,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #ad ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,octob] #cj1 #bjbj ,mr4 ,hudson 7= himself1 ,mr4 ,mc,carthy1 ,mr4 ,wald51 ,mr4 ,brady1 & ,ms4 ,grang]7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,homel& ,security1 ,transportation & ,infra/ructure1 ! ,judici>y1 ,ways & ,means1 ! ,budget1 & ,sci5ce1 ,space1 & ,te*nology1 = 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 increase ! ,f$]al commitm5t to defeat+ ! virus t causes ,,covid-#ai & prep>e = future p&emics1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act4 #b4 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4 ,sec4 #b4 ,table ( cont5ts4 ,title ,i--,p&emic ,prep>$ness & ,response ,subtitle ,a--,cl>ify+ ! ,role ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices ,dur+ ,public ,heal? ,em]g5cies ,sec4 #ajja4 ,lead ag5cy = ,f$]al public heal? & m$ical response to public heal? em]g5cies4 ,sec4 #ajjb4 ,deploym5t by ! ,secret>y ( ,heal? & ,human ,s]vices ( ,national ,/rategic ,/ockpile4 ,sec4 #ajjc4 ,au?ority & responsibilities ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy reg>d+ ! ,/rategic ,national ,/ockpile4 ,subtitle ,b--,reagan-,udall ,f\ndation & ,f\ndation = ! ,national ,in/itutes ( ,heal? ,sec4 #ajaa4 ,reagan-,udall ,f\ndation & ,f\ndation = ! ,national ,in/itutes ( ,heal?4 ,subtitle ,c--,protections = ,good ,sam>itan ,heal? ,pr(essionals ,sec4 #ajba4 ,limitation on liability = volunte] heal? c>e pr(essionals4 ,sec4 #ajbb4 ,s5se ( ! ,congress4 ,subtitle ,d--,m$ical ,%elt]+ ,sec4 #ajca4 ,r$uc+ ! spread ( ,,covid-#ai ?r\gh paym5ts to ,/ates to lease hotels to tempor>ily h\se eligible individuals4 ,subtitle ,e--,,cdc campaign on ,,covid-#ai aw>5ess ,sec4 #ajda4 ,,covid-#ai public aw>5ess campaign4 ,subtitle ,f--,protect+ ,*ildr5 f ,,covid-#ai ,sec4 #ajea4 ,/udy on *ildr5's role 9 transmitt+ ,,s>s-,co,v-#b4 ,subtitle ,g--,ensur+ ,und]/&+ ( ,,covid-#ai ,sec4 #ajfa4 ,/udy on ! impact ( ,,covid-#ai4 ,subtitle ,h--,safegu>d+ ,!rapeutics ,sec4 #ajga4 ,au?ority to de/roy c\nt]feit devices4 ,sec4 #ajgb4 ,det]m9ation ( budget>y effects4 ,subtitle ,i--,advisory ,committee on ,immunization ,practices ,sec4 #ajha4 ,exp$it$ meet+ ( ,,acip = ,,covid-#ai vacc9es4 ,subtitle ,j--,improvem5ts to ,transp>5cy ( ! ,pric+ ( ,diagno/ic ,te/+ = ,,covid-#ai ,sec4 #ajia4 ,improvem5ts to transp>5cy ( ! pric+ ( diagno/ic te/+ = ,,covid-#ai4 ,title ,,ii--,dome/ic ,manufactur+ & ,supply ,*a9 ,subtitle ,a--,su/a9$ ,on-,%ore ,manufactur+ ,capacity = ,public ,heal? ,em]g5cies ,sec4 #bjja4 ,su/a9$ on-%ore manufactur+ capacity = public heal? em]g5cies4 ,subtitle ,b--,manufactur+ ,,api1 ,drugs1 & ,excipi5ts 9 ,am]ica ,sec4 #bjaa4 ,report to ,congress on b>ri]s to dome/ic manufactur+ ( m$ical products & supplies4 ,sec4 #bjab4 ,enhanc+ intra-ag5cy coord9ation & public heal? assessm5t ) reg>d to compliance activities4 ,sec4 #bjac4 ,enc\rag+ int]national h>monization4 ,sec4 #bjad4 ,mutual recognition agreem5ts = inspections & review activities4 ,sec4 #bjae4 ,enhanc+ transp>5cy ( drug facility inspection timel9es4 ,sec4 #bjaf4 ,advanc$ manufactur+ te*nologies program4 ,subtitle ,c--,improv+ ! ,am]ican ,drug ,supply ,*a9 ,sec4 #bjba4 ,/udy & report+ on dome/ic & =eign production4 ,subtitle ,d--,ess5tial ,m$ic9es ,/rategic ,/ockpile ,sec4 #bjca4 ,pilot program on ensur+ m$ication supply /ability4 ,subtitle ,e--,national ,c5t]s ( ,excell5ce 9 ,cont9u\s ,ph>maceutical ,manufactur+ ,sec4 #bjda4 ,national ,c5t]s ( ,excell5ce 9 ,cont9u\s ,ph>maceutical ,manufactur+4 ,title ,,iii--,/rategic ,national ,/ockpile ,improvem5ts ,subtitle ,a--,/ockpil+ = ,am]ica's ,future ,endeavors ,sec4 #cjja4 ,/rategic ,national ,/ockpile4 ,subtitle ,b--,/ockpile ,inv5tory ,mod]nization ,sec4 #cjaa4 ,reimbursable transf]s4 ,subtitle ,c--,equipm5t ,ma9t5ance ,sec4 #cjba4 ,equipm5t ma9t5ance4 ,subtitle ,d--,m$ical ,supplies = ,p&emics ,sec4 #cjca4 ,supply *a9 flexibility manufactur+ pilot4 ,subtitle ,e--,/ate ,/ockpile ,read9ess ,sec4 #cjda4 ,grants = ,/ate /rategic /ockpiles4 ,subtitle ,f--,process ,improvem5ts & ,reports ,sec4 #cjea4 ,,gao /udy on ! feasibility & b5efits ( us] fee agreem5ts4 ,sec4 #cjeb4 ,action report+4 ,sec4 #cjec4 ,improv$1 transp>5t processes4 ,subtitle ,g--,/rategic ,national ,/ockpile ,fund+ ,sec4 #cjfa4 ,au?orization ( appropriations4 ,title ,,iv--,public ,heal? ,infra/ructure ,improvem5ts ,subtitle ,a--,public ,heal? ,infra/ructure ,mod]nization ,sec4 #djja4 ,public heal? data sy/em trans=mation4 ,subtitle ,b--,mod]niz+ infecti\s disease data collection ,sec4 #djaa4 ,mod]niz+ infecti\s disease data collection4 ,subtitle ,c--,diagno/ic ,te/+ = ,public ,heal? ,labs ,sec4 #djba4 ,grants = public heal? laboratories to acquire high-?r\ghput diagno/ic equipm5t4 ,subtitle ,d--,rapid ,te/+ = ,communities ,sec4 #djca4 ,grants = same-day po9t-(-c>e cl9ical laboratory diagno/ic te/+ 9 communities4 ,subtitle ,e--,public ,heal? ,work=ce ,loan ,repaym5t ,sec4 #djda4 ,public ,heal? ,work=ce ,loan ,repaym5t ,program4 ,subtitle ,f--,vacc9e ,aw>5ess & ,disease ,prev5tion ,sec4 #djea4 ,improv+ aw>5ess ( disease prev5tion4 ,subtitle ,g--,protect+ ! ,heal? ( ,am]ica's ,old] ,adults ,dur+ ,,covid-#ai ,beyond ,sec4 #djfa4 ,national ,,covid-#ai ,res\rce ,c5t] = ,old] ,adults4 ,sec4 #djfb4 ,heal?y ,ag+ ,program4 ,sec4 #djfc4 ,au?orization ( appropriations4 ,subtitle ,h--,exp&+ ,capacity = ,heal? ,outcomes ,sec4 #djga4 ,exp&+ capacity = heal? outcomes4 ,subtitle ,i--,community ,read9ess ,sec4 #djha4 ,grants = rese>* on1 or e/abli%+1 wa/ewat] surveillance & o!r e>ly w>n+ sy/ems4 ,title ,v--,address+ ,,covid-#ai ,heal? ,disp>ities ,subtitle ,a--,tribal ,heal? ,data ,improvem5t ,sec4 #ejja4 ,collection & availability ( heal? data ) respect to ,indian ,tribes4 ,sec4 #ejjb4 ,improv+ heal? /ati/ics report+ ) respect to ,indian ,tribes4 ,subtitle ,b--,tribal ,m$ical ,supplies ,/ockpile ,access ,sec4 #ejaa4 ,provision ( items to ,indian programs & facilities4 ,subtitle ,c--,native ,am]ican ,suicide ,prev5tion ,sec4 #ejba4 ,native ,am]ican suicide prev5tion4 ,subtitle ,d--,pursu+ ,equity 9 ,m5tal ,heal? ,"p #a--;,heal? ,equity & ,acc\ntability ,sec4 #ejca4 ,integrat$ ,heal? ,c>e ,demon/ration ,program4 ,sec4 #ejcb4 ,address+ racial & e?nic m9ority m5tal heal? disp>ities rese>* gaps4 ,sec4 #ejcc4 ,heal? pr(essions compet5cies to address racial & e?nic m9ority m5tal heal? disp>ities4 ,sec4 #ejcd4 ,racial & e?nic m9ority behavioral & m5tal heal? outrea* & education /rategy4 ,sec4 #ejce4 ,additional funds = ,national ,in/itutes ( ,heal?4 ,sec4 #ejcf4 ,additional funds = ,national ,in/itute on ,m9ority ,heal? & ,heal? ,disp>ities4 ,"p #b--,o!r provisions ,sec4 #ejcg4 ,reau?orization ( ,m9ority ,fell[%ip ,program4 ,sec4 #ejch4 ,/udy on ! ,effects ( ,sm>tphone & ,social ,m$ia ,use on ,adolesc5ts4 ,sec4 #ejci4 ,te*nical correction4 ,subtitle ,e--,mat]nal ,heal? ,quality ,improvem5t ,sec4 #ejda4 ,innovation = mat]nal heal?4 ,sec4 #ejdb4 ,tra9+ = heal? c>e provid]s4 ,sec4 #ejdc4 ,/udy on tra9+ to r$uce & prev5t discrim9ation4 ,sec4 #ejdd4 ,p]9atal quality collaboratives4 ,sec4 #ejde4 ,integrat$ s]vices = pregnant & po/p>tum wom54 ,sec4 #ejdf4 ,improv+ rural mat]nal & ob/etric c>e data4 ,sec4 #ejdg4 ,rural ob/etric network grants4 ,sec4 #ejdh4 ,teleheal? network & teleheal? res\rce c5t]s grant programs4 ,sec4 #ejdi4 ,rural mat]nal & ob/etric c>e tra9+ demon/ration4 ,title ,,vi--,address+ ! ,impacts ( ,,covid-#ai on ,m5tal ,heal? ,subtitle ,a--,creat+ ,res\rces ,to ,improve ,situations ( ,inh]5t ,sev]ity ,sec4 #fjja4 ,set-aside = evid5ce-bas$ crisis c>e s]vices4 ,subtitle ,b--,em]g5cy ,m5tal ,heal? & ,sub/ance ,use ,tra9+ & ,te*nical ,assi/ance ,c5t] ,sec4 #fjaa4 ,em]g5cy m5tal heal? & sub/ance use tra9+ & te*nical assi/ance c5t]4 ,subtitle ,c--,suicide ,prev5tion ,grants ,sec4 #fjba4 ,syndromic surveillance ( self-h>m behaviors program4 ,sec4 #fjbb4 ,grants to provide self-h>m & suicide prev5tion s]vices4 ,subtitle ,d--,effective ,suicide ,scre5+ 9 ! ,em]g5cy ,dep>tm5t ,sec4 #fjca4 ,program to improve ! c>e provid$ to pati5ts 9 ! em]g5cy dep>tm5t :o are at risk ( suicide4 ,subtitle ,e--,suicide ,prev5tion ,lifel9e ,improvem5t ,sec4 #fjda4 ,suicide ,prev5tion ,lifel9e4 ,sec4 #fjdb4 ,pilot program on innovative te*nologies4 ,sec4 #fjdc4 ,,hhs /udy & report4 ,sec4 #fjdd4 ,,gao /udy & report4 ,sec4 #fjde4 ,def9ition4 ,subtitle ,f--,campaign ,to ,prev5t ,suicide ,sec4 #fjea4 ,national ,suicide ,prev5tion ,lifel9e4 ,sec4 #fjeb4 ,national suicide prev5tion m$ia campaign4 ,subtitle ,g--,help+ ,em]g5cy ,respond]s ,ov]come ,sec4 #fjfa4 ,data sy/em to capture national public safety (fic] suicide incid5ce4 ,sec4 #fjfb4 ,pe]-support behavioral heal? & wellness programs )9 fire dep>tm5ts & em]g5cy m$ical s]vice ag5cies4 ,sec4 #fjfc4 ,heal? c>e provid] behavioral heal? & wellness programs4 ,sec4 #fjfd4 ,developm5t ( res\rces = educat+ m5tal heal? pr(essionals ab\t treat+ fire fight]s & em]g5cy m$ical s]vices p]sonnel4 ,sec4 #fjfe4 ,be/ practices & o!r res\rces = address+ po/traumatic /ress disord] 9 public safety (fic]s4 ,subtitle ,h--,behavioral ,heal? ,int]v5tion ,guidel9es ,sec4 #fjga4 ,be/ practices = behavioral int]v5tion teams4 ,subtitle ,i--,suicide ,tra9+ & ,aw>5ess ,nationally ,deliv]$ = ,univ]sal ,prev5tion ,sec4 #fjha4 ,/ud5t suicide aw>5ess & prev5tion tra9+4 ,sec4 #fjhb4 ,effective date4 ,title ,,vii--,address+ ! ,impacts ( ,,covid-#ai on ,sub/ance ,use ,disord]s ,subtitle ,a--,easy ,m$ication ,access & ,treatm5t = ,opioid ,addiction ,sec4 #gjja4 ,disp5sation ( n>cotic drugs = ! purpose ( reliev+ acute )drawal symptoms f opioid use disord]4 ,subtitle ,b--,access to ,remote ,behavioral ,heal? ,treatm5t ,sec4 #gjaa4 ,regi/ration ( qualifi$ community m5tal heal? c5t]s4 ,subtitle ,c--,,pdmp ,pilot ,program ,sec4 #gjba4 ,pilot program = integrat+ sub/ance use disord] & behavioral heal? treatm5t locator tool into ,/ate prescription drug monitor+ programs4 ,subtitle ,d--,family ,support ,s]vices = ,addiction ,sec4 #gjca4 ,family support s]vices = individuals /ruggl+ ) sub/ance use disord]4 ,subtitle ,e--,block1 ,report1 ,& ,susp5d ,suspici\s ,%ipm5ts ,sec4 #gjda4 ,cl>ification ( process = regi/rants to ex]cise due dilig5ce ^u discov]+ a suspici\s ord]4 ,subtitle ,f--,deb>m5t ,en=cem5t ( ,bad ,actor ,regi/rants ,sec4 #gjea4 ,deb>m5t ( c]ta9 regi/rants4 ,subtitle ,g--,ensur+ ,compliance ,aga9/ ,opioid ,div]sion ,sec4 #gjfa4 ,modification1 transf]1 & t]m9ation ( regi/ration to manufacture1 di/ribute1 or disp5se controll$ sub/ances4 ,subtitle ,h--,opioid ,prescription ,v]ification ,sec4 #gjga4 ,mat]ials = tra9+ ph>maci/s on c]ta9 circum/ances "u :i* a ph>maci/ may decl9e to fill a prescription4 ,sec4 #gjgb4 ,inc5tiviz+ ,/ates to facilitate responsible1 in=m$ disp5s+ ( controll$ sub/ances4 ,subtitle ,i--,suspici\s ,ord] ,id5tification ,sec4 #gjha4 ,/r5g!n+ ,,arcos4 ,sec4 #gjhb4 ,suspici\s ,ord]s ,task ,=ce4 ,subtitle ,j--,/op ! ,importation & ,manufactur+ ( ,syn!tic ,analogues ,sec4 #gjia4 ,e/abli%m5t ( s*$ule ,a4 ,sec4 #gjib4 ,tempor>y & p]man5t s*$ul+ ( s*$ule ,a sub/ances4 ,sec4 #gjic4 ,p5alties4 ,sec4 #gjid4 ,false label+ ( s*$ule ,a controll$ sub/ances4 ,sec4 #gjie4 ,regi/ration requirem5ts = import]s & export]s ( s*$ule ,a sub/ances4 ,sec4 #gjif4 ,additional con=m+ am5dm5ts4 ,sec4 #gjig4 ,s5t5c+ review4 ,sec4 #gjih4 ,rules ( con/ruction4 ,sec4 #gjii4 ,cl>ification ( c]ta9 regi/ration requirem5ts relat$ to rese>*4 ,sec4 #gajj4 ,review ( rese>* regi/ration process4 ,title ,,viii--,tax ,inc5tives to ,improve ,heal? ,c>e ,sec4 #hjja4 ,dome/ic m$ical & drug manufactur+ cr$it4 ,sec4 #hjjb4 ,qualify+ advanc$ m$ical manufactur+ equipm5t cr$it4 ,sec4 #hjjc4 ,new m$ical rese>* exp5diture compon5t ( cr$it = increas+ rese>* activities4 ,sec4 #hjjd4 ,refundable portion ( rese>* cr$it = small bus9esses engag+ 9 specifi$ m$ical rese>*4 ,sec4 #hjje4 ,exception f passive loss rules = inve/m5ts 9 specifi$ m$ical rese>* small bus9ess pass-?ru entities4 ,sec4 #hjjf4 ,tempor>y c>ryov] = heal? & dep5d5t c>e flexible sp5d+ arrangem5ts4 ,sec4 #hjjg4 ,increase 9 exclusion = employ]-provid$ dep5d5t c>e assi/ance4 ,sec4 #hjjh4 ,tempor>y increase 9 contribution limits = heal? sav+s acc\nts4 ,sec4 #hjji4 ,tempor>y all[ance ( paym5ts = employm5t-relat$ exp5ses "u heal? sav+s acc\nts4 ,sec4 #hjaj4 ,treatm5t ( direct prim>y c>e s]vice arrangem5ts4 ,sec4 #hjaa4 ,all[ bo? sp\ses to make cat*-up contributions to ! same ,,hsa acc\nt4 ,sec4 #hjab4 ,repeal ( ceil+ on d$uctible & out-(-pocket exp5ses "u a high d$uctible heal? plan4 ,sec4 #hjac4 ,on-site employee cl9ics4 ,sec4 #hjad4 ,adju/m5t ( m$ical exp5se d$uction4 ,sec4 #hjae4 ,heal?y workplace tax cr$it4 ,title ,,ix--,m$ic>e ,provisions ,subtitle ,a--,teleheal? ,sec4 #ijja4 ,remov+ c]ta9 geographic & orig9at+ site re/rictions on ! furni%+ ( teleheal? s]vices "u ! ,m$ic>e program4 ,sec4 #ijjb4 ,mak+ p]man5t ,,fqhc & ,,rhc teleheal? paym5ts4 ,sec4 #ijjc4 ,exp&+ ! li/ ( practition]s eligible to furni% teleheal? s]vices4 ,sec4 #ijjd4 ,all[+ = ! provision ( teleheal? s]vices via audio-only telecommunications sy/ems4 ,sec4 #ijje4 ,mak+ p]man5t ! safe h>bor = abs5ce ( d$uctible = teleheal?4 ,sec4 #ijjf4 ,remov+ requirem5t = face-to-face visits betwe5 home dialysis pati5ts & physicians4 ,sec4 #ijjg4 ,report on teleheal? paym5t integrity4 ,sec4 #ijjh4 ,increas+ fund+ = review ( teleheal? claims4 ,sec4 #ijji4 ,teleheal? res\rces4 ,subtitle ,b--,protect+ ,access to ,innovation ,dur+ ,,covid-#ai ,sec4 #ijaa4 ,au?oriz+ ! ext5sion ( pass-?r\gh /atus "u ! ,m$ic>e program = c]ta9 drugs & devices impact$ by ,,covid-#ai4 ,subtitle ,c--,r$uc+ ,unnecess>y ,s5ior ,hospitalizations ,sec4 #ijba4 ,,snf-bas$ provision ( prev5tive acute c>e & hospitalization r$uction program4 ,title ,x--,appropriations ,sec4 #ajjja4 ,appropriations4 ,subtitle ,a--,heal? programs ,subtitle ,b--,g5]al provisions-,?is ,title ,i ,p&emic ,prep>$ness & ,response ,a ,cl>ify+ ! ,role ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices ,dur+ ,public ,heal? ,em]g5cies #ajja4 ,lead ag5cy = ,f$]al public heal? & m$ical response to public heal? em]g5cies ,section #bhja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh7 is am5d$-- 7#a7 9 subsection 7a71 by ins]t+ aft] %all lead all ,f$]al public heal? & m$ical response to public heal? em]g5cies & incid5ts ! foll[+3 7includ+ em]g5cies & disa/]s decl>$ by ! ,presid5t pursuant to ! ,national ,em]g5cies ,act or ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act72 & 7#b7 9 subsection 7b71 by ins]t+ aft] %all assume op]ational control ( em]g5cy public heal? & m$ical response assets1 z necess>y1 9 ! ev5t ( a public heal? em]g5cy ! foll[+3 or 9 ! ev5t ( an em]g5cy or disa/] decl>$ by ! ,presid5t "u ! ,national ,em]g5cies ,act or ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act4 #ajjb4 ,deploym5t by ! ,secret>y ( ,heal? & ,human ,s]vices ( ,national ,/rategic ,/ockpile ,section #cai;,f-#b7;a77#c77;,f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7a77#c77;,f77 is am5d$ by /rik+ z requir$ by & ins]t+ 9 consultation )4 #ajjc4 ,au?ority & responsibilities ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy reg>d+ ! ,/rategic ,national ,/ockpile ,! ,homel& ,security ,act ( #bjjb is am5d$-- 7#a7 9 subp>agraph 7,a7 ( section #ejc7;b77#b7 7#f ,u4,s4,c4 #cac7;b77#b771 by ins]t+ 1 9 coord9ation ) relevant ,f$]al ag5cies1 aft] lead2 & 7#b7 9 subp>agraph 7,d7 ( section #ejd7;a77#c7 7#f ,u4,s4,c4 #cad7;a77#c771 by /rik+ requir+ & ins]t+ 1 at ! direction ( ! ,secret>y ( ,heal? & ,human ,s]vices1 assi/+ 94 ,b ,reagan-,udall ,f\ndation & ,f\ndation = ! ,national ,in/itutes ( ,heal? #ajaa4 ,reagan-,udall ,f\ndation & ,f\ndation = ! ,national ,in/itutes ( ,heal? 7a7 ,reagan-,udall ,f\ndation = ! ,food & ,drug ,adm9i/ration ,section #ggj7n7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cgi;dd7n77 is am5d$ by /rik+ #ejj1jjj & n m ?an #a1bej1jjj & ins]t+ #a1bej1jjj & n m ?an #e1jjj1jjj4 7b7 ,f\ndation = ! ,national ,in/itutes ( ,heal? ,section #dii7l7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;b7l77 is am5d$ by /rik+ #ejj1jjj & n m ?an #a1bej1jjj & ins]t+ #a1bej1jjj & n m ?an #e1jjj1jjj4 ,c ,protections = ,good ,sam>itan ,heal? ,pr(essionals #ajba4 ,limitation on liability = volunte] heal? c>e pr(essionals 7a7 ,9 g5]al ,title ,,ii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bjb et seq47 is am5d$ by ins]t+ aft] section #bbd ! foll[+3 #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 %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-- 7#a7 ! pr(essional is s]v+1 = purposes ( respond+ to a disa/]1 z a volunte]2 & 7#b7 ! act or omission occurs-- 7,a7 dur+ ! p]iod ( ! disa/]1 z det]m9$ "u ! laws li/$ 9 subsection 7d77#a72 7,b7 9 ! ,/ate or ,/ates = :i* ! disa/] is decl>$2 7,c7 9 ! heal? c>e pr(essional's capacity z a volunte]2 7,d7 9 ! c\rse ( provid+ s]vices t are )9 ! scope ( ! lic5se1 regi/ration1 or c]tification ( ! volunte]1 z def9$ by ! ,/ate ( lic5sure1 regi/ration1 or c]tification2 & 7,e7 9 a good fai? belief t ! individual be+ treat$ is 9 ne$ ( heal? c>e s]vices4 7b7 ,exceptions ,subsection 7a7 does n apply 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 r5d]$ ! heal? c>e s]vices "u ! influ5ce 7z det]m9$ pursuant to applicable ,/ate law7 ( alcohol or an intoxicat+ drug4 7c7 ,preemption 7#a7 ,9 g5]al ,?is section preempts ! laws ( a ,/ate or any political subdivision ( a ,/ate to ! ext5t t su* laws are inconsi/5t ) ?is section1 unless su* laws provide great] protection f liability4 7#b7 ,volunte] ,protection ,act ,protections af=d$ by ?is section are 9 addition to ^? provid$ by ! ,volunte] ,protection ,act ( #aiig4 7d7 ,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 ) respect to ! heal? c>e s]vices r5d]$1 does n receive-- 7i7 comp5sation2 or 7ii7 any o!r ?+ ( value 9 lieu ( comp5sation1 9 excess ( #ejj p] ye>4 7,b7 ,= purposes ( subp>agraph 7,a71 ! t]m comp5sation-- 7i7 includes paym5t "u any insurance policy or heal? plan1 or "u any ,f$]al 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 = r5d]+ ! heal? s]vices 9 ! heal? c>e pr(essional's capacity z a volunte] describ$ 9 subsection 7a77#a74 4 7b7 ,effective date 7#a7 ,9 g5]al ,section #bbd;,a ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a71 %all take effect #ij days aft] ! date ( ! enactm5t ( ?is ,act4 7#b7 ,application ,section #bbd;,a ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a71 applies to a claim = h>m only if ! act or omission t caus$ su* h>m occurr$ on or aft] ! effective date describ$ 9 p>agraph 7#a74 #ajbb4 ,s5se ( ! ,congress ,x is ! s5se ( ,congress t-- 7#a7 heal? c>e pr(essionals %\ld be enc\rag$ 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 ,d ,m$ical ,%elt]+ #ajca4 ,r$uc+ ! spread ( ,,covid-#ai ?r\gh paym5ts to ,/ates to lease hotels to tempor>ily h\se eligible individuals 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices may make paym5ts to ,/ates to lease hotels to tempor>ily h\se1 on a volunt>y basis1 eligible individuals4 7b7 ,=mula ,! ,secret>y %all allocate ! am\nt appropriat$ to c>ry out ?is section pursuant to a =mula develop$ by ! ,secret>y t-- 7#a7 di/ributes ! am\nt among ! ,/ates t-- 7,a7 submit applications 9 accordance ) subsection 7c72 & 7,b7 are det]m9$ by ! ,secret>y to ne$ su* paym5ts2 & 7#b7 takes into consid]ation-- 7,a7 ! numb] ( active cases ( individuals infect$ ) ,,covid-#ai 9 ! apply+ ,/ate relative to ! ov]all population ( ! ,/ate2 & 7,b7 ! av]age income ( individuals 9 ! apply+ ,/ate relative to ! av]age income ( individuals 9 ! ,unit$ ,/ates4 7c7 ,applications 7#a7 ,9 g5]al ,to seek a paym5t "u ?is section1 a ,/ate %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation & assurances z ! ,secret>y may require4 7#b7 ,process ,! ,secret>y %all-- 7,a7 n lat] ?an #ae days aft] ! date ( enactm5t ( ?is ,act1 publi% ! process = ,/ates to apply = paym5ts "u ?is section2 & 7,b7 n lat] ?an #ae days aft] ! submission ( an application 9 accordance ) su* process1 approve or disapprove ! application4 7#c7 ,cont5ts ,! ,secret>y %all require ! application ( a ,/ate "u ?is section to include-- 7,a7 a plan = leas+ hotels z describ$ 9 subsection 7a72 7,b7 heal? guidel9es :i* ! ,/ate w require to be implem5t$ to protect ! /aff ( ! hotels2 7,c7 ! rates to be paid to lease ! hotels2 7,d7 a plan to ensure t ! hotels ea* h-- 7i7 workplace safety /&>ds = _! /aff2 7ii7 prop] p]sonal protective equipm5t & sanitation supplies2 7iii7 a clean+ protocol = rooms & facilities2 & 7iv7 at lea/ "o qualifi$ heal? c>e pr(essional onsite or on call to monitor ! heal? ( individuals be+ h\s$ at ! hotels2 7,e7 a plan to fe$ & provide o!r necess>y mat]ials to individuals describ$ 9 subsection 7a7 at ! hotels1 includ+ m$ications & hygi5e products1 )\t lett+ su* individuals leave _! rooms or accept visitors2 7,f7 a plan to assi/ ! hotels 9 remov+ individuals :o attempt to cont9ue _! /ay aft] ! allott$ "t2 7,g7 a plan = hospital networks1 local heal? dep>tm5ts1 & ! hotels to coord9ate on ! ex*ange & protection ( pati5t in=mation 9 accordance ) o!r applicable law2 7,h7 a plan to effectively communicate ! ,/ate's program fund$ ?r\gh ?is section to racial & e?nic m9ority gr\ps & l[-income communities2 & 7,i7 ea* fund+ assurance li/$ 9 subsection 7e74 7d7 ,no responsibility = diet or adm9i/ration ( m$ic9e ,not)/&+ subsection 7c77#c77;,e71 a contract betwe5 a ,/ate & a hotel pursuant to ?is section %all n make ! hotel responsible = ! diet (1 or ! adm9i/ration ( m$ications to1 individuals describ$ 9 subsection 7a74 7e7 ,fund+ assurances ,z a condition on receipt ( a paym5t ( ?is section1 a ,/ate %all give su* assurances z ! ,secret>y may require t-- 7#a7 ea* contract betwe5 ! ,/ate & a hotel pursuant to ?is section w be ent]$ into on a volunt>y basis1 & no hotel w be requir$ by ! ,/ate to p>ticipate 9 ! program "u ?is section2 7#b7 individuals describ$ 9 subsection 7a7 w n be *>g$ = _! lodg+ at a hotel pursuant to ?is section1 except t su* individuals may be requir$ to reimburse ! co/s ( receiv+ food & bev]ages2 7#c7 individuals describ$ 9 subsection 7a7 w reta9 ! option ( self-isolat+ at home 7includ+ ! option ( *eck+ out e>ly & return+ to _! homes7 r ?an be+ requir$ to /ay at a hotel fund$ pursuant to ?is section2 7#d7 be=e an individual is all[$ to /ay at a hotel pursuant to ?is section1 ! individual w be requir$ to pres5t1 9 su* =m & mann] z may be requir$ by ! local dep>tm5t ( heal?1 docum5tation f a physician t ! individual meets ! crit]ia describ$ 9 subsection 7a72 7#e7 any non-transi5t homeless population resid+ at a hotel w n be displac$ = purposes ( ent]+ into or c>ry+ out a contract betwe5 ! ,/ate & ! hotel "u ?is section2 & 7#f7 ! ,/ate w pay 7f funds provid$ to ! ,/ate "u ?is section or f o!r ,/ate funds7-- 7,a7 at lea/ #dj p]c5t ( ! co/s ( ! p]sonal protective equipm5t & sanitation supplies ne$$ by individuals /ay+ at a hotel pursuant to ?is section & ! /aff ( su* hotel2 & 7,b7 all ( ! co/s ( hav+ "o or m qualifi$ heal? c>e pr(essionals describ$ 9 subsection 7c77#c77;,d77iii7 = ! provision ( monitor+ describ$ 9 su* subsection 7:e!r by be+ onsite or on call74 7f7 ,review ,at ! conclusion ( ! program "u ?is section1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices %all-- 7#a7 review ! program & activities ( ea* ,/ate fund$ pursuant to ?is section2 & 7#b7 submit a report on ! results ( ! review to-- 7,a7 ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives2 & 7,b7 ! ,committee on ,f9ance & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate4 7g7 ,liability protection 7#a7 ,9 g5]al ,except z provid$ "u p>agraph 7#b71 a hotel or memb] ( ! /aff %all n be liable "u ,f$]al or ,/ate law =-- 7,a7 any h>m caus$ by an act or omission 9 ! provision ( hotel s]vices pursuant to ?is section2 or 7,b7 fail+ to keep an individual :o is /ay+ at a hotel pursuant to ?is section isolat$ f p o!r ?an ! /aff ( ! hotel & any qualifi$ heal? c>e pr(essional describ$ 9 subsection 7c77#c77;,d77iii74 7#b7 ,exception ,p>agraph 7#a7 does n apply 9 ! case t ! 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$4 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]m eligible individual means an individual :o is unable to self-isolate at home1 does n require inpati5t or outpati5t heal? c>e treatm5t1 &-- 7,a7 has a laboratory-confirm$ case ( ,,covid-#ai2 7,b7 has a presumptive positive case ( ,,covid-#ai2 or 7,c7 is a p]son "u inve/igation :o is display+ symptoms ( ,,covid-#ai4 7#b7 ,! t]ms ,indian tribe & tribal organization h ! mean+s giv5 to ^? t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#c7 ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#d7 ,! t]m ,/ate includes ea* ( #ej ,/ates1 ! ,di/rict ( ,columbia1 ea* ,indian ,tribe & tribal organization1 ,guam1 ,am]ican ,samoa1 ! ,unit$ ,/ates ,virg9 ,isl&s1 ! ,commonweal? ( ,pu]to ,rico1 & ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s4 7i7 ,fund+ ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #a1jjj1jjj1jjj1 to rema9 available ?r\gh ! e>li] (-- 7#a7 ! end ( cal5d> ye> #bjba2 or 7#b7 ! end ( ! em]g5cy p]iod 7z def9$ 9 section #aace7;g77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b7774 ,e ,,cdc campaign on ,,covid-#ai aw>5ess #ajda4 ,,covid-#ai public aw>5ess campaign ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & 9 coord9ation ) o!r (fices & ag5cies1 z appropriate1 %all aw>d competitive grants or contracts to "o or m public or private entities to c>ry out a national campaign t is multil+ual & culturally compet5t & bas$ on available sci5tific evid5ce to increase aw>5ess & k ( ,,covid-#ai1 includ+ r$uc+ /igma associat$ ) ,,covid-#ai & improv+ in=mation on ! availability ( diagno/ic te/+ & o!r relat$ s]vices at community heal? c5t]s4 ,f ,protect+ ,*ildr5 f ,,covid-#ai #ajea4 ,/udy on *ildr5's role 9 transmitt+ ,,s>s-,co,v-#b 7a7 ,/udy 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 9 coord9ation ) ! heads ( ag5cies ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices & exp]ts f outside ( ! ,dep>tm5t1 z appropriate1 %all complete a /udy on *ildr5's role 9 transmitt+ ,,s>s-,co,v-#b4 7#b7 ,issues to be /udi$ ,! /udy "u p>agraph 7#a7 %all address-- 7,a7 ! transmissibility ( ,,covid-#ai f *ild to *ild1 *ild to adult1 & adult to *ild2 7,b7 ! vuln]ability ( *ildr51 especially ^? ) und]ly+ heal? conditions1 to sev]e illness z su* vuln]ability relates to ,,covid-#ai2 7,c7 ! vuln]ability ( adults1 especially ^? ) und]ly+ heal? conditions1 :o s5d _! *ildr5 back to s*ool2 & 7,d7 ! vuln]ability ( adults1 especially ^? ) und]ly+ heal? conditions1 :o int]act ) *ildr5 :o may be asymptomatic b infecti\s4 7#c7 ,consid]ations ,9 c>ry+ out ! /udy "u p>agraph 7#a71 ! ,secret>y %all-- 7,a7 take into consid]ation ! be/ available sci5ce1 includ+ z provid$ by ! ,national ,academy ( ,sci5ces2 & 7,b7 ensure t su* /udy includes consid]ation ( *ildr5 :o are memb]s ( racial or e?nic m9ority gr\ps4 7b7 ,report+ ,! ,secret>y %all submit a report to ! ,congress on *ildr5's role 9 transmitt+ ,,s>s-,co,v-#b4 ,! report %all include ! results ( ! /udy "u subsection 7a74 7c7 ,dissem9ation ( be/ practices ,! ,secret>y %all dissem9ate to /akehold]s be/ practices = protect+ *ildr5 & adults 9 educational sett+s4 ,! fir/ be/ practices dissem9at$ pursuant to ! prec$+ s5t5ce %all include any be/ practices = protect+ *ildr5 & adults 9 educational sett+s id5tifi$ ?r\gh ! /udy "u subsection 7a74 7d7 ,def9ition ,9 ?is section1 ! t]m em]g5cy p]iod has ! mean+ giv5 to su* t]m 9 section #aace7;g77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b774 ,g ,ensur+ ,und]/&+ ( ,,covid-#ai #ajfa4 ,/udy on ! impact ( ,,covid-#ai ,"p ,a ( title ,,iv ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bha et seq47 is am5d$ by add+ at ! end ! foll[+3 #djd,o4 ,/udy on ! impact ( ,,covid-#ai 7a7 ,9 g5]al ,! ,secret>y %all conduct a longitud9al /udy1 ov] n less ?an #aj ye>s1 on ! full impact ( ,,covid-#ai on infect$ individuals1 includ+ bo? %ort-t]m & long-t]m heal? impacts4 7b7 ,tim+ ,! ,secret>y %all beg9 enroll+ pati5ts 9 ! /udy "u ?is section n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is section4 7c7 ,requirem5ts ,! /udy "u ?is section %all-- 7#a7 be nationwide2 7#b7 include div]sity ( enrollees to acc\nt = g5d]1 age1 race1 e?nicity1 geography1 comorbidities1 & und]repres5t$ populations1 includ+ pregnant & lactat+ wom52 7#c7 /udy individuals :o 7 infect$ ) ,,covid-#ai :o exp]i5c$ mild symptoms1 su* individuals :o exp]i5c$ mod]ate symptoms1 & su* individuals :o exp]i5c$ sev]e symptoms2 7#d7 monitor ! heal? outcomes & symptoms ( individuals :o 7 infect$ ) ,,covid-#ai1 or _h pr5atal exposure to ,,covid-#ai1 includ+ lung capacity & function1 & immune response1 tak+ into acc\nt any ph>maceutical int]v5tions su* individuals may h receiv$2 7#e7 monitor ! m5tal heal? outcomes ( individuals infect$ ) ,,covid-#ai1 tak+ into acc\nt any int]v5tions t affect$ m5tal heal?2 & 7#f7 monitor individuals enroll$ 9 ! /udy n less frequ5tly t twice p] ye> aft] ! fir/ ye> ( ! individual's infection ) ,,covid-#ai4 7d7 ,public-,private rese>* network ,= purposes ( c>ry+ out ! /udy "u ?is section1 ! ,director ( ,,nih may develop a network ( public-private rese>* p>tn]s1 provid$ t all rese>*1 includ+ ! rese>* c>ri$ out ?r\gh any su* p>tn]1 is available publicly4 7e7 ,summ>ies ( f9d+s ,! ,director ( ,,nih %all make public a summ>y ( f9d+s "u ?is section n less frequ5tly ?an once e #c mon?s = ! fir/ #b ye>s ( ! /udy1 & n less frequ5tly ?an e #f mon?s !reaft]4 ,su* summ>ies may include in=mation ab\t h[ ! f9d+s ( ! /udy "u ?is section comp>e ) f9d+s f rese>* conduct$ abroad4 7f7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z may be necess>y to c>ry out ?is section4 4 ,h ,safegu>d+ ,!rapeutics #ajga4 ,au?ority to de/roy c\nt]feit devices 7a7 ,9 g5]al ,section #hja7;a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cha7;a77 is am5d$-- 7#a7 9 ! f\r? s5t5ce1 by ins]t+ or c\nt]feit device aft] c\nt]feit drug2 & 7#b7 by /rik+ ,! ,secret>y ( ! ,treasury %all cause ! de/ruction ( & all t foll[s ?r\gh liable = co/s pursuant to subsection 7c74 & ins]t+ ! foll[+3 ,! ,secret>y ( ! ,treasury %all cause ! de/ruction ( any su* article refus$ admission unless su* article is export$1 "u regulations prescrib$ by ! ,secret>y ( ! ,treasury1 )9 #ij days ( ! date ( notice ( su* refusal or )9 su* additional "t z may be p]mitt$ pursuant to su* regulations1 except t ! ,secret>y ( ,heal? & ,human ,s]vices may de/roy1 )\t ! opportunity = export1 any drug or device refus$ admission "u ?is section1 if su* drug or device is valu$ at an am\nt t is #b1ejj or less 7or su* high] am\nt z ! ,secret>y ( ! ,treasury may set by regulation pursuant to section #dih7;a77#a7 ( ! ,t>iff ,act ( #aicj 7#ai ,u4,s4,c4 #adih7;a77#a777 & 0 n br\ght into compliance z describ$ "u subsection 7b74 ,! ,secret>y ( ,heal? & ,human ,s]vices %all issue regulations provid+ = notice & an opportunity to appe> be=e ! ,secret>y ( ,heal? & ,human ,s]vices & introduce te/imony1 z describ$ 9 ! fir/ s5t5ce ( ?is subsection1 on de/ruction ( a drug or device "u ! sev5? s5t5ce ( ?is subsection4 ,! regulations %all provide t prior to de/ruction1 appropriate due process is available to ! own] or consignee seek+ to *all5ge ! decision to de/roy ! drug or device4 ,:]e ! ,secret>y ( ,heal? & ,human ,s]vices provides notice & an opportunity to appe> & introduce te/imony on ! de/ruction ( a drug or device1 ! ,secret>y ( ,heal? & ,human ,s]vices %all /ore &1 z applicable1 dispose ( ! drug or device aft] ! issuance ( ! notice1 except t ! own] & consignee %all rema9 liable = co/s pursuant to subsection 7c744 7b7 ,def9ition ,section #bja7;h7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cba7;h77 is am5d$-- 7#a7 by r$esignat+ subp>agraphs 7#a71 7#b71 & 7#c7 z clauses 7,a71 7,b71 & 7,c71 respectively2 & 7#b7 aft] mak+ su* r$esignations-- 7,a7 by /rik+ 7h7 ,! t]m & ins]t+ 7h77#a7 ,! t]m2 & 7,b7 by add+ at ! end ! foll[+3 7#b7 ,! t]m c\nt]feit device means a device :i*1 or ! conta9]1 packag+1 or label+ ( :i*1 )\t au?orization1 be>s a tradem>k1 trade "n1 or o!r id5tify+ m>k1 impr9t1 or symbol1 or any lik5ess !re(1 or is manufactur$ us+ a design1 ( a device manufactur]1 pack]1 or di/ributor o!r ?an ! p]son or p]sons :o 9 fact manufactur$1 pack$1 or di/ribut$ su* device & :i* !reby falsely purports or is repres5t$ to be ! product (1 or to h be5 pack$ or di/ribut$ by1 su* o!r device manufactur]1 pack]1 or di/ributor4 7#c7 ,= purposes ( subp>agraph 7#b7-- 7,a7 ! t]m manufactur$ ref]s to any ( ! foll[+ activities3 manufacture1 prep>ation1 propagation1 comp\nd+1 assembly1 or process+2 & 7,b7 ! t]m manufactur] means a p]son :o is engag$ 9 any ( ! activities li/$ 9 clause 7,a74 4 #ajgb4 ,det]m9ation ( budget>y effects ,! budget>y effects ( ?is subtitle1 = ! purpose ( comply+ ) ! ,/atutory ,pay-,z-,y-,g ,act ( #bjaj1 %all be det]m9$ by ref]5ce to ! late/ /atem5t titl$ ,budget>y ,effects ( ,,paygo ,legislation = ?is subtitle1 submitt$ = pr9t+ 9 ! ,congressional ,record by ! ,*airman ( ! ,h\se ,budget ,committee1 provid$ t su* /atem5t has be5 submitt$ prior to ! vote on passage4 ,i ,advisory ,committee on ,immunization ,practices #ajha4 ,exp$it$ meet+ ( ,,acip = ,,covid-#ai vacc9es 7a7 ,9 g5]al ,not)/&+ section #cjia ( ! #ba/ ,c5tury ,cures ,act 7#ba ,u4,s4,c4 #cfj;bbb-#d note71 ! ,advisory ,committee on ,immunization ,practices %all meet & issue a recomm5dation ) respect to a vacc9e t is int5d$ to prev5t or treat ,,covid-#ai n lat] ?an #ae bus9ess days aft] ! date on :i* su* vacc9e is lic5s$ "u section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7 or au?oriz$ "u section #efd ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#c74 7b7 ,def9ition ,9 ?is section1 ! t]m ,advisory ,committee on ,immunization ,practices means ! ,advisory ,committee on ,immunization ,practices e/abli%$ by ! ,secret>y ( ,heal? & ,human ,s]vices pursuant to section #bbb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bag;a71 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 ,j ,improvem5ts to ,transp>5cy ( ! ,pric+ ( ,diagno/ic ,te/+ = ,,covid-#ai #ajia4 ,improvem5ts to transp>5cy ( ! pric+ ( diagno/ic te/+ = ,,covid-#ai 7a7 ,9 g5]al ,section #cbjb ( ! ,,c>es ,act 7,public ,law #aaf-acf7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 ! head+1 by ins]t+ & ,relat$ ,items & ,s]vices aft] ,diagno/ic ,te/+ = ,,covid-#ai2 7,b7 9 p>agraph 7#a7-- 7i7 by /rik+ a diagno/ic te/ = ,,covid-#ai & ins]t+ a te/1 item1 or s]vice describ$ 9 section #fjja7;a7 ( division ,f ( ! ,families ,fir/ ,coronavirus ,response ,act 7,public ,law #aaf-abg72 & 7ii7 by /rik+ su* te/ & ins]t+ su* te/1 item1 or s]vice2 & 7,c7 9 p>agraph 7#b71 by /rik+ a diagno/ic te/ = ,,covid-#ai & ins]t+ a te/1 item1 or s]vice describ$ 9 section #fjja7;a7 ( division ,f ( ! ,families ,fir/ ,coronavirus ,response ,act 7,public ,law #aaf-abg72 & 7#b7 by add+ at ! end ! foll[+ new subsections3 7c7 ,improvem5ts to transp>5cy policy 7#a7 ,9 g5]al ,n lat] ?an #cj days aft] ! date ( ! enactm5t ( ?is subsection1 ! ,secret>y ( ,heal? & ,human ,s]vices %all survey provid]s subject to ! requirem5t "u subsection 7b7 reg>d+ ! ca% prices ref]r$ to 9 su* subsection4 7#b7 ,repres5tative sample ,9 c>ry+ out p>agraph 7#a71 ! ,secret>y %all survey a sample ( provid]s t is repres5tative ( ! div]sity ( sizes1 geographic locations1 & c>e sett+s 7su* z hospitals1 laboratories1 & indep5d5t free/&+ em]g5cy dep>tm5ts7 9 :i* diagno/ic te/+ = ,,covid-#ai is p]=m$4 7#c7 ,consum] compla9ts ,! ,secret>y %all ensure t consum]s h a me?od to submit compla9ts to ! ,dep>tm5t ( ,heal? & ,human ,s]vices t id5tify provid]s t-- 7,a7 may be 9 violation ( subsection 7b72 & 7,b7 h n made public a ca% price 9 accordance ) su* subsection4 7d7 ,public report ,n lat] ?an #fj days aft] ! date ( ! enactm5t ( ?is subsection1 ! ,secret>y ( ,heal? & ,human ,s]vices %all publi% on ! int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices a report on ca% prices = items & s]vices publi%$ "u subsection 7b77#a7 dur+ ! p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act & end+ on ! date ( ! enactm5t ( ?is subsection1 :i* %all include-- 7#a7 ! p]c5tage ( provid]s t comply ) ! requirem5t "u su* subsection2 7#b7 ! av]age ca% price = ea* su* item & s]vice publi%$ "u su* subsection2 & 7#c7 any provid]s id5tifi$ pursuant to p>agraph 7#b7 or 7#c7 ( subsection 7c7 & f\nd to be 9 violation ( su* requirem5t4 4 ,,ii ,dome/ic ,manufactur+ & ,supply ,*a9 ,a ,su/a9$ ,on-,%ore ,manufactur+ ,capacity = ,public ,heal? ,em]g5cies #bjja4 ,su/a9$ on-%ore manufactur+ capacity = public heal? em]g5cies 7a7 ,9 g5]al ,section #cai,l ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#g;e7 is am5d$-- 7#a7 9 subsection 7a77#f77;,b7-- 7,a7 by r$esignat+ clauses 7iv7 & 7v7 z clauses 7v7 & 7vi71 respectively2 7,b7 by ins]t+ aft] clause 7iii71 ! foll[+3 7iv7 activities to support dome/ic manufactur+ surge capacity ( products or plat=m te*nologies1 includ+ manufactur+ capacity & capabilities to utilize plat=m te*nologies to provide = flexible manufactur+ initiatives2 2 & 7,c7 9 clause 7vi7 7z s r$esignat$71 by ins]t+ manufacture1 aft] improvem5t12 7#b7 9 subsection 7b7-- 7,a7 9 ! fir/ s5t5ce ( p>agraph 7#a71 by ins]t+ support = dome/ic manufactur+ surge capacity1 aft] initiatives = innovation12 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7ii7 by r$esignat+ subp>agraph 7,c7 z subp>agraph 7,d72 & 7iii7 by ins]t+ aft] subp>agraph 7,b71 ! foll[+3 7,c7 activities to support manufactur+ surge capacities & capabilities to increase ! availability ( exi/+ m$ical c\nt]measures & utilize exi/+ novel plat=ms to manufacture new m$ical c\nt]measures to meet manufactur+ dem&s to address ?reats t pose a significant level ( risk to national security2 & 2 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,c71 by /rik+ & at ! end2 7ii7 9 subp>agraph 7,d71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7iii7 by add+ at ! end ! foll[+3 7,e7 promot+ dome/ic manufactur+ surge capacity & capabilities = c\nt]measure advanc$ rese>* & developm5t1 includ+ facilitat+ contracts to support flexible or surge manufactur+4 2 7,b7 9 p>agraph 7#d7-- 7i7 9 subp>agraph 7,b7-- 7,i7 9 clause 7iii71 by /rik+ & at ! end2 7,,ii7 9 clause 7iv71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,,iii7 by add+ at ! end ! foll[+3 7v7 support & ma9ta9 dome/ic manufactur+ surge capacity & capabilities1 includ+ ?r\gh contracts to support flexible or surge manufactur+1 to ensure t additional production ( c\nt]measures is available 9 ! ev5t t ! ,secret>y det]m9es !re is su* a ne$ = additional production4 2 7ii7 9 subp>agraph 7,d7-- 7,i7 9 clause 7ii71 by /rik+ & at ! end2 7,,ii7 by r$esignat+ clause 7iii7 z clause 7iv72 & 7,,iii7 by ins]t+ aft] clause 7ii7 ! foll[+3 7iii7 rese>* to advance manufactur+ capacities & capabilities = m$ical c\nt]measures & plat=m te*nologies t may be utiliz$ = m$ical c\nt]measures2 & 2 & 7iii7 9 subp>agraph 7,e71 by /rik+ clause 7ix72 & 7,c7 9 p>agraph 7#g77;,c77i71 by /rik+ up to #ajj highly qualifi$ individuals1 or up to #ej p]c5t ( ! total numb] ( employees1 :i*ev] is less1 & ins]t+ #ge p]c5t ( ! total numb] ( employees2 7#d7 9 subsection 7e77#a7-- 7,a7 by r$esignat+ subp>agraphs 7,b7 ?r\gh 7,d7 z subp>agraphs 7,c7 ?r\gh 7,e71 respectively2 & 7,b7 by ins]t+ aft] subp>agraph 7,a71 ! foll[+3 7,b7 ,tempor>y flexibility ,dur+ a public heal? em]g5cy "u section #cai1 ! ,secret>y %all be provid$ ) an additional #fj bus9ess days to comply ) in=mation reque/s = ! disclosure ( in=mation "u section #eeb ( title #e1 ,unit$ ,/ates ,code1 relat$ to ! activities "u ?is section 7unless su* activities are o!rwise exempt "u subp>agraph 7,a774 2 & 7#e7 9 subsection 7f7-- 7,a7 9 p>agraph 7#a71 by /rik+ ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is subsection & ins]t+ ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act2 & 7,b7 9 p>agraph 7#b71 by /rik+ ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is subsection & ins]t+ ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act4 7b7 ,m$ical ,c\nt]measure ,innovation ,p>tn] ,! re/rictions "u section #bjb ( division ,a ( ! ,fur!r ,consolidat$ ,appropriations ,act1 #bjbj 7,public ,law #aaf-id71 or any o!r provision ( law impos+ a re/riction on sal>ies ( individuals relat$ to a previ\s appropriation to ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 %all n apply ) respect to sal>ies paid pursuant to an agreem5t "u ! m$ical c\nt]measure innovation p>tn] program "u section #cai,l7c77#d77;,e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#g;e7c77#d77;,e774 ,b ,manufactur+ ,,api1 ,drugs1 & ,excipi5ts 9 ,am]ica #bjaa4 ,report to ,congress on b>ri]s to dome/ic manufactur+ ( m$ical products & supplies 7a7 ,report ,n lat] ?an ,janu>y #a1 #bjba1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on b>ri]s to dome/ic manufactur+ ( active ph>maceutical +r$i5ts1 drugs1 & devices t are manufactur$ outside ( ! ,unit$ ,/ates4 7b7 ,cont5ts ,su* report %all-- 7#a7 id5tify factors t limit or o!rwise disc\rage ! dome/ic manufactur+ ( active ph>maceutical +r$i5ts1 drugs1 & devices t are curr5tly manufactur$ outside ( ! ,unit$ ,/ates1 includ+ any ,f$]al1 ,/ate1 local1 or ,tribal laws & regulations t h9d] dome/ic manufactur+ opportunities2 & 7#b7 recomm5d specific /rategies to ov]come ! *all5ges id5tifi$ "u p>agraph 7#a71 includ+ /rategies-- 7,a7 