes ( subsection 7e74 4 #cjc4 ,report on ! developm5t ( vacc9es to prev5t future epidemics ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ,congress a report detail+ ! activities c>ri$ out by ! ,dep>tm5t ( ,heal? & ,human ,s]vices to support ! developm5t ( vacc9es to prev5t future epidemics1 includ+ "w c>ri$ out ?r\gh dome/ic & global public-private p>tn]%ips & o!r collaborations int5d$ to spur ! developm5t ( su* vacc9es4 ,su* report %all include in=mation relat$ to ! provision ( any fund+ or te*nical assi/ance to su* entities4 ,,iv ,miscellane\s provisions #dja4 ,cyb]security 7a7 ,national heal? security /rategy ,section #bhjb7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;h-#a7;a77 is am5d$ by add+ at ! end ! foll[+3 7#d7 ,cyb]security ?reats ,9 ! next v]sion ( ! ,national ,heal? ,security ,/rategy prep>$ aft] ! date ( ! enactm5t ( ?is p>agraph1 ! ,national ,heal? ,security ,/rategy %all include a national /rategy focus$ on address+ cyb]security ?reats to ! public heal? & heal? c>e sy/em1 includ+-- 7,a7 def9+ ! functions1 capabilities1 & gaps 9 su* sy/em2 & 7,b7 id5tify+ /rategies to /r5g!n ! prep>$ness & response ( su* sy/em to cyb]security ?reats & incid5ts1 includ+ ) respect to cont9uity ( c>e & risk mitigation to prev5t h>m to human heal? 9 case ( a cyb]security incid5t4 4 7b7 ,coord9ation ( prep>$ness = & response to all-,haz>ds public heal? em]g5cies ,section #bhaa7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aj71 z am5d$ by sections #aja & #cja1 is fur!r am5d$-- 7#a7 by r$esignat+ p>agraph 7#d7 z p>agraph 7#e72 & 7#b7 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 h lead responsibility )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices = ensur+ ! ability ( ! heal? c>e sector to provide cont9uity ( c>e dur+ a cyb]security incid5t2 & 4 #djb4 ,miscellane\s ,,fda am5dm5ts 7a7 ,drug developm5t tools ,section #ejg7;c7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #ceg7 is am5d$-- 7#a7 by r$esignat+ p>agraph 7#c7 z p>agraph 7#d72 & 7#b7 by ins]t+ aft] p>agraph 7#b7 ! foll[+3 7#c7 ,national security limitation ,9 mak+ in=mation publicly available pursuant to p>agraph 7#a71 ! ,secret>y-- 7,a7 %all n disclose in=mation t w\ld compromise national security2 & 7,b7 may make available summ>ies 9 lieu ( data & evid5ce conta9$ 9 qualification submissions4 4 7b7 ,em]g5cy use in/ructions ,subp>agraph 7,a7 ( section #efd;,a7e77#b7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#c;a7e77#b77 is am5d$ by /rik+ subsection 7a77#a77;,c77i7 & ins]t+ subsection 7a77#a77;,c74 7c7 ,products held = em]g5cy use ,section #efd;,b7#b7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#c;b7 is am5d$-- 7#a7 9 subp>agraph 7,b71 by ins]t+ a comma aft] #eje2 & 7#b7 9 subp>agraph 7,c71 by ins]t+ or section #efd;,a be=e ! p]iod at ! end4 #djc4 ,=mal /rategy relat+ to *ildr5 sep>at$ f p>5ts & gu>dians z a result ( z]o tol]ance policy ,n lat] ?an #ad days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y = ,prep>$ness & ,response %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a =mal /rategy-- 7#a7 to reunify ) _! p>5t or gu>dian ea* *ild :o1 z a result ( ! z]o tol]ance policy1 0 sep>at$ f _! p>5t or gu>dian & plac$ into a facility fund$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 & 7#b7 to address defici5cies id5tifi$ by ! previ\s "w ( ! ,committee1 :i* began 9 #bjad1 reg>d+ ! ov]sight (1 & c>e =1 unaccompani$ ali5 *ildr5 9 ! cu/ody ( ! ,dep>tm5t4 #djd4 ,biological ?reat detection ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdc et seq471 z am5d$ by section #ajd1 is fur!r am5d$ by ins]t+ aft] section #cai;,d-#a ( su* ,act1 ! foll[+ new section3 #cai;,d-#b4 ,biological ?reat detection 7a7 ,ex*ange ( in=mation 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 coord9ation ) ! ,secret>y ( ,def5se & ! ,secret>y ( ,homel& ,security1 %all-- 7,a7 facilitate ! id5tification by ,f$]al dep>tm5ts & ag5cies ( te*nological1 op]ational1 & programmatic successes & failures ( dome/ic detection programs = int5tionally introduc$1 accid5tally releas$1 & naturally occurr+ infecti\s diseases2 7,b7 facilitate ! ex*ange ( in=mation describ$ 9 subp>agraph 7,a7 among ,f$]al dep>tm5ts & ag5cies t utilize biological ?reat detection te*nology2 & 7,c7 make recomm5dations on rese>*1 developm5t1 & procurem5t to ,f$]al dep>tm5ts & ag5cies to replace & enhance biological ?reat detection sy/ems 9 use1 includ+ recomm5dation = ! transf] ( biological ?reat detection te*nology among ,f$]al dep>tm5ts & ag5cies4 7#b7 ,consid]ations ,9 c>ry+ out p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all take into consid]ation ! capabilities ( ! sy/em ) respect to ea* ( ! foll[+3 7,a7 ,rapidly detect+1 id5tify+1 *>act]iz+1 & confirm+ ! pres5ce ( biological ?reat ag5ts4 7,b7 ,recov]+ live biological ag5ts f collection devices4 7,c7 ,det]m9+ ! geographical di/ribution ( biological ag5ts4 7,d7 ,det]m9+ ! ext5t ( environm5tal contam9ation & p]si/5ce ( biological ag5ts4 7,e7 ,provid+ advanc$ molecul> diagno/ics to ,/ate1 local1 tribal1 & t]ritorial public heal? & o!r laboratories t support biological ?reat detection activities4 7b7 ,collaboration ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ,secret>y ( ,def5se1 ! ,secret>y ( ,homel& ,security1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 & ! heads ( o!r ,f$]al dep>tm5ts & ag5cies t utilize biological ?reat detection te*nology1 %all collaborate ) ,/ate1 local1 tribal1 & t]ritorial public heal? laboratories & o!r us]s ( curr5t & future biological ?reat detection sy/ems to develop-- 7#a7 biological ?reat detection requirem5ts1 includ+-- 7,a7 te*nical1 quality1 & biosafety /&>ds1 includ+ ! review ( validation data prior to & ?r\gh\t deploym5t ( a biological ?reat detection sy/em2 & 7,b7 requirem5ts =-- 7i7 ! assessm5t ( quality /&>ds & ! developm5t & deploym5t ( biological ?reat detection sy/ems2 & 7ii7 metrics =1 collaborative assessm5t (1 & deploym5t ( biosafety /&>ds2 7#b7 a /&>diz$ integration /rategy =-- 7,a7 ! level to :i* biological ?reat detection processes & sy/ems are def9$ & execut$2 7,b7 ! locations at :i* su* processes & sy/ems are p]=m$2 & 7,c7 ! ext5t to :i* data is %>$ among ,/ate1 local1 tribal1 & t]ritorial public heal? laboratories & ,f$]al dep>tm5ts & ag5cies2 7#c7 ,/ate1 local1 tribal1 & t]ritorial laboratory tra9+ requirem5ts =-- 7,a7 support+ & p>ticipat+ 9 biological ?reat detection sy/ems2 & 7,b7 address+ flexibility at ! jurisdictional level all[+ = adoption ( te*nology bas$ on ne$ & assessm5t ( ! efficacy & local utility ( te*nology by ! jurisdiction2 7#d7 guidel9es = a coord9at$ public heal? response address+ all aspect ( a response1 includ+ cl9ical & epidemiological guidel9es = utiliz+ in=mation produc$ by biological ?reat detection sy/ems & respond+ to int5tionally introduc$1 accid5tally releas$1 & naturally occurr+ infecti\s diseases2 & 7#e7 a coord9at$ rem$iation plan ) ,f$]al dep>tm5ts & ag5cies & ,/ate & local public heal? ag5cies to facilitate rapid1 safe1 & coord9at$ re/oration ( facilities & localities aft] a contam9at+ biological ev5t4 4 #dje4 ,/r5g!n+ ,mosquito ,abatem5t = ,safety & ,heal? 7a7 ,reau?orization ( ,mosquito ,abatem5t = ,safety & ,heal? program ,section #cag,s ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ba7 is am5d$-- 7#a7 9 subsection 7a77#a77;,b7-- 7,a7 by ins]t+ includ+ programs to address em]g+ infecti\s mosquito-borne diseases1 aft] subdivisions = control programs12 & 7,b7 by ins]t+ or improv+ exi/+ control programs be=e ! p]iod at ! end2 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by ins]t+ 1 