,,ii  #aae? ,,congress  #b;d ,session   
,s4 #bhea  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ae1 #bjah ,mr4   
,casey 7= himself & ,mr4 ,burr7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to improve regional heal?   
c>e em]g5cy prep>$ness & response       
sy/ems1 & = o!r purposes4  #a4 ,%ort    
title  ,?is ,act may be cit$ z !        
,regional ,heal? ,c>e ,em]g5cy          
,prep>$ness & ,response ,sy/ems ,act4   
#b4 ,regional ,heal? ,c>e ,em]g5cy      
,prep>$ness & ,response ,sy/ems  7a7 ,9 
g5]al ,"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[+3  #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$ical surge capacity dur+1 & 9 advance 
(1 a public heal? em]g5cy1 includ+      
?reats pos$ 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 ! p>tn]%ips e/abli%$ "u       
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 ! int]net 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 7c71    
7e71 & 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 facilities1 includ+ heal? c>e
 coalitions "u section #cai;,c-#b1      
,/ate1 local1 tribal1 & t]ritorial      
public heal? dep>tm5ts1 & heal? c>e or  
subject matt] exp]ts1 includ+ exp]ts )  
relevant exp]tise 9 *emical1 biological1
 radiological1 or nucle> ?reats1 & em]g+
 infecti\s disease 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 & 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 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 (
 ,repres5tatives1 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$uce gaps 9 inc5tives = regional heal? 
p>tn]s1 includ+ hospitals & heal? c>e   
facilities to improve capacity & m$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$]al ag5cies
 z ! ,secret>y det]m9es appropriate4  4 
7b7 ,annual reports ,section            
#cai;,c-#b7;i77#a7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#bdg;d-#c;b7i77#a77 is am5d$ by ins]t+  
aft] ! fir/ s5t5ce ! foll[+ ,! reports  
submitt$ "u ?is p>agraph %all also      
include progress t[>ds ! implem5tation (
 section #cai;,c-#c44  7c7 ,national    
,heal? ,security ,/rategy ,incorporation
 ( ,regionaliz$ ,em]g5cy ,prep>$ness &  
,response ,section #bhjb7;b77#c7 ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;hh-#a7;b77#c77 is am5d$--
 7#a7 9 ! matt] prec$+ subp>agraph 7,a71
 by /rik+ includ+ m5tal heal? & ins]t+  
8includ+ ph>macies1 m5tal heal?         
facilities102 &  7#b7 by am5d+          
subp>agraph 7,g7 to read z foll[s3  7,g7
 ,optimiz+ a coord9at$ & 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  4  7d7   
,improv+ ,/ate & local public heal?     
security  7#a7 ,/ate & local security   
,section #cai;,c-#a7;e7 ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;d-#c;a7e77 is am5d$ 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-#c44  7#b7 
,p>tn]%ips ,section                     
#cai;,c-#b7;d77#a77;,a7 ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;d-#c;b7d77#a77;,a77 is am5d$-- 7,a7
 9 clause 7i71 by /rik+ 2 & & ins]t+ 22 
7,b7 by r$esignat+ clause 7ii7 z clause 
7iii72 &  7,c7 ins]t+ aft] clause 7i71 !
 foll[+3  7ii7 among "o or m facilities 
9 a regional heal? c>e em]g5cy sy/em "u 
section #cai;,c-#c2 &  4