to develop effective inc5tives = dome/ic manufactur+2 & 7,b7 to make *anges to laws or regulations t h9d] dome/ic manufactur+ opportunities4 7c7 ,consultation ,9 c>ry+ out ! report "u subsection 7a71 ! ,secret>y %all consult )-- 7#a7 ! ,food & ,drug ,adm9i/ration1 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,dep>tm5t ( ,def5se1 ! ,dep>tm5t ( ,comm]ce1 ! ,dep>tm5t ( ,/ate1 ! ,dep>tm5t ( ,vet]ans ,affairs1 ! ,dep>tm5t ( ,ju/ice1 & any o!r ,f$]al ag5cies z appropriate2 & 7#b7 relevant /akehold]s1 includ+ drug1 device1 & active ph>maceutical +r$i5t manufactur]s1 & o!r entities1 z appropriate4 7d7 ,def9ition ,9 ?is section1 ! t]m active ph>maceutical +r$i5t has ! mean+ giv5 to su* t]m 9 section #bjg4a ( title #ba1 ,code ( ,f$]al ,regulations 7& any successor regulations74 7e7 ,publication ,! ,secret>y %all make ! report "u subsection 7a7 available on ! public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 #bjab4 ,enhanc+ intra-ag5cy coord9ation & public heal? assessm5t ) reg>d to compliance activities 7a7 ,b5efit_/,risk framework 7#a7 ,9 g5]al ,p>agraph 7#b7 ( section #gjd7;b7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cgd7;b77 is am5d$ by add+ at ! end ! foll[+3 ,! ,secret>y %all ensure timely & effective coord9ation among su* (fices reg>d+ ! reviews ( su* report & ! alignm5t ( any fe$back reg>d+ su* report1 & any corrective or prev5tive actions 9 response to su* report1 aft] consid]ation ( ! b5efits & risks to ! public heal?1 pati5t safety1 ! drug supply & drug supply *a91 & timely pati5t access to drugs44 7#b7 ,annual report+ ,subsection 7b7 ( section #gjd ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cgd7 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,on an annual basis1 ! ,secret>y %all prep>e a report on ! utilization ( ! framework describ$ 9 p>agraph 7#b7 & po/ su* report on ! public website ( ! ,food & ,drug ,adm9i/ration4 4 7#c7 ,applicability ,! am5dm5ts made by p>agraphs 7#a7 & 7#b7 %all take effect on ! effective date describ$ 9 section #caab ( ! ,,c>es ,act 7,public ,law #aaf-acf71 aft] execut+ ! am5dm5ts made by su* section #caab1 & %all apply beg9n+ on ! date t is #a ye> aft] ! date ( enactm5t ( ?is ,act4 7b7 ,public meet+ ,! ,secret>y ( ,heal? & ,human ,s]vices %all publi% 9 ! ,f$]al ,regi/] a notice ( a public meet+ to be held no lat] ?an six mon?s aft] ! date ( enactm5t ( ?is ,act to discuss & obta9 input & recomm5dations f public /akehold]s1 includ+ pati5t advocates1 consum]s1 regulat$ indu/ry1 & heal? c>e provid]s1 reg>d+ ! cont5ts ( a b5efit_/risk framework describ$ 9 section #gjd7;b77#b7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 z am5d$ by subsection 7a71 t supports a safe1 /able1 r$undant drug supply *a94 7c7 ,guidance ,! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 n lat] ?an "o ye> aft] ! date on :i* ! public meet+ describ$ 9 subsection 7b7 is held1 issue draft guidance reg>d+ ! goals & implem5tation ( a b5efit_/risk framework describ$ 9 subsection 7b72 & 7#b7 n lat] ?an two ye>s aft] su* date ( enactm5t1 issue f9al guidance ) respect to ! implem5tation ( su* a framework4 #bjac4 ,enc\rag+ int]national h>monization 7a7 ,,gao /udy ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all issue a report evaluat+-- 7#a7 ! consi/5cy ) :i* ! ,int]national ,conf]5ce on ,h>monisation 79 ?is section ref]r$ to z ,,i*7 guidel9es on good manufactur+ practices1 includ+ ,,i* ,guidel9es ,q#h-aa1 are be+ implem5t$ by drug regulatory au?orities across c\ntries & int]national regions2 7#b7 :e!r dome/ic active ph>maceutical +r$i5t manufactur]s 7includ+ any su* contract manufactur]s7 are provid$ suffici5t opportunity to p>ticipate ) regulatory au?orities 9 ! developm5t ( guidel9es prior to implem5tation2 7#c7 :e!r div]g5ce f ,,i* guidel9es or diff]+ regulatory /&>ds or requirem5ts by drug regulatory au?orities across c\ntries & int]national regions creates-- 7,a7 ineffici5cies 9 drug manufactur+2 7,b7 incompatible requirem5ts t c contribute to or exac]bate drug %ortages2 & 7,c7 ! mo/ common areas ( div]g5ce betwe5 ,,i* guidel9es & regulatory /&>ds & requirem5ts by drug regulatory au?orities across c\ntries & int]national regions t1 if rectifi$1 may r$uce ! ineffici5cies & incompatibilities id5tifi$ pursuant to subp>agraphs 7,a7 & 7,b74 7b7 ,int]national tra9+ program ,n lat] ?an two ye>s aft] ! date ( enactm5t ( ?is ,act1 in=m$ by ! ne$s id5tifi$ 9 ! report issu$ pursuant to subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 conjunction ) drug regulatory au?orities across c\ntries & int]national regions & ! ,,i*1 %all develop & implem5t a tra9+ program = drug regulatory au?orities across c\ntries & int]national regions to promote consi/5t application ( & r$uce div]g5ce f ,,i* guidel9es on good manufactur+ practices4 #bjad4 ,mutual recognition agreem5ts = inspections & review activities 7a7 ,mutual ,recognition ( ,inspections ,pursuant to section #hji ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #chd;e71 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all e/abli% or exp& initiatives = mutual %>+ ( review & inspection f9d+s betwe5 drug regulatory au?orities across c\ntries & int]national regions1 su* z ?r\gh ! ,ph>maceutical ,coop]ation ,inspection ,s*eme1 ! ,mutual ,recognition ,agreem5t ) ! ,european ,union1 & ! ,au/ralia-,canada-,s+apore-,switz]l& ,consortium1 to-- 7#a7 r$uce ! pot5tial = duplicative regulatory evaluation ( m$ical products regulat$ by ! ,food & ,drug ,adm9i/ration2 & 7#b7 m con/ructively allocate appropriations to ! ,food & ,drug ,adm9i/ration1 includ+ ^? attributable to us] fees1 to h>moniz$ regulatory processes4 7b7 ,additional c\ntries1 regions1 & evaluation ,9 c>ry+ out subsection 7a71 ! ,secret>y may exp& ! initiatives to include-- 7#a7 additional c\ntries & geographic regions ) e/abli%$ & compet5t regulatory frameworks2 & 7#b7 additional types ( regulatory evaluation1 includ+ ) respect to-- 7,a7 good manufactur+ practice inspections2 & 7,b7 approval ( *anges to ! manufactur+ ( drugs = :i* an approval or lic5sure is 9 effect "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 or section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb74 7c7 ,implem5tation framework 7#a7 ,publication ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all publi% an implem5tation framework = ! agreem5ts to %>e review & inspection f9d+s "u subsection 7a7 on ! public website ( ! ,food & ,drug ,adm9i/ration4 7#b7 ,cont5ts ,! implem5tation framework "u ?is subsection %all-- 7,a7 include ! timel9e = e/abli%+ or exp&+ initiatives describ$ 9 subsection 7a72 7,b7 describe additional types ( regulatory processes t w become subject to su* initiatives2 7,c7 specify ! c\ntries & geographic regions :]e su* initiatives w be e/abli%$ or exp&$2 & 7,d7 id5tify additional opportunities & *all5ges = exp&+ mutual recognition agreem5ts 9 drug & biologic regulation4 7d7 ,annual report+ 7#a7 ,9 g5]al ,n lat] ?an ! end ( cal5d> ye> #bjbj & annually !reaft]1 ! ,secret>y %all publi% a report on ! public website ( ! ,food & ,drug ,adm9i/ration on ! utilization ( agreem5ts describ$ 9 subsection 7c77#a7 9 ! previ\s fiscal ye>4 7#b7 ,cont5ts ,! report "u p>agraph 7#a7 %all include ea* ( ! foll[+3 7,a7 ,! total numb] ( e/abli%m5ts t are regi/]$ "u section #eaj7;i7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj7 & locat$ outside ( ! ,unit$ ,/ates1 & ( ^! e/abli%m5ts1 ! numb] 9 ea* region ( int]e/4 7,b7 ,! total numb] ( inspections conduct$ at e/abli%m5ts describ$ 9 subp>agraph 7,a74 7,c7 ,( ! inspections describ$ 9 subp>agraph 7,b71 ! total numb] ( inspections 9 ea* ( region ( int]e/4 7,d7 ,( ! inspections 9 ea* region ( int]e/ report$ pursuant to subp>agraph 7,c71 ! numb] ( inspections 9 ea* ,,fda inspection category4 7,e7 ,( ! numb] ( inspections report$ "u ea* ( subp>agraphs 7,b71 7,c71 & 7,d7-- 7i7 ! numb] ( inspections :i* h be5 conduct$ pursuant to an agreem5t describ$ 9 subsection 7c77#a72 & 7ii7 ! numb] ( inspections :i* h be5 conduct$ by employees or o!r ag5ts ( ! ,food & ,drug ,adm9i/ration4 7#c7 ,def9itions ,9 ?is subsection3 7,a7 ,! t]m region ( int]e/ ref]s to ,*9a1 ,india1 ! ,european ,union1 & any o!r geographic region z det]m9$ appropriate by ! ,secret>y4 7,b7 ,! t]m ,,fda inspection category means ref]s to ! foll[+ inspection categories3 7i7 ,inspections to support an approval ( a drug "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 or section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb74 7ii7 ,good manufactur+ practice inspections4 7iii7 ,=-cause inspections4 #bjae4 ,enhanc+ transp>5cy ( drug facility inspection timel9es ,section #ijb ( ! ,,fda ,reau?orization ,act ( #bjag 7#ba ,u4,s4,c4 #cee note7 is am5d$ to read z foll[s3 #ijb4 ,annual report on inspections ,n lat] ?an ,m>* #a ( ea* ye>1 ! ,secret>y ( ,heal? & ,human ,s]vices %all po/ on ! public website ( ! ,food & ,drug ,adm9i/ration in=mation relat$ to inspections ( facilities necess>y = approval ( a drug "u subsection 7c7 or 7j7 ( section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee71 approval ( a device "u section #eae ( su* ,act 7#ba ,u4,s4,c4 #cfj;e71 or cle>ance ( a device "u section #eaj7k7 ( su* ,act 7#ba ,u4,s4,c4 #cfj7k77 t 7 conduct$ dur+ ! previ\s cal5d> ye>4 ,su* in=mation %all include ! foll[+3 7#a7 ,! m$ian "t foll[+ a reque/ f /aff ( ! ,food & ,drug ,adm9i/ration review+ an application or report to ! beg9n+ ( ! inspection1 & ! m$ian "t f ! beg9n+ ( an inspection to ! issuance ( a report pursuant to section #gjd7;b7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cgd7;b771 includ+-- 7,a7 ! m$ian "t = drugs describ$ 9 #eje7;j77#aa77;,a77i7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7;j77#aa77;,a77i772 7,b7 ! m$ian "t = drugs describ$ 9 section #ejf;,c7a7 ( su* ,act 7#ba ,u4,s4,c4 #cef;c7a77 only2 & 7,c7 ! m$ian "t = drugs on ! drug %ortage li/ 9 effect "u section #ejf;,e ( su* ,act 7#ba ,u4,s4,c4 #cef;f74 7#b7 ,! m$ian "t f ! issuance ( a report pursuant to su* section #gjd7;b7 to ! s5d+ ( a w>n+ lett]1 issuance ( an import al]t1 or hold+ ( a regulatory meet+ = inspections = :i* ! ,secret>y conclud$ t regulatory or en=cem5t action 0 indicat$1 includ+ ! m$ian "t = ea* category ( drugs li/$ 9 subp>agraphs 7,a7 ?r\gh 7,c7 ( p>agraph 7#a74 7#c7 ,! m$ian "t f ! s5d+ ( a w>n+ lett]1 issuance ( an import al]t1 or hold+ ( a regulatory meet+ to resolution ( ! regulatory or en=cem5t action indicat$ = inspections = :i* ! ,secret>y conclud$ t su* action 0 indicat$4 7#d7 ,! numb] ( times t a facility 0 issu$ a report pursuant to su* section #gjd7;b7 & approval ( an application 0 delay$ due to ! issuance ( a )hold recomm5dation1 includ+ ! numb] ( su* times = ea* category ( drugs li/$ 9 subp>agraphs 7,a7 ?r\gh 7,c7 ( p>agraph 7#a74 4 #bjaf4 ,advanc$ manufactur+ te*nologies program ,sub*apt] ,a ( *apt] ,v ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cea et seq47 is am5d$ by add+ at ! end ! foll[+3 #ebd;,b4 ,advanc$ manufactur+ te*nologies program 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 ! ,secret>y %all cont9ue 9 effect ! program to evaluate new drug manufactur+ te*nologies t are includ$ 9 an application1 or supplem5t to an application1 = a drug "u subsection 7b7 or 7j7 ( section #eje ( ?is ,act or = a biological product submitt$ "u subsection 7a7 or 7k7 ( section #cea ( ! ,public ,heal? ,s]vice ,act4 7b7 ,designation ,! ,secret>y %all designate a me?od ( manufactur+ a drug z an advanc$ manufactur+ te*nology "u ?is section if ! drug manufactur] demon/rates t su* te*nology is likely to-- 7#a7 prev5t or resolve a drug %ortage2 7#b7 ma9ta9 an adequate supply ( critical m$ications = national em]g5cies2 or 7#c7 promote ! adoption ( innovative approa*es to drug product design & manufactur+4 7c7 ,consultation ,if ! ,secret>y designates a me?od ( manufactur+ z an advanc$ manufactur+ te*nology "u ?is section1 ! ,secret>y %all take actions to exp$ite ! developm5t & implem5tation ( su* me?od ( manufacture = purposes ( approval ( ! application "u subsection 7c7 or 7j7 ( section #eje ( ?is ,act or subsection 7a7 or 7k7 ( section #cea ( ! ,public ,heal? ,s]vice ,act1 :i* may include1 z appropriate-- 7#a7 hold+ meet+s betwe5 ! sponsor ( ! application & appropriate ,food & ,drug ,adm9i/ration /aff ?r\gh\t ! developm5t ( ! te*nology2 7#b7 provid+ timely advice to1 & int]active communication )1 ! sponsor reg>d+ ! developm5t ( ! te*nology2 & 7#c7 involv+ s5ior manag]s & exp]i5c$ /aff ( ! ,food & ,drug ,adm9i/ration1 z appropriate1 9 a collaborative1 cross-discipl9>y review ( ! me?od ( manufactur+4 7d7 ,evaluation ( an ,advanc$ ,manufactur+ ,te*nology 7#a7 ,package ,a sponsor :o receives designation ( an advanc$ manufactur+ te*nology "u ?is section %all provide ! ,secret>y ) a package ( sci5tific evid5ce support+ ! implem5tation ( ! advanc$ manufactur+ te*nology 9 a p>ticul> context-(-use4 7#b7 ,evaluation ,)9 #ij days ( receiv+ ! package1 ! ,secret>y %all det]m9e :e!r a designat$ advanc$ manufactur+ te*nology is validat$ = ! propos$ context ( use bas$ on ! sci5tific m]it ! support+ evid5ce provid$ by ! sponsor4 7#c7 ,effect ( ,approval ,^u approval1 ! same sponsor may rely ^u ! advanc$ manufactur+ te*nology = use across multiple manufactur+ product l9es )9 ! same context-(-use )\t hav+ to re-submit data to ! ,secret>y validat+ ! und]ly+ te*nology4 7e7 ,implem5tation & ,report+ 7#a7 ,public meet+ ,! ,secret>y %all publi% 9 ! ,f$]al ,regi/] a notice ( a public meet+ to be held no lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act to discuss & obta9 input & recomm5dations f /akehold]s reg>d+ ! goals & scope (1 & a suitable framework & proc$ures & requirem5ts =1 ! program "u ?is section4 7#b7 ,program guidance ,! ,secret>y %all-- 7,a7 n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 