includ+ improvem5t1 aft] op]ation2 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 clause 7ii71 by /rik+ or at ! end2 7,,ii7 9 clause 7iii71 by /rik+ ! semicolon at ! end & ins]t+ 1 includ+ an em]g+ infecti\s mosquito-borne disease t pres5ts a s]i\s public heal? ?reat2 or2 & 7,,iii7 by add+ at ! end ! foll[+3 7iv7 a public heal? em]g5cy due to ! incid5ce or preval5ce ( a mosquito-borne disease t pres5ts a s]i\s public heal? ?reat2 2 & 7ii7 by am5d+ subp>agraph 7,d7 to read z foll[s3 7,d7 7i7 is locat$ 9 a ,/ate t has receiv$ a grant "u subsection 7a72 or 7ii7 demon/rates to ! ,secret>y t ! control program = :i* a grant is s\ght is consi/5t ) exi/+ ,/ate mosquito control plans or policies1 & o!r applicable ,/ate prep>$ness plans4 2 7,c7 9 p>agraph 7#d77;,c71 by /rik+ t extraord9>y & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ ! foll[+3 t-- 7i7 extraord9>y economic conditions 9 ! political subdivision or consortium ( political subdivisions involv$ ju/ify ! waiv]2 or 7ii7 ! geographical area cov]$ by a political subdivision or consortium = a grant "u p>agraph 7#a7 has an extreme mosquito control ne$ due to-- 7,i7 ! size or d5sity ( ! pot5tially impact$ human population2 7,,ii7 ! size or d5sity ( a mosquito population t requires height5$ control2 or 7,,iii7 ! sev]ity ( ! mosquito-borne disease1 su* t expect$ s]i\s adv]se heal? outcomes = ! human population ju/ify ! waiv]4 2 & 7,d7 by am5d+ p>agraph 7#f7 to read z foll[s3 7#f7 ,numb] ( grants ,a political subdivision or a consortium ( political subdivisions may n receive m ?an "o grant "u p>agraph 7#a74 2 & 7#c7 9 subsection 7d71 by /rik+ ,am\nts appropriat$ "u subsection 7f7 & ins]t+ ,am\nts appropriat$ to c>ry out ?is section4 7b7 ,epidemiology-,laboratory capacity grants ,section #bhba ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#ca7 is am5d$-- 7#a7 9 subsection 7a77#a71 by ins]t+ 1 includ+ mosquito & o!r vector-borne diseases1 aft] infecti\s diseases2 & 7#b7 by am5d+ subsection 7b7 to read z foll[s3 7b7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #dj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 4 7c7 ,,gao /udy 7#a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy on ! /ate ( surveillance & control ( mosquito-borne infecti\s diseases 9 ! ,unit$ ,/ates1 includ+ ,indian ,c\ntry 7z def9$ 9 section #aaea ( title #ah1 ,unit$ ,/ates ,code7 & t]ritories1 includ+ ! /ate ( prep>$ness = conduct+ su* surveillance & control4 ,! /udy %all include-- 7,a7 a description ( ! infra/ructure & programs = mosquito control 9 ! ,unit$ ,/ates 7includ+ ,indian ,c\ntry 7z s def9$7 & su* t]ritories71 includ+-- 7i7 h[ su* infra/ructure & programs are organiz$ & implem5t$ at ! ,f$]al1 ,/ate & local levels1 includ+ ) respect to dep>tm5ts & ag5cies ( ! ,/ates1 & local organizations 7includ+ special di/ricts7 involv$ 9 su* control programs2 7ii7 ! role ( ! private sector 9 su* activities2 7iii7 h[ ! au?ority = mosquito control impacts su* activities2 & 7iv7 ! fund+ s\rces = su* infra/ructure & programs1 includ+ ,f$]al1 ,/ate1 & local fund+ s\rces2 7,b7 h[ mosquito-borne & o!r vector-borne disease surveillance & control is integrat$ into ,f$]al1 ,/ate1 & local prep>$ness plans & actions1 includ+ h[ zoonotic surveillance is integrat$ into infecti\s disease surveillance to support real-"t situational surveillance & aw>5ess2 7,c7 ,f$]al1 ,/ate1 & local laboratory capacity = em]g+ vector-borne diseases1 includ+ mosquito-borne & o!r zoonotic diseases2 & 7,d7 any regulatory *all5ges = develop+ & utiliz+ vector-control te*nologies & plat=ms z "p ( mosquito control /rategies4 7#b7 ,consultations ,9 conduct+ ! /udy "u p>agraph 7#a71 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all consult )-- 7,a7 ,/ate & local public heal? (ficials involv$ 9 mosquito & o!r vector-borne disease surveillance & control ef=ts2 7,b7 rese>*]s & manufactur]s ( mosquito control products2 7,c7 /akehold]s involv$ 9 mosquito abatem5t activities2 7,d7 infecti\s disease exp]ts2 & 7,e7 entomologi/s involv$ 9 mosquito-borne disease surveillance & control ef=ts4 7#c7 ,report ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report conta9+-- 7,a7 ! results ( ! /udy conduct$ "u p>agraph 7#a72 & 7,b7 any relevant recomm5dations ( ! ,comptroll] ,g5]al = prep>$ness & response ef=ts ) respect to ,zika virus & o!r mosquito-borne diseases4 #djf4 ,additional /rategies = combat+ antibiotic resi/ance ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdc et seq47 is am5d$ by ins]t+ aft] section #cai;,e ! foll[+3 #cai;,e-#a4 ,advisory ,c\ncil on ,combat+ ,antibiotic-,resi/ant ,bact]ia 7a7 ,def9itions ,9 ?is section3 7#a7 ,action ,plan ,! t]m ,action ,plan means ! ,action ,plan describ$ 9 section #cai;,e7a77#a74 7#b7 ,advisory ,c\ncil ,! t]m ,advisory ,c\ncil means ! ,advisory ,c\ncil on ,combat+ ,antibiotic-,resi/ant ,bact]ia e/abli%$ by ,executive ,ord] #acfgf ( ,septemb] #ah1 #bjad 7#gi ,f$4 ,reg4 #efica2 relat+ to combat+ antibiotic-resi/ant bact]ia74 7#c7 ,national ,/rategy ,! t]m ,national ,/rategy means ! ,national ,/rategy = ,combat+ ,antibiotic-,resi/ant ,bact]ia issu$ by ! ,:ite ,h\se 9 ,septemb] #bjad1 & any subsequ5t update to su* /rategy or a successor /rategy4 7b7 ,advisory ,c\ncil ,! ,advisory ,c\ncil %all provide advice1 in=mation1 & recomm5dations to ! ,secret>y reg>d+ programs & policies int5d$ to support & evaluate ! implem5tation ( ,executive ,ord] #acfgf ( ,septemb] #ah1 #bjad 7#gi ,f$4 ,reg4 #efica2 relat+ to combat+ antibiotic-resi/ant bact]ia71 includ+ ! ,national ,/rategy1 & ! ,action ,plan4 7c7 ,meet+s & duties 7#a7 ,meet+s ,! ,advisory ,c\ncil %all meet z ! ,*air det]m9es appropriate b n less ?an twice p] ye>1 &1 to ! ext5t practicable1 9 conjunction ) meet+s ( ! task =ce describ$ 9 section #cai;,e4 7#b7 ,recomm5dations ,! ,advisory ,c\ncil %all make recomm5dations to ! ,secret>y1 9 consultation ) ! ,secret>y ( ,agriculture & ! ,secret>y ( ,def5se1 reg>d+ programs & policies int5d$ to-- 7,a7 pres]ve ! effectiv5ess ( antibiotics by optimiz+ _! use2 7,b7 advance rese>* to develop improv$ me?ods = combat+ antibiotic resi/ance & conduct+ antimicrobial /ew>d%ip1 z def9$ 9 section #cai;,e7h77#c72 7,c7 /r5g!n surveillance ( antibiotic-resi/ant bact]ial infections2 7,d7 prev5t ! transmission ( antibiotic-resi/ant bact]ial infections2 7,e7 advance ! developm5t ( rapid po9t-(-c>e & agricultural diagno/ics2 7,f7 fur!r rese>* on new treatm5ts = bact]ial infections2 7,g7 develop alt]natives to antibiotics = animal heal? purposes2 7,h7 maximize ! dissem9ation ( up-to-date in=mation on ! appropriate & prop] use ( antibiotics to ! g5]al public & human & animal heal? c>e provid]s2 & 7,i7 improve int]national coord9ation ( ef=ts to combat antibiotic resi/ance4 7#c7 ,coord9ation ,! ,advisory ,c\ncil %all1 to ! greate/ ext5t practicable1 coord9ate activities c>ri$ out by ! ,c\ncil ) ! ,transatlantic ,task=ce on ,antimicrobial ,resi/5ce4 4 #djg4 ,additional purposes = grants = c]ta9 trauma c5t]s ,section #abda7;a77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;d-#da7;a77#b77 is am5d$ to read z foll[s3 7#b7 to fur!r ! core missions ( su* trauma c5t]s1 includ+ by address+ co/s associat$ ) pati5t /abilization & transf]1 trauma education & outrea*1 coord9ation ) local & regional trauma sy/ems1 ess5tial p]sonnel & o!r fix$ co/s1 exp5ses associat$ ) employee & non-employee physician s]vices1 trauma /aff recruitm5t & ret5tion1 ensur+ surge capacity1 trauma-relat$ emotional & m5tal heal? s]vices1 & o!r inve/m5ts ne$$ to implem5t & ma9ta9 ,regional ,heal? ,c>e ,em]g5cy ,prep>$ness & ,response ,sy/ems4 4