issue draft guidance reg>d+ ! goals & implem5tation ( ! program "u ?is section2 & 7,b7 n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 issue f9al guidance ) respect to ! implem5tation ( su* program4 7#c7 ,report ,! ,secret>y %all make available on ! public website ( ! ,food & ,drug ,adm9i/ration an annual report on ! progress ( ! program "u ?is section4 4 ,c ,improv+ ! ,am]ican ,drug ,supply ,*a9 #bjba4 ,/udy & report+ on dome/ic & =eign production 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all ent] into an agreem5t ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e 7ref]r$ to 9 ?is section z ! ,national ,academies7 "u :i*1 n lat] ?an #bd mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,national ,academies w-- 7#a7 /udy ! curr5t & hi/orical production ( drugs & key +r$i5ts !re( 7includ+ active ph>maceutical +r$i5ts7 9 ! ,unit$ ,/ates & 9 =eign c\ntries2 7#b7 =mulate recomm5dations = promot+ increas$ production ( drugs & key +r$i5ts !re( 7includ+ active ph>maceutical +r$i5ts7 9 ! ,unit$ ,/ates2 & 7#c7 9 a mann] t does n compromise national security or disclose trade secrets or o!r confid5tial comm]cial in=mation t is subject to section #eeb7;b77#d7 ( title #e1 ,unit$ ,/ates ,code1 or section #aije ( title #ah1 ,unit$ ,/ates ,code1 submit a report to ! ,congress on-- 7,a7 ! f9d+s & conclusions ( ! /udy "u p>agraph 7#a72 & 7,b7 ! recomm5dations "u p>agraph 7#b74 7b7 ,/udy topics ,! /udy pursuant to subsection 7a77#a7 %all include-- 7#a7 evaluation (-- 7,a7 ! ext5t to :i* production ( drugs = use 9 ! ,unit$ ,/ates & key +r$i5ts !re( 7includ+ active ph>maceutical +r$i5ts7 takes place 9 ! ,unit$ ,/ates2 & 7,b7 ! ext5t to :i* su* production takes place 9 =eign c\ntries2 7#b7 id5tification ( ! =eign c\ntries 9 :i* su* production takes place2 7#c7 evaluation ( hi/orical *anges 9 ! c\ntries 9 :i* su* production takes place2 7#d7 det]m9ation ( ! reasons :y su* production takes place 9 =eign c\ntries1 includ+ :y su* production takes place 9 p>ticul> =eign c\ntries1 includ+ consid]ation (-- 7,a7 ! reasons = hi/orical migration ( su* production to =eign c\ntries1 or f =eign c\ntries to o!r =eign c\ntries or ! ,unit$ ,/ates2 7,b7 economic factors1 includ+ economic imp$im5ts to dome/ic production & inc5tives = =eign production2 & 7,c7 regulatory1 intellectual prop]ty1 int]national trade1 & o!r legal & policy factors2 & 7#e7 evaluation ( ! b5efits ( r$undancies 9 ! supply *a9 ( drugs 9 ! ,unit$ ,/ates 9 ! ev5t ( a public heal? em]g5cy4 7c7 ,recomm5dations ,! agreem5t "u subsection 7a7 %all-- 7#a7 provide = inclusion 9 ! recomm5dations "u subsection 7a77#b7 ( measures 7:i* may include /atutory1 regulatory1 & o!r policy *anges7 t %\ld be tak5-- 7,a7 to enc\rage ! dome/ic production ( drugs = use 9 ! ,unit$ ,/ates & key +r$i5ts !re( 7includ+ active ph>maceutical +r$i5ts72 or 7,b7 to o!rwise r$uce ! risks to ! availability ( drugs 9 ! ,unit$ ,/ates 9 ! ev5t ( a public heal? em]g5cy2 & 7#b7 require consid]ation1 9 develop+ su* recomm5dations1 (-- 7,a7 factors affect+ ! production ( drugs1 includ+-- 7i7 access to skill$ labor2 7ii7 ! co/ ( raw mat]ials1 ! co/ ( en]gy1 & relat$ co/s2 7iii7 taxes & o!r inc5tives2 & 7iv7 ! effects ( regulations2 & 7,b7 ! co/s & consequ5ces ( implem5t+1 or fail+ to implem5t1 ea* su* recomm5dation4 7d7 ,input ,! agreem5t "u subsection 7a7 %all require-- 7#a7 consid]ation ( input f ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t ( ,comm]ce1 &1 z appropriate1 o!r ,f$]al ag5cies2 & 7#b7 consultation ) relevant /akehold]s1 :i*-- 7,a7 may include conduct+ public meet+s & o!r =ms ( engagem5t1 z appropriate2 7,b7 %all include consultation ) exp]ts 9-- 7i7 ! manufactur+ ( drugs2 7ii7 ph>maceutical indu/ry bus9ess & economics2 7iii7 drug pur*as+1 pric+1 & reimbursem5t2 7iv7 regulatory & intellectual prop]ty issues affect+ drug manufactur+2 7v7 economics2 7vi7 int]national trade policy2 & 7vii7 em]g5cy plann+2 & 7,c7 may include consultation ) o!r entities ) exp]i5ce 9 drug manufactur+ & pric+1 z appropriate4 7e7 ,def9itions ,9 ?is section1 ! t]m drug has ! mean+ giv5 su* t]m 9 section #bja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cba74 ,d ,ess5tial ,m$ic9es ,/rategic ,/ockpile #bjca4 ,pilot program on ensur+ m$ication supply /ability ,"p ,d ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b et seq47 is am5d$ by add+ at ! end ! foll[+ new subp>t3 ,,xiii ,ensur+ ,m$ication ,supply ,/ability #cdj;,j4 ,ensur+ m$ication supply /ability 7a7 ,aw>d ( contracts ,beg9n+ n lat] ?an ,janu>y #a1 #bjba1 ! ,secret>y %all aw>d contracts to eligible entities to ea* implem5t & te/ ! effectiv5ess ( acquir+1 ma9ta9+1 manag+1 & di/ribut+ a /ockpile t-- 7#a7 consi/s ( g5]ic drugs at risk ( %ortage2 & 7#b7 is ( suffici5t quantity to ensure t cu/om]s 9 ! ,unit$ ,/ates ( ! respective eligible entity h access to su* drugs = at lea/ #f mon?s 7z specifi$ by ! ,secret>y bas$ on ! hi/oric dem& = ^? drugs74 7b7 ,selection ( drugs 7#a7 ,9 g5]al ,! ,secret>y %all-- 7,a7 select n m ?an #ej types ( drugs t may be includ$ by eligible entities 9 a /ockpile pursuant to a contract "u ?is section2 7,b7 ma9ta9 an up-to-date li/ ( su* drugs2 & 7,c7 make su* li/ publicly available4 7#b7 ,*oice ( eligible entities ,a contract aw>d$ to an eligible entity "u ?is section ne$ n require ! /ockpile ( ! eligible entity to include all #ej types ( drugs li/$ pursuant to p>agraph 7#a74 7c7 ,suffici5t quantity ,= ea* g5]ic drug 9 a /ockpile ma9ta9$ pursuant to subsection 7a71 ! ,secret>y %all specify ! quantity ( su* drug t is suffici5t = purposes ( su* subsection to ensure t consum]s 9 ! ,unit$ ,/ates ( ! respective eligible entity h access to su* drug = at lea/ #f mon?s4 7d7 ,duration2 liquidation ( inv5tory 7#a7 ,duration ,a contract aw>d$ "u ?is section %all be = a t]m ( no m ?an #c ye>s4 7#b7 ,liquidation ( inv5tory ,a drug held 9 a /ockpile pursuant to a contract "u ?is section may be liquidat$ by ! eligible entity at ! end ( ! p]iod ( ! contract4 7e7 ,/ockpile requirem5ts 7#a7 ,ensur+ availability ( unexpir$ products ,ea* eligible entity ) a contract "u ?is section = a /ockpile ( g5]ic drugs at risk ( %ortage %all-- 7,a7 ensure t ea* drug ma9ta9$ 9 ! /ockpile has an expiration date at lea/ #a ye> beyond ! curr5t date2 & 7,b7 to comply ) subp>agraph 7,a7-- 7i7 sell drugs 9 ! /ockpile ?r\gh normal comm]cial *annels & replace ^? drugs2 or 7ii7 if !re is no comm]cial m>ket = a drug 9 ! /ockpile1 dispose ( ! drug1 report su* disposal to ! ,secret>y1 & replace ! drug4 7#b7 ,managem5t ( /ockpile 7,a7 ,9 g5]al ,ea* eligible entity ) a contract "u ?is section = a /ockpile ( g5]ic drugs at risk ( %ortage %all-- 7i7 acquire n lat] ?an #f mon?s foll[+ ! date ! contract is aw>d$1 & ma9ta9 !reaft]1 a #f-mon? supply ( ea* type ( drug ! eligible entity has contract$ to /ockpile1 :i* #f-mon? supply %all be 9 addition to ! av]age levels ( inv5tory held by su* eligible entity ov] ! previ\s ye> = su* drug2 & 7ii7 if x is n possible to comply ) clause 7i71 notify ! ,secret>y1 cit+ ! reason :y x is n possible & ! expect$ "t ( acquisition ( ! drug4 7,b7 ,inv5tory managem5t ,ea* eligible entity ) a contract "u ?is section = a /ockpile ( g5]ic drugs at risk ( %ortage %all manage inv5tory to ensure t drugs 9 ! /ockpile are effici5tly cycl$ to ! comm]cial m>ket &-- 7i7 may /ockpile inv5tory at ! eligible entity's di/ribution c5t] ) specifi$ inv5tory am\nts virtually res]v$ = ! ,f$]al ,gov]nm5t ) con/ant cycl+ to r$uce product expiration2 or 7ii7 may /ore /ockpil$ inv5tory sep>ately 9 a diff]5t location & replace drugs 9 ! /ockpile inv5tory ) ! same drug ) new] dat+4 7,c7 ,insuffici5t funds ,if am\nts available to an eligible entity ?r\gh contracts "u ?is section are n suffici5t to acquire or ma9ta9 a #f-mon? supply ( any drug 9 ! /ockpile ( ! eligible entity fund$ "u ?is section1 ! eligible entity-- 7i7 may acquire & ma9ta9 less ?an a #f-mon? supply1 b 9 no case less ?an a #c-mon? supply2 & 7ii7 %all submit a report to ! ,secret>y id5tify+-- 7,i7 ea* su* drug2 & 7,,ii7 ! reasons :y su* am\nts are n suffici5t to acquire or ma9ta9 a #f-mon? supply4 7,d7 ,annual audits ,n m ?an annually1 ! ,secret>y may reque/ a physical audit c\nt ( ! inv5tories ( all eligible entities ) a contract "u ?is section to validate t ea* su* entity is ma9ta9+ ! appropriate am\nt ( /ockpil$ inv5tory4 7#c7 ,p]iodic product review 7,a7 ,use ( proce$s ,an eligible entity ) a contract "u ?is section = a /ockpile ( g5]ic drugs at risk ( %ortage %all use ! proce$s ( ! sale ( any drugs 9 ! /ockpile to pur*ase drugs = ! /ockpile 9 accordance ) ?is section4 7,b7 ,m>ket inflation or deflation ,9 ! case ( m>ket inflation or deflation affect+ ! price ( a drug 9 ! /ockpile ( an eligible entity ma9ta9$ pursuant to a contract "u ?is section1 ! contract %all ensure t ! ,f$]al ,gov]nm5t does n pr(it or suff] loss on items ( su* drug z a result ( su* inflation or deflation4 7#d7 ,report+ ,ea* eligible entity ) a contract "u ?is section %all submit reports at su* "t & 9 su* mann] z ! ,secret>y may require reg>d+-- 7,a7 curr5t inv5tory levels ( /ockpil$ drugs at a drug level2 7,b7 indicators ( curr5t inv5tory levels ( /ockpil$ drugs relative to acceptable m9imums2 & 7,c7 su* o!r matt]s z ! ,secret>y det]m9es appropriate4 7f7 ,contract t]ms 7#a7 ,paym5t ( mon?ly fees = managem5t ,subject to p>agraph 7#b71 ! ,secret>y %all pay to ea* eligible entity ) a contract "u ?is section = a /ockpile ( g5]ic drugs at risk ( %ortage appropriate mon?ly fees = ! managem5t ( ! /ockpile4 7#b7 ,paym5t condition$ on /ockpile adequacy 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 ea* contract ) an eligible entity "u ?is section %all provide t no paym5t "u ! contract may be made until ! entity demon/rates to ! ,secret>y t ! entity has /ockpil$ su* portion ( ! total quantity ( drugs to be /ockpil$ "u ! contract z ! ,secret>y det]m9es to be acceptable = paym5t4 7,b7 ,exceptions = advance paym5ts 7i7 ,9 g5]al ,a contract "u ?is section may provide t1 if ! ,secret>y det]m9es 79 ! ,secret>y's discretion7 t an advance paym5t1 p>tial paym5t = significant mile/ones1 or paym5t to increase capacity is necess>y to ensure success ( ! t]ms ( ! contract1 ! ,secret>y %all pay1 9 advance ( deliv]y1 an am\nt n to exce$ #aj p]c5t ( ! total contract am\nt to be paid to ! eligible entity by ! ,secret>y pursuant to ! contract ov] ! full p]iod ( ! contract4 7ii7 ,co/ ( capital ,a contract "u ?is section may provide = paym5ts to comp5sate ! contract+ eligible entity = additional capital requirem5ts relat$ to ! additional inv5tory to be ma9ta9$4 7iii7 ,tim+ ,! ,secret>y %all1 to ! ext5t practicable1 make any det]m9ation "u clause 7i7 to make an advance paym5t at ! same "t z ! issuance ( a solicitation4 7iv7 ,repaym5t ,if ! ,secret>y makes an advance paym5t pursuant to clause 7i71 ! ,secret>y %all require ! eligible entity receiv+ su* advance paym5t to repay x if !re is a failure to p]=m by ! eligible entity4 7#c7 ,t]m9ation 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 no?+ 9 ?is section %all be con/ru$ z affect+ ! rights ( eligible entities "u provisions ( /atute or regulation 7includ+ ! ,f$]al ,acquisition ,regulation7 relat+ to ! t]m9ation ( contracts = ! conv5i5ce ( ! ,gov]nm5t4 7,b7 ,liquidation ( /ockpile ,if a contract "u ?is section is t]m9at$1 ! eligible entity ) ! contract %all liquidate ! drugs compris+ ! /ockpile fund$ ?r\gh ! contract & return to ! ,gov]nm5t any am\nts ow$ 9 relation to su* drugs1 b %all collect ! managem5t fees associat$ ) su* liquidation4 7g7 ,congressional ov]sight 7#a7 ,indep5d5t evaluation & report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section & annually !reaft]1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct an indep5d5t evaluation1 & submit to ! appropriate congressional committees a report1 conc]n+ ! program "u ?is section4 7#b7 ,cont5ts ( report ,! report "u p>agraph 7#a7 %all review1 assess1 & provide recomm5dations1 z appropriate1 on ! foll[+3 7,a7 ,details on likely co/s & resultant sav+s z comp>$ to a /ockpil+ me?od t does n incorporate p]petual inv5tory cycl+4 7,b7 ,id5tification ( drawd[ns f ! /ockpile1 z evid5ce ( m>ket %ortage avoidance4 7,c7 ,! allocation ( drugs includ$ 9 ! /ockpiles fund$ pursuant to ?is section to ! cu/om]s ( ! eligible entities ) contracts "u ?is section4 7,d7 ,! degree to :i* eligible entities ) contracts "u ?is section fulfill$ _! obligations "u su* contracts4 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]m eligible entity means an entity t meets ea* ( ! foll[+ crit]ia3 7,a7 ,! entity is lic5s$ or regi/]$ 9 accordance ) applicable ,f$]al & ,/ate law & 9 good /&+ ) respect to su* lic5sure or regi/ration4 7,b7 ,! entity agrees-- 7i7 to pur*ase all drugs to be ma9ta9$ 9 its /ockpile fund$ "u ?is section directly f ! manufactur]s ( ! drugs or ! exclusive di/ributors ( su* manufactur]s2 or 7ii7 9 ! case ( an entity t is a co-op or *a9 ph>macy w>eh\se-- 7,i7 to pur*ase drugs to be ma9ta9$ 9 its /ockpile fund$ "u ?is section f an au?oriz$ di/ributor2 & 7,,ii7 di/ribute ^? drugs only to its memb] ph>macies4 7,c7 ,! entity holds a v]ifi$ au?oriz$ :olesale di/ributor c]tification issu$ by ! ,national ,association ( ,bo>ds ( ,ph>macy4 7,d7 ,! entity sells m ?an #ij p]c5t ( its drugs to disp5s]s4 7,e7 ,! entity agrees to di/ribute inv5tory f its /ockpile fund$ "u ?is section only to disp5s]s t are cu/om]s ( ! entity4 7#b7 ,! t]m g5]ic drug at risk ( %ortage means a drug 7z def9$ 9 section #bja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act7 t-- 7,a7 is approv$ pursuant to section #eje7;j7 ( su* ,act2 7,b7 is includ$ 9 ! ,_w ,heal? ,organization's mo/ rec5t ,model ,li/ ( ,ess5tial ,m$ic9es2 7,c7 is includ$1 at any po9t dur+ ! prec$+ #cf mon?s1 on ! drug %ortage li/ 9 effect "u section #ejf;,e ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act2 & 7,d7 is manufactur$ by #c or few] p]sons t are regi/]$ "u section #eaj ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act = purposes ( su* manufacture4 7i7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #abj1jjj1jjj = fiscal ye>s #bjba ?r\gh #bjbc1 to rema9 available until exp5d$4 4 ,e ,national ,c5t]s ( ,excell5ce 9 ,cont9u\s ,ph>maceutical ,manufactur+ #bjda4 ,national ,c5t]s ( ,excell5ce 9 ,cont9u\s ,ph>maceutical ,manufactur+ 7a7 ,9 g5]al ,section #cjaf ( ! #ba/ ,c5tury ,cures ,act 7#ba ,u4,s4,c4 #cii;h7 is am5d$ to read z foll[s3 #cjaf4 ,national ,c5t]s ( ,excell5ce 9 ,cont9u\s ,ph>maceutical ,manufactur+ 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,commission] ( ,food & ,drugs-- 7#a7 %all solicit &1 beg9n+ n lat] ?an "o ye> aft] ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 receive reque/s f in/itutions ( high] education to be designat$ z a ,national ,c5t] ( ,excell5ce 9 ,cont9u\s ,ph>maceutical ,manufactur+ 79 ?is section ref]r$ to z a ,national ,c5t] ( ,excell5ce7 to support ! advancem5t & developm5t ( cont9u\s manufactur+2 & 7#b7 %all s designate any in/itution ( high] education t-- 7,a7 reque/s su* designation2 & 7,b7 meets ! crit]ia specifi$ 9 subsection 7c74 7b7 ,reque/ = designation ,a reque/ = designation "u subsection 7a7 %all be made to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 ,any su* reque/ %all include a description ( h[ ! in/itution ( high] education meets or plans to meet ea* ( ! crit]ia specifi$ 9 subsection 7c74 7c7 ,crit]ia = designation describ$ ,! crit]ia specifi$ 9 ?is subsection ) respect to an in/itution ( high] education are t ! in/itution has1 z ( ! date ( ! submission ( a reque/ "u subsection 7a7 by su* in/itution-- 7#a7 physical & te*nical capacity = rese>* & developm5t ( cont9u\s manufactur+2 7#b7 manufactur+ k-%>+ networks ) o!r in/itutions ( high] education1 l>ge & small ph>maceutical manufactur]s1 g5]ic & nonprescription manufactur]s1 contract manufactur]s1 & o!r entities2 7#c7 prov5 capacity to design & demon/rate new1 highly effective te*nology = use 9 cont9u\s manufactur+2 7#d7 a track record = creat+ & transf]r+ k ) respect to cont9u\s manufactur+2 7#e7 ! pot5tial to tra9 a future work=ce = rese>* on & implem5tation ( advanc$ manufactur+ & cont9u\s manufactur+2 & 7#f7 exp]i5ce 9 p>ticipat+ 9 & lead+ a cont9u\s manufactur+ te*nology p>tn]%ip ) o!r in/itutions ( high] education1 l>ge & small ph>maceutical manufactur]s1 g5]ic & nonprescription manufactur]s1 contract manufactur]s1 & o!r entities-- 7,a7 to support companies ) cont9u\s manufactur+ 9 ! ,unit$ ,/ates2 7,b7 to support ,f$]al ag5cies ) te*nical assi/ance1 :i* may include regulatory & quality metric guidance z applicable1 = advanc$ manufactur+ & cont9u\s manufactur+2 7,c7 ) respect to cont9u\s manufactur+1 to organize & conduct rese>* & developm5t activities ne$$ to create new & m effective te*nology1 capture & dissem9ate exp]tise1 create intellectual prop]ty1 & ma9ta9 te*nological lead]%ip2 7,d7 to develop be/ practices = design+ cont9u\s manufactur+2 & 7,e7 to assess & respond to ! work=ce ne$s = cont9u\s manufactur+1 includ+ ! developm5t ( tra9+ programs if ne$$4 7d7 ,t]m9ation ( designation ,! ,secret>y may t]m9ate ! designation ( any ,national ,c5t] ( ,excell5ce designat$ "u ?is section if ! ,secret>y det]m9es su* ,national ,c5t] ( ,excell5ce no long] meets ! crit]ia specifi$ 9 subsection 7c74 ,n lat] ?an #fj days be=e ! effective date ( su* a t]m9ation1 ! ,secret>y %all provide writt5 notice to ! ,national ,c5t] ( ,excell5ce1 includ+ ! rationale = su* t]m9ation4 7e7 ,conditions = designation ,z a condition ( designation z a ,national ,c5t] ( ,excell5ce "u ?is section1 ! ,secret>y %all require t an in/itution ( high] education ent] into an agreem5t ) ! ,secret>y "u :i* ! in/itution agrees-- 7#a7 to collaborate directly ) ! ,food & ,drug ,adm9i/ration to publi% ! reports requir$ by subsection 7g72 7#b7 to %>e data ) ! ,food & ,drug ,adm9i/ration reg>d+ be/ practices & rese>* g5]at$ ?r\gh ! fund+ "u subsection 7f72 7#c7 to develop1 along ) indu/ry p>tn]s 7:i* may include l>ge & small bioph>maceutical manufactur]s1 g5]ic & nonprescription manufactur]s1 & contract manufactur]s7 & ano!r in/itution or in/itutions designat$ "u ?is section1 if any1 a roadmap = develop+ a cont9u\s manufactur+ work=ce2 7#d7 to develop1 along ) indu/ry p>tn]s & o!r in/itutions designat$ "u ?is section1 a roadmap = /r5g!n+ exi/+1 & develop+ new1 relation%ips ) o!r in/itutions2 & 7#e7 to provide an annual report to ! ,food & ,drug ,adm9i/ration reg>d+ ! in/itution's activities "u ?is section1 includ+ a description ( h[ ! in/itution cont9ues to meet & make progress on ! crit]ia li/$ 9 subsection 7c74 7f7 ,fund+ 7#a7 ,9 g5]al ,! ,secret>y %all aw>d fund+1 ?r\gh grants1 contracts1 or coop]ative agreem5ts1 to ! ,national ,c5t]s ( ,excell5ce designat$ "u ?is section = ! purpose ( /udy+ & recomm5d+ improvem5ts to cont9u\s manufactur+1 includ+ su* improvem5ts z may enable ! ,c5t]s-- 7,a7 to cont9ue to meet ! conditions specifi$ 9 subsection 7e72 & 7,b7 to exp& capacity = rese>* on1 & developm5t (1 cont9u+ manufactur+4 7#b7 ,consi/5cy ) ,,fda mission ,z a condition on receipt ( fund+ "u ?is subsection1 a ,national ,c5t] ( ,excell5ce %all agree to consid] any input f ! ,secret>y reg>d+ ! use ( fund+ t w\ld-- 7,a7 help to fur!r ! advancem5t ( cont9u\s manufactur+ ?r\gh ! ,national ,c5t] ( ,excell5ce2 & 7,b7 be relevant to ! mission ( ! ,food & ,drug ,adm9i/ration4 7#c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subsection #hj1jjj1jjj = ! p]iod ( fiscal ye>s #bjba ?r\gh #bjbe4 7#d7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ z preclud+ a ,national ,c5t] = ,excell5ce designat$ "u ?is section f receiv+ funds "u any o!r provision ( ?is ,act or any o!r ,f$]al law4 7g7 ,annual review & reports 7#a7 ,annual report ,beg9n+ n lat] ?an "o ye> aft] ! date on :i* ! fir/ designation is made "u subsection 7a71 & annually !reaft]1 ! ,secret>y %all-- 7,a7 submit to ,congress a report describ+ ! activities1 p>tn]%ips & collaborations1 ,f$]al policy recomm5dations1 previ\s & cont9u+ fund+1 & f9d+s (1 & any o!r applicable in=mation f1 ! ,national ,c5t]s ( ,excell5ce designat$ "u ?is section2 & 7,b7 make su* report available to ! public 9 an easily accessible electronic =mat on ! website ( ! ,food & ,drug ,adm9i/ration4 7#b7 ,review ( national c5t]s ( excell5ce & pot5tial designees ,! ,secret>y %all p]iodically review ! ,national ,c5t]s ( ,excell5ce designat$ "u ?is section to ensure t su* ,national ,c5t]s ( ,excell5ce cont9ue to meet ! crit]ia = designation "u ?is section4 7#c7 ,report on long-t]m vision ( ,,fda role ,n lat] ?an #b ye>s aft] ! date on :i* ! fir/ designation is made "u subsection 7a71 ! ,secret>y1 9 consultation ) ! ,national ,c5t]s ( ,excell5ce designat$ "u ?is section1 %all submit a report to ! ,congress on ! long-t]m vision ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices on ! role ( ! ,food & ,drug ,adm9i/ration 9 support+ cont9u\s manufactur+1 includ+-- 7,a7 a national framework ( pr9ciples relat$ to ! implem5tation & regulation ( cont9u\s manufactur+2 7,b7 a plan = ! developm5t ( ,f$]al regulations & guidance = h[ advanc$ manufactur+ & cont9u\s manufactur+ c be incorporat$ into ! developm5t ( ph>maceuticals & regulatory responsibilities ( ! ,food & ,drug ,adm9i/ration2 & 7,c7 appropriate fe$back solicit$ f ! public1 :i* may include o!r in/itutions1 l>ge & small bioph>maceutical manufactur]s1 g5]ic & nonprescription manufactur]s1 & contract manufactur]s4 7h7 ,def9itions ,9 ?is section3 7#a7 ,advanc$ manufactur+ ,! t]m advanc$ manufactur+ means an approa* = ! manufactur+ ( ph>maceuticals t incorporates novel te*nology1 or uses an e/abli%$ te*nique or te*nology 9 a new or innovative way 7su* z cont9u\s manufactur+ :]e ! input mat]ials are cont9u\sly trans=m$ )9 ! process by two or m unit op]ations7 t enhances drug quality or improves ! manufactur+ process4 7#b7 ,cont9u\s manufactur+ ,! t]m cont9u\s manufactur+-- 7,a7 means a process :]e ! input mat]ials are cont9u\sly f$ into & trans=m$ )9 ! process1 & ! process$ output mat]ials are cont9u\sly remov$ f ! sy/em2 & 7,b7 consi/s ( an integrat$ process t consi/s ( a s]ies ( two or m unit op]ations4 7#c7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja7;a7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja7;a774 7#d7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,commission] ( ,food & ,drugs4 4 7b7 ,transition rule ,section #cjaf ( ! #ba/ ,c5tury ,cures ,act 7#ba ,u4,s4,c4 #cii;h71 z 9 effect on ! day be=e ! date ( ! enactm5t ( ?is section1 %all apply ) respect to grants aw>d$ "u su* section be=e su* date ( enactm5t4 ,,iii ,/rategic ,national ,/ockpile ,improvem5ts ,a ,/ockpil+ = ,am]ica's ,future ,endeavors #cjja4 ,/rategic ,national ,/ockpile ,section #cai;,f-#b7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7a77 is am5d$ by add+ at ! end ! foll[+3 7#f7 ,acceptance ( gifts 7,a7 ,9 g5]al ,! ,secret>y may1 )\t fur!r appropriation & )\t fiscal ye> limitation1 accept1 use1 & dispose ( gifts1 beque/s1 or devises ( money1 s]vices1 or prop]ty1 bo? real & p]sonal1 = ! purpose ( c>ry+ out ?is subsection4 ,any su* gift1 beque/1 or devise ( money & proce$s f sales ( o!r prop]ty receiv$ z a gift1 beque/1 or devise %all be deposit$ 9 ! ,treasury & %all be available = obligation & exp5diture ^u ord] ( ! ,secret>y4 7,b7 ,limitations 7i7 ,compromis+ integrity ,! ,secret>y may n accept a gift1 beque/1 or devise "u ?is p>agraph if ! ,secret>y det]m9es t ! use ( ! prop]ty or s]vices w\ld compromise ! integrity or appe>ance ( integrity (-- 7,i7 a program ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 or 7,,ii7 an individual involv$ 9 a program ( ! ,dep>tm5t4 7ii7 ,unapprov$ products ,! ,secret>y may accept a drug or device 7z ^? t]ms are def9$ 9 section #bja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act7 z "p ( a gift1 beque/1 or devise "u ?is p>agraph only if su* drug or device is-- 7,i7 a drug t is approv$ "u section #eje ( su* ,act1 t meets ! requirem5ts = m>ket+ "u section #eje;,g ( su* ,act1 or t is lic5s$ "u section #cea ( ?is ,act2 7,,ii7 a device t is approv$ "u section #eae ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 t is classifi$ "u section #eac7;f77#b7 ( su* ,act1 t is lic5s$ "u section #cea ( ?is ,act1 t is cle>$ "u section #eaj7k7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 or = :i* a report is n requir$ "u su* section #eaj7k72 7,,iii7 au?oriz$ = em]g5cy use 9 accordance ) section #efd or #efd;,a ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act or preposition$ = use 9 accordance ) section #efd;,b ( su* ,act2 7,,iv7 au?oriz$ = inve/igational use "u section #eje1 #eab1 or #ebj ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act or section #cea ( ?is ,act2 7,v7 det]m9$ by ! ,commission] ( ,food & ,drugs to be appropriate = use1 )\t approval1 lic5sure1 au?orization1 or cle>ance1 to respond to a %ortage or pot5tial %ortage situation2 or 7,,vi7 a respiratory protective device approv$ & det]m9$ to be a priority1 z describ$ 9 section #cai;,f-#c7;i77#a77;,d7 ( ?is ,act4 7,c7 ,report 7i7 ,9 g5]al ,! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate an annual report disclos+-- 7,i7 any gift1 beque/1 or devise t 0 accept$ "u ?is p>agraph dur+ ! ye> cov]$ by ! report2 7,,ii7 h[ ! gifts1 beque/s1 & devises contribute to ! mission ( ! /ockpile2 & 7,,iii7 ! am\nt ( ,f$]al sav+s t 7 g5]at$ f ! acceptance ( ! gifts1 beque/s1 & devises4 7ii7 ,publication ,ea* report requir$ "u clause 7i7 %all be made publicly available4 4 ,b ,/ockpile ,inv5tory ,mod]nization #cjaa4 ,reimbursable transf]s ,section #cai;,f-#b7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7a771 z am5d$ by section #cjja1 is fur!r am5d$ by add+ at ! end ! foll[+3 7#g7 ,transf]s & reimbursem5ts 7,a7 ,9 g5]al ,)\t reg>d to *apt] #e ( title #dj1 ,unit$ ,/ates ,code1 ! ,secret>y may transf] to any ,f$]al dep>tm5t or ag5cy1 on a reimbursable basis1 any drugs1 vacc9es & o!r biological products1 m$ical devices1 & o!r supplies 9 ! /ockpile if-- 7i7 ! transf]r$ supplies are less ?an "o ye> f expiry2 7ii7 ! /ockpile is able to repl5i% ! supplies1 z appropriate2 & 7iii7 ! ,secret>y decides ! transf] is 9 ! be/ int]e/ ( ! ,unit$ ,/ates ,gov]nm5t4 7,b7 ,use ( reimbursem5t ,reimbursem5t d]iv$ f ! transf] ( supplies pursuant to subp>agraph 7,a7 may1 to ! ext5t & 9 ! am\nts made available 9 advance 9 appropriations ,acts1 be us$ by ! ,secret>y to c>ry out ?is section4 ,funds made available pursuant to ! prec$+ s5t5ce are 9 addition to any o!r funds t may be made available = su* purpose4 7,c7 ,rule ( con/ruction ,?is p>agraph %all n be con/ru$ to preclude transf]s ( products 9 ! /ockpile "u o!r au?orities4 7,d7 ,report ,n lat] ?an ,septemb] #cj1 #bjbb1 ! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on ea* transf] made "u ?is p>agraph & ! am\nt receiv$ by ! ,secret>y 9 ex*ange = t transf]4 7,e7 ,sunset ,! au?ority to make transf]s "u ?is p>agraph %all cease to be effective on ,septemb] #cj1 #bjbc4 4 ,c ,equipm5t ,ma9t5ance #cjba4 ,equipm5t ma9t5ance ,section #cai;,f-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7 is am5d$-- 7#a7 9 subsection 7a77#c7-- 7,a7 9 subp>agraph 7,i71 by /rik+ 2 & & ins]t+ a semicolon2 7,b7 9 subp>agraph 7,j71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7,c7 by ins]t+ ! foll[+ new subp>agraph at ! end3 7,k7 ensure cont5ts ( ! /ockpile rema9 9 good work+ ord] &1 z appropriate1 conduct ma9t5ance s]vices on cont5ts ( ! /ockpile2 & 2 & 7#b7 9 subsection 7c77#g77;,b71 by add+ at ! end ! foll[+ new clause3 7ix7 ,equipm5t ma9t5ance s]vice ,9 c>ry+ out ?is section1 ! ,secret>y may ent] into contracts = ! procurem5t ( equipm5t ma9t5ance s]vices4 4 ,d ,m$ical ,supplies = ,p&emics #cjca4 ,supply *a9 flexibility manufactur+ pilot 7a7 ,9 g5]al ,section #cai;,f-#b7;a77#c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7a77#c771 z am5d$ by section #cjab1 is fur!r am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,l7 enhance m$ical supply *a9 ela/icity & e/abli% & ma9ta9 dome/ic res]ves ( critical m$ical supplies 7includ+ p]sonal protective equipm5t1 ancill>y m$ical supplies1 & o!r applicable supplies requir$ = ! adm9i/ration ( drugs1 vacc9es & o!r biological products1 & o!r m$ical devices 7includ+ diagno/ic te/s77 by-- 7i7 increas+ em]g5cy /ock ( critical m$ical supplies2 7ii7 geographically div]sify+ dome/ic production ( su* m$ical supplies1 z appropriate2 7iii7 ent]+ into coop]ative agreem5ts or p>tn]%ips ) respect to manufactur+ l9es1 facilities1 & equipm5t = ! dome/ic production ( su* m$ical supplies2 & 7iv7 manag+1 ei!r directly or ?r\gh coop]ative agreem5ts ) manufactur]s & di/ributors1 dome/ic res]ves e/abli%$ "u ?is subp>agraph by refre%+ & repl5i%+ /ock ( su* m$ical supplies4 4 7b7 ,report+2 sunset ,section #cai;,f-#b7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7a771 z am5d$ by section #cjaa1 is fur!r am5d$ by add+ at ! end ! foll[+3 7#h7 ,report+ ,n lat] ?an ,septemb] #cj1 #bjbb1 ! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on ! details ( ea* coop]ative agreem5t or p>tn]%ip ent]$ into "u p>agraph 7#c77,l71 includ+ ! am\nt exp5d$ by ! ,secret>y on ea* su* coop]ative agreem5t or p>tn]%ip4 7#i7 ,sunset ,! au?ority to ent] into coop]ative agreem5ts or p>tn]%ips pursuant to p>agraph 7#c77,l7 %all cease to be effective on ,septemb] #cj1 #bjbc4 4 7c7 ,fund+ ,section #cai;,f-#b7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7f77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,supply *a9 ela/icity 7,a7 ,9 g5]al ,= ! purpose ( c>ry+ out subsection 7a77#c77,l71 !re is au?oriz$ to be appropriat$ #ejj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbc1 to rema9 available until exp5d$4 7,b7 ,relation to o!r am\nts ,! am\nt au?oriz$ to be appropriat$ by subp>agraph 7,a7 = ! purpose ( c>ry+ out subsection 7a77#c77,l7 is 9 addition to any o!r am\nts available = su* purpose4 4 ,e ,/ate ,/ockpile ,read9ess #cjda4 ,grants = ,/ate /rategic /ockpiles ,title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #cai;,f-#d ( su* ,act 7#db ,u4,s4,c4 #bdg;d-#f;e7 ! foll[+ new section3 #cai;,f-#e4 ,grants = ,/ate /rategic /ockpiles 7a7 ,9 g5]al ,! ,secret>y may e/abli% a pilot program consi/+ ( aw>d+ grants to ,/ates to exp& or ma9ta9 a /rategic /ockpile ( comm]cially available drugs1 devices1 p]sonal protective equipm5t1 & o!r products deem$ by ! ,/ate to be ess5tial 9 ! ev5t ( a public heal? em]g5cy4 7b7 ,all[able use ( funds 7#a7 ,uses ,a ,/ate receiv+ a grant "u ?is section may use ! grant funds to-- 7,a7 acquire comm]cially available products li/$ pursuant to p>agraph 7#b7 = inclusion 9 ! ,/ate's /rategic /ockpile2 7,b7 /ore1 ma9ta91 & di/ribute products 9 su* /ockpile2 & 7,c7 conduct plann+ 9 connection ) su* activities4 7#b7 ,li/ ,! ,secret>y %all develop & publi% a li/ ( ! products t are eligible1 z describ$ 9 subsection 7a71 = inclusion 9 a ,/ate's /rategic /ockpile us+ funds receiv$ "u ?is section4 7#c7 ,consultation ,9 develop+ ! li/ "u p>agraph 7#b7 & o!rwise det]m9+ ! all[able uses ( grant funds "u ?is section1 ! ,secret>y %all consult ) ,/ates & relevant /akehold]s1 includ+ public heal? organizations4 7c7 ,fund+ requirem5t ,! ,secret>y may n obligate or exp5d any funds to aw>d grants or fund any previ\sly aw>d$ grants "u ?is section = a fiscal ye> unless ! total am\nt made available to c>ry out section #cai;,f-#b = su* fiscal ye> is equal to or great] ?an ! total am\nt ( funds made available to c>ry out section #cai;,f-#b = fiscal ye> #bjbj4 7d7 ,mat*+ funds 7#a7 ,9 g5]al ,) respect to ! co/s ( exp&+ & ma9ta9+ a /rategic /ockpile ?r\gh a grant "u ?is section1 z a condition on receipt ( ! grant1 a ,/ate %all make available 7directly7 non-,f$]al contributions 9 ca% t[>d su* co/s 9 an am\nt t is equal to n less ?an ! am\nt ( ,f$]al funds provid$ ?r\gh ! grant4 7#b7 ,waiv] ,! ,secret>y may waive ! requirem5t ( p>agraph 7#a7 ) respect to a ,/ate = ! fir/ two ye>s ( ! ,/ate receiv+ a grant "u ?is section if ! ,secret>y det]m9es t su* waiv] is ne$$ = ! ,/ate to e/abli% a /rategic /ockpile describ$ 9 subsection 7a74 7e7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance to ,/ates 9 e/abli%+1 exp&+1 & ma9ta9+ a /ockpile describ$ 9 subsection 7a74 7f7 ,def9ition ,9 ?is section1 ! t]m drug has ! mean+ giv5 to t t]m 9 section #bja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act4 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #c1ejj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbc1 to rema9 available until exp5d$4 7h7 ,sunset ,! au?ority ve/$ by ?is section t]m9ates at ! end ( fiscal ye> #bjbc4 4 ,f ,process ,improvem5ts & ,reports #cjea4 ,,gao /udy on ! feasibility & b5efits ( us] fee agreem5ts 7a7 ,9 g5]al ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy to inve/igate ! feasibility ( e/abli%+ us] fees to (fset c]ta9 ,f$]al co/s attributable to ! procurem5t ( s+le-s\rce mat]ials = ! ,/rategic ,national ,/ockpile "u section #cai;,f-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7 & di/ributions ( su* mat]ials f ! ,/ockpile4 ,9 conduct+ ?is /udy1 ! ,comptroll] ,g5]al %all consid]1 to ! ext5t in=mation is available-- 7#a7 :e!r entities receiv+ su* di/ributions g5]ate pr(its f ^? di/ributions2 7#b7 any ,f$]al co/s attributable to su* di/ributions2 7#c7 :e!r su* us] fees w\ld provide ! ,secret>y ) fund+ to pot5tially (fset procurem5t co/s ( su* mat]ials = ! ,/rategic ,national ,/ockpile2 & 7#d7 any o!r issues ! ,comptroll] ,g5]al id5tifies z relevant4 7b7 ,report ,n lat] ?an ,febru>y #a1 #bjbc1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,congress a report on ! f9d+s & conclusions ( ! /udy "u subsection 7a74 #cjeb4 ,action report+ 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices or ! ,assi/ant ,secret>y = ,prep>$ness & ,response1 9 consultation ) ! ,adm9i/rator ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy1 %all-- 7#a7 n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 issue a report to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate reg>d+ all ,/ate1 local1 ,tribal1 & t]ritorial reque/s = supplies f ! ,/rategic ,national ,/ockpile relat$ to ,,covid-#ai2 & 7#b7 n less ?an e #cj days !reaft] ?r\gh ! end ( ! em]g5cy p]iod 7z su* t]m is def9$ 9 section #aace7;g77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b7771 submit to su* committees an updat$ v]sion ( su* report4 7b7 ,report+ p]iod 7#a7 ,initial report ,! initial report "u subsection 7a7 %all address all reque/s describ$ 9 su* subsection made dur+ ! p]iod-- 7,a7 beg9n+ on ,janu>y #ca1 #bjbj2 & 7,b7 end+ on ! date t is #cj days be=e ! date ( submission ( ! report4 7#b7 ,updates ,ea* update to ! report "u subsection 7a7 %all address all reque/s describ$ 9 su* subsection made dur+ ! p]iod-- 7,a7 beg9n+ at ! end ( ! previ\s report+ p]iod "u ?is section2 & 7,b7 end+ on ! date t is #cj days be=e ! date ( submission ( ! updat$ report4 7c7 ,cont5ts ( report ,! report "u subsection 7a7 7& updates !reto7 %all include-- 7#a7 ! details ( ea* reque/ describ$ 9 su* subsection1 includ+-- 7,a7 ! specific m$ical c\nt]measures1 devices1 p]sonal protective equipm5t1 & o!r mat]ials reque/$2 & 7,b7 ! am\nt ( su* mat]ials reque/$2 & 7#b7 ! outcomes ( ea* reque/ describ$ 9 subsection 7a71 includ+-- 7,a7 :e!r ! reque/ 0 :olly fulfill$1 p>tially fulfill$1 or d5i$2 7,b7 if ! reque/ 0 :olly or p>tially fulfill$1 ! fulfillm5t am\nt2 & 7,c7 if ! reque/ 0 p>tially fulfill$ or d5i$1 a rationale = su* outcome4 #cjec4 ,improv$1 transp>5t processes 7a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjba1 ! ,secret>y ( ,heal? & ,human ,s]vices %all develop & implem5t improv$1 transp>5t processes = ! use & di/ribution ( drugs1 vacc9es & o!r biological products1 m$ical devices1 & o!r supplies 7includ+ p]sonal protective equipm5t1 ancill>y m$ical supplies1 & o!r applicable supplies requir$ = ! adm9i/ration ( drugs1 vacc9es & o!r biological products1 m$ical devices1 & diagno/ic te/s7 9 ! ,/rategic ,national ,/ockpile "u section #cai;,f-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7 79 ?is section ref]r$ to z ! ,/ockpile74 7b7 ,processes ,! processes develop$ "u subsection 7a7 %all include-- 7#a7 ! =m & mann] 9 :i* ,/ates1 localities1 ,tribes1 & t]ritories are requir$ to submit reque/s = supplies f ! ,/ockpile2 7#b7 ! crit]ia us$ by ! ,secret>y ( ,heal? & ,human ,s]vices 9 respond+ to su* reque/s1 includ+ ! reasons = fulfill+ or d5y+ su* reque/s2 7#c7 :at circum/ances result 9 prioritization ( di/ribution ( supplies f ! ,/ockpile to ,/ates1 localities1 ,tribes1 or t]ritories2 7#d7 cle> plans = future1 urg5t communication betwe5 ! ,secret>y & ,/ates1 localities1 ,tribes1 & t]ritories reg>d+ ! outcome ( su* reque/s2 & 7#e7 any diff]5ces 9 ! processes develop$ "u subsection 7a7 = geographically relat$ em]g5cies1 su* z wea!r ev5ts1 & national em]g5cies1 su* z p&emics4 7c7 ,classification ,! processes develop$ "u subsection 7a7 %all be unclassifi$ to ! greate/ ext5t possible consi/5t ) national security4 ,! ,secret>y ( ,heal? & ,human ,s]vices may classify portions ( su* processes z necess>y to protect national security4 7d7 ,report to ,congress ,n lat] ?an ,janu>y #a1 #bjba1 ! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 submit a report to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate reg>d+ ! improv$1 transp>5t processes develop$ "u ?is section2 7#b7 include 9 su* report recomm5dations = opportunities = communication 7by telebrief+1 phone calls1 or 9-p]son meet+s7 betwe5 ! ,secret>y & ,/ates1 localities1 ,tribes1 & t]ritories reg>d+ su* improv$1 transp>5t processes2 & 7#c7 submit su* report 9 unclassifi$ =m to ! greate/ ext5t possible1 except t ! ,secret>y may include a classifi$ app5dix if necess>y to protect national security4 ,g ,/rategic ,national ,/ockpile ,fund+ #cjfa4 ,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+ #faj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #gje1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbc4 ,,iv ,public ,heal? ,infra/ructure ,improvem5ts ,a ,public ,heal? ,infra/ructure ,mod]nization #djja4 ,public heal? data sy/em trans=mation ,subtitle ,c ( title ,,xxviii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#ca et seq47 is am5d$ by add+ at ! end ! foll[+3 #bhbb4 ,public heal? data sy/em trans=mation 7a7 ,exp&+ ,,cdc & public heal? dep>tm5t capabilities 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all-- 7,a7 conduct activities to exp&1 enhance1 & improve public heal? data sy/ems us$ by ! ,c5t]s = ,disease ,control & ,prev5tion1 relat$ to ! int]op]ability & improvem5t ( su* sy/ems 7includ+ ) respect to prep>$ness =1 prev5tion & detection (1 & response to public heal? em]g5cies72 & 7,b7 aw>d grants or coop]ative agreem5ts to ,/ate1 local1 ,tribal1 or t]ritorial public heal? dep>tm5ts = ! expansion & mod]nization ( public heal? data sy/ems1 to assi/ public heal? dep>tm5ts 9-- 7i7 assess+ curr5t data infra/ructure capabilities & gaps to improve consi/5cy 9 data collection1 /orage1 & analysis1 & z appropriate to improve dissem9ation ( public heal?-relat$ in=mation2 7ii7 improv+ secure public heal? data collection1 transmission1 ex*ange1 ma9t5ance1 & analysis2 7iii7 improv+ ! secure ex*ange ( data betwe5 ! ,c5t]s = ,disease ,control & ,prev5tion1 ,/ate1 local1 ,tribal1 & t]ritorial public heal? dep>tm5ts1 public heal? organizations1 & heal? c>e provid]s1 includ+-- 7,i7 betwe5 public heal? (ficials 9 multiple jurisdictions )9 a ,/ate2 & 7,,ii7 by simplify+ & support+ report+ by heal? c>e provid]s pursuant to ,/ate law1 includ+ ?r\gh ! use ( heal? in=mation te*nology2 7iv7 enhanc+ ! int]op]ability ( public heal? data sy/ems 7includ+ sy/ems creat$ or access$ by public heal? dep>tm5ts7 ) heal? in=mation te*nology1 includ+ ) heal? in=mation te*nology c]tifi$ "u section #cjja7;c77#e72 7v7 support+ & tra9+ public heal? data sy/ems1 data sci5ce1 & in=matics p]sonnel2 7vi7 support+ e>li] disease & heal? condition detection1 su* z ?r\gh ne> real-"t data monitor+1 to support rapid public heal? responses2 7vii7 support+ activities )9 ! applicable jurisdiction relat$ to ! expansion & mod]nization ( electronic case report+2 & 7viii7 develop+ & dissem9at+ in=mation relat$ to ! use & importance ( public heal? data4 7#b7 ,data /&>ds ,9 c>ry+ out p>agraph 7#a71 ! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all1 z appropriate & 9 coord9ation ) ! ,(fice ( ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology1 designate data & te*nology /&>ds 7includ+ /&>ds = int]op]ability7 = public heal? data sy/ems1 ) def]5ce giv5 to /&>ds publi%$ by cons5sus-bas$ /&>ds developm5t organizations ) public input & volunt>y cons5sus-bas$ /&>ds bodies4 7#c7 ,public-private p>tn]%ips ,! ,secret>y may develop & utilize public-private p>tn]%ips = te*nical assi/ance1 tra9+1 & relat$ implem5tation support = ,/ate1 local1 ,tribal1 & t]ritorial public heal? dep>tm5ts1 & ! ,c5t]s = ,disease ,control & ,prev5tion1 on ! expansion & mod]nization ( electronic case report+ & public heal? data sy/ems1 z applicable4 7b7 ,requirem5ts 7#a7 ,heal? in=mation te*nology /&>ds ,! ,secret>y may n aw>d a grant or coop]ative agreem5t "u subsection 7a77#a77;,b7 unless ! applicant uses or agrees to use /&>ds endors$ by ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology pursuant to section #cjja7;c77#a7 or adopt$ by ! ,secret>y "u section #cjjd4 7#b7 ,waiv] ,! ,secret>y may waive ! requirem5t "u p>agraph 7#a7 ) respect to an applicant if ! ,secret>y det]m9es t ! activities "u subsection 7a77#a77;,b7 _c o!rwise be c>ri$ out )9 ! applicable jurisdiction4 7#c7 ,application ,a ,/ate1 local1 ,tribal1 or t]ritorial heal? dep>tm5t apply+ = a grant or coop]ative agreem5t "u ?is section %all submit an application to ! ,secret>y at su* "t & 9 su* mann] z ! ,secret>y may require4 ,su* application %all include in=mation describ+-- 7,a7 ! activities t w be support$ by ! grant or coop]ative agreem5t2 & 7,b7 h[ ! mod]nization ( ! public heal? data sy/ems involv$ w support or impact ! public heal? infra/ructure ( ! heal? dep>tm5t1 includ+ a description ( rema9+ gaps1 if any1 & ! actions ne$$ to address su* gaps4 7c7 ,/rategy & implem5tation plan ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is section1 ! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a coord9at$ /rategy & an accompany+ implem5tation plan t id5tifies & describes ! measures ! ,secret>y w utilize to-- 7#a7 update & improve public heal? data sy/ems us$ by ! ,c5t]s = ,disease ,control & ,prev5tion2 & 7#b7 c>ry out ! activities describ$ 9 ?is section to support ! improvem5t ( ,/ate1 local1 ,tribal1 & t]ritorial public heal? data sy/ems4 7d7 ,consultation ,9 c>ry+ out ?is section1 ! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all consult ) ,/ate1 local1 ,tribal1 & t]ritorial public heal? dep>tm5ts1 pr(essional m$ical & public heal? associations1 associations repres5t+ hospitals or o!r heal? c>e entities1 heal? in=mation te*nology exp]ts1 & o!r appropriate public or private entities4 7e7 ,report to ,congress ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all submit a report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives t includes-- 7#a7 a description ( any b>ri]s to-- 7,a7 public heal? au?orities implem5t+ int]op]able public heal? data sy/ems & electronic case report+2 7,b7 ! ex*ange ( in=mation pursuant to electronic case report+2 or 7,c7 report+ by heal? c>e provid]s us+ su* public heal? data sy/ems1 z appropriate1 & pursuant to ,/ate law2 7#b7 an assessm5t ( ! pot5tial public heal? impact ( implem5t+ electronic case report+ & int]op]able public heal? data sy/ems2 & 7#c7 a description ( ! activities c>ri$ out pursuant to ?is section4 7f7 ,electronic case report+ ,9 ?is section1 ! t]m electronic case report+ means ! automat$ id5tification1 g5]ation1 & bilat]al ex*ange ( reports ( heal? ev5ts among electronic heal? record or heal? in=mation te*nology sy/ems & public heal? au?orities4 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #ajj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 ,b ,mod]niz+ infecti\s disease data collection #djaa4 ,mod]niz+ infecti\s disease data collection 7a7 ,improv+ infecti\s disease data collection ,section #cai;,d ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#d7 is am5d$-- 7#a7 9 subsection 7c7-- 7,a7 9 p>agraph 7#c77;,a77iv71 by ins]t+ 7su* z comm]cial1 academic1 & o!r hospital laboratories7 aft] cl9ical laboratories2 7,b7 9 p>agraph 7#e7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 ! matt] prec$+ clause 7i71 by /rik+ & op]at+ & ins]t+ 1 op]at+1 & updat+2 7,,ii7 9 clause 7iv71 by /rik+ & at ! end2 7,,iii7 9 clause 7v71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,,iv7 by add+ at ! end ! foll[+3 7vi7 integrate & update applicable exi/+ ,c5t]s = ,disease ,control & ,prev5tion data sy/ems & networks 9 collaboration ) ,/ate1 local1 tribal1 & t]ritorial public heal? (ficials1 includ+ public heal? surveillance & disease detection sy/ems4 2 & 7ii7 9 subp>agraph 7,b7-- 7,i7 9 clause 7i71 by ins]t+ & #fj days aft] ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act aft] ,innovation ,act ( #bjai2 7,,ii7 9 clause 7ii71 by ins]t+ epidemiologi/s1 cl9ical microbiologi/s1 pa?ologi/s & laboratory exp]ts1 exp]ts 9 heal? in=mation te*nology1 privacy1 & data security aft] =eca/+722 & 7,,iii7 9 clause 7iii7-- 7aa7 9 subclause 7,v71 by /rik+ & at ! end2 7bb7 9 subclause 7,,vi71 by /rik+ ! p]iod2 & 7cc7 by add+ at ! end ! foll[+3 7,,vii7 /rategies to integrate laboratory & epidemiology sy/ems & capabilities to conduct rapid & accurate laboratory te/s2 7,,viii7 /rategies to improve ! collection & report+ ( appropriate1 aggregat$1 deid5tifi$ demographic data to in=m responses to public heal? em]g5cies1 includ+ id5tification ( at-risk populations & to address heal? disp>ities2 & 7,,ix7 /rategies to improve ! electronic ex*ange ( heal? in=mation betwe5 ,/ate & local heal? dep>tm5ts & heal? c>e provid]s & facilities to improve public heal? surveillance4 2 & 7,c7 9 p>agraph 7#f7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 clause 7iii7-- 7aa7 9 subclause 7,,iii71 by /rik+ & at ! end2 7bb7 9 subclause 7,,iv71 by ins]t+ 1 includ+ ! ability to conduct & report on rapid & accurate laboratory te/+ dur+ a public heal? em]g5cy be=e ! semicolon2 & 7cc7 by add+ at ! end ! foll[+3 7,v7 improve coord9ation & collaboration1 z appropriate1 ) o!r ,f$]al dep>tm5ts2 & 7,,vi7 implem5t applicable lessons le>n$ f rec5t public heal? em]g5cies to address gaps 9 situational aw>5ess & biosurveillance capabilities1 includ+ an evaluation ( ways to improve ! collection & report+ ( aggregat$1 deid5tifi$ demographic data to in=m public heal? prep>$ness & response 2 7,,ii7 9 clause 7iv71 by /rik+ & at ! end2 7,,iii7 9 clause 7v71 by /rik+ ! p]iod & ins]t+ includ+ a description ( h[ su* /eps w fur!r ! goal ( improv+ aw>5ess ( & timely responses to em]g+ infecti\s disease ?reats2 &2 & 7,,iv7 by add+ at ! end ! foll[+3 7vi7 id5tifies & demon/rates measurable /eps ! ,secret>y w take to fur!r develop & integrate infecti\s disease detection1 includ+ exp&+ capabilities to conduct rapid & accurate diagno/ic laboratory te/+ dur+ a public heal? em]g5cy1 & improve coord9ation & collaboration ) ,/ate1 local1 ,tribal1 & t]ritorial public heal? (ficials1 cl9ical laboratories 7includ+ comm]cial1 hospital & academic laboratories71 & o!r entities ) exp]tise 9 public heal? surveillance4 2 & 7ii7 by r$esignat+ subp>agraph 7,b7 z subp>agraph 7,c72 & 7iii7 by ins]t+ aft] subp>agraph 7,a71 ! foll[+3 7,b7 ,reports 7i7 ,9 g5]al ,n lat] ?an #a mon? aft] date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 & z provid$ = 9 clause 7ii71 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 a report on ! /atus ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices' biosurveillance mod]nization & assessm5t progress ) respect to em]g+ infecti\s disease ?reats4 7ii7 ,additional reports ,dur+ ! #b-ye> p]iod beg9n+ on ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 ! ,secret>y %all provide additional reports "u clause 7i7 e #ij days aft] ! submission ( ! initial report "u su* clause4 ,! ,secret>y %all provide su* reports annually !reaft]4 ,! ,secret>y may provide su* additional reports less frequ5tly1 b n less frequ5tly ?an e #ahj days1 dur+ an ongo+ public heal? em]g5cy or ano!r significant infecti\s disease outbreak4 2 7#b7 9 subsection 7d7-- 7,a7 9 p>agraph 7#b77;,c71 by ins]t+ 1 includ+ any public-private p>tn]%ips ent]$ into to improve su* capacity be=e ! semicolon2 & 7,b7 9 p>agraph 7#c7-- 7i7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7ii7 9 subp>agraph 7,c71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7iii7 by add+ at ! end ! foll[+3 7,d7 may e/abli%1 enhance1 or ma9ta9 a sy/em or network = ! collection ( data to provide = e>ly detection ( infecti\s disease outbreaks1 ne> real-"t access to relevant electronic data & integration ( electronic data & in=mation f public heal? & o!r appropriate s\rces1 su* z laboratories1 hospitals1 & epidemiology sy/ems1 to enhance ! capability to conduct rapid & accurate diagno/ic laboratory te/s to provide = disease detection4 2 7#c7 9 subsection 7f77#a77;,a71 by ins]t+ pa?ologi/s1 cl9ical microbiologi/s1 laboratory pr(essionals1 epidemiologi/s1 aft] =eca/+712 & 7#d7 9 subsection 7h71 by add+ at ! end ! foll[+3 ,su* evaluation %all include id5tification ( any gaps 9 biosurveillance & situational aw>5ess capabilities id5tifi$ relat$ to rec5t public heal? em]g5cies1 any imm$iate /eps tak5 to address su* gaps1 & any long-t]m plans to address su* gaps1 includ+ /eps relat$ to activities au?oriz$ "u ?is section44 7b7 ,national heal? security /rategy ,section #bhjb7;b77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#a7;b77#b77 is am5d$-- 7#a7 9 subp>agraph 7,a71 by ins]t+ su* z by integrat+ laboratory & epidemiology sy/ems & capability to conduct rapid & accurate laboratory te/s1 aft] detection1 id5tification12 & 7#b7 9 subp>agraph 7,b71 by ins]t+ laboratory te/+1 aft] s]vices & supplies14 7c7 ,epidemiology-,laboratory capacity grants ,section #bhba7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#ca7;a77 is am5d$-- 7#a7 9 p>agraph 7#c71 by /rik+ &2 7#b7 9 p>agraph 7#d71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#e7 support+ activities ( ,/ate & local public heal? dep>tm5ts relat$ to biosurveillance & disease detection1 :i* may include activities relat$ to section #cai;,d1 z appropriate4 4 ,c ,diagno/ic ,te/+ = ,public ,heal? ,labs #djba4 ,grants = public heal? laboratories to acquire high-?r\ghput diagno/ic equipm5t ,section #bhba ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#ca7 is am5d$-- 7#a7 by r$esignat+ subsection 7b7 z subsection 7c72 7#b7 by ins]t+ aft] subsection 7a7 ! foll[+ new subsection3 7b7 ,grants = public heal? laboratories ,to acquire high-,?r\ghput diagno/ic equipm5t 7#a7 ,grants ,! ,secret>y %all aw>d grants to eligible entities to assi/ su* entities 9 pur*as+ high-?r\ghput diagno/ic equipm5t & relat$ supplies & 9 hir+ & tra9+ /aff to use su* equipm5t4 7#b7 ,eligibility ,to be eligible = a grant "u p>agraph 7#a71 an entity %all-- 7,a7 be-- 7i7 a ,/ate1 local1 or ,tribal public heal? laboratory2 7ii7 a laboratory )9 a public heal? laboratory network coord9at$ or manag$ by ! ,c5t]s = ,disease ,control & ,prev5tion2 7iii7 a laboratory n describ$ 9 clause 7i7 or 7ii7 t ! ,secret>y det]m9es 7at ! ,secret>y's discretion7 provides population-bas$ te/+ = ! prev5tion & control ( infecti\s1 communicable1 g5etic1 or *ronic diseases2 or 7iv7 a consortium ( #b or m entities describ$ 9 any ( clauses 7i7 ?r\gh 7iii72 & 7,b7 submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may reasonably require4 7#c7 ,use ( funds ,am\nts receiv$ ?r\gh a grant "u ?is subsection %all be us$-- 7,a7 to pur*ase high-?r\ghput diagno/ic equipm5t & su* mat]ials z are necess>y to adm9i/]1 /ore1 & process applicable te/s1 includ+ diagno/ic & s]ological te/s2 & 7,b7 to hire & tra9 /aff to use su* equipm5t4 7#d7 ,am\nt ( grant ,! am\nt ( a grant "u p>agraph 7#a7 may n exce$ #b1jjj1jjj1 except 9 ! case ( eligible entity describ$ 9 p>agraph 7#b77;,a77iv74 7#e7 ,high-?r\ghput diagno/ic equipm5t def9$ ,9 ?is subsection1 ! t]m high-?r\ghput diagno/ic equipm5t means legally m>ket$ equipm5t & supplies capable ( p]=m+ multi*annel analysis = use 9 cl9ical laboratory diagno/ic te/+4 2 & 7#c7 9 subsection 7c71 z s r$esignat$-- 7,a7 by r$esignat+ p>agraphs 7#a71 7#b71 & 7#c7 z subp>agraphs 7,a71 7,b71 & 7,c71 respectively1 & mov+ ! m>g9 ( ea* su* r$esignat$ subp>agraph #b ems to ! "r2 7,b7 by /rik+ ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,!re are au?oriz$ to be appropriat$ to c>ry out subsection 7a7 2 & 7,c7 by add+ at ! end ! foll[+ new p>agraph3 7#b7 ,au?orization ( appropriations 7,a7 ,9 g5]al ,= ! purpose ( c>ry+ out subsection 7b71 !re is au?oriz$ to be appropriat$ #bej1jjj1jjj = fiscal ye> #bjba1 to rema9 available until exp5d$4 7,b7 ,adm9i/rative exp5ses ,( ! am\nt made available to c>ry out subsection 7b7 = any fiscal ye>1 ! ,secret>y may n use m ?an #e p]c5t ( su* am\nt = ! exp5ses ( adm9i/]+ subsection 7b74 4 ,d ,rapid ,te/+ = ,communities #djca4 ,grants = same-day po9t-(-c>e cl9ical laboratory diagno/ic te/+ 9 communities ,section #bhba ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#ca7 is am5d$-- 7#a7 by r$esignat+ subsection 7c71 z r$esignat$ by section #djba1 z subsection 7d72 7#b7 by ins]t+ aft] subsection 7b71 z add$ by section #djba1 ! foll[+ new subsection3 7c7 ,grants = same-,day po9t-(-,c>e cl9ical laboratory diagno/ic te/+ 9 communities 7#a7 ,grants ,! ,secret>y %all aw>d grants to eligible entities to assi/ su* entities 9 acquir+ legally m>ket$ equipm5t & supplies capable ( p]=m+ same-day cl9ical laboratory diagno/ic te/+ 9 a po9t-(-c>e sett+4 7#b7 ,eligibility ,to be eligible = a grant "u p>agraph 7#a71 an entity %all-- 7,a7 be-- 7i7 a hospital2 7ii7 a prim>y c>e facility2 7iii7 a cl9ic2 7iv7 a physician2 or 7v7 ano!r type ( heal? c>e provid] z ! ,secret>y may def9e2 & 7,b7 submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may reasonably require4 7#c7 ,use ( funds ,am\nts receiv$ ?r\gh a grant "u ?is subsection %all be us$ to pur*ase legally m>ket$ rapid diagno/ic equipm5t & su* mat]ials z are necess>y to adm9i/]1 /ore1 & process same-day cl9ical laboratory diagno/ic te/+ 9 a po9t-(-c>e sett+1 includ+ diagno/ic & s]ological te/s4 7#d7 ,am\nt ( grant ,! am\nt ( a grant "u p>agraph 7#a7 may n exce$ #bj1jjj4 7#e7 ,priority 9 mak+ aw>ds ,9 aw>d+ grants "u p>agraph 7#a71 ! ,secret>y %all give priority to eligible entities provid+ s]vices to-- 7,a7 m$ically und]s]v$ populations 7z def9$ 9 section #ccj7;b77#c77 9 rural areas2 & 7,b7 all o!r areas4 2 & 7#c7 by add+ at ! end ( subsection 7d71 z r$esignat$1 ! foll[+ new p>agraph3 7#c7 ,au?orization ( ,appropriations 7,a7 ,9 g5]al ,= ! purpose ( c>ry+ out subsection 7c71 !re is au?oriz$ to be appropriat$ #ejj1jjj1jjj = fiscal ye> #bjba1 to rema9 available until exp5d$4 7,b7 ,adm9i/rative exp5ses ,( ! am\nt made available to c>ry out subsection 7c7 = any fiscal ye>1 ! ,secret>y may n use m ?an #e p]c5t ( su* am\nt = ! exp5ses ( adm9i/]+ ?is section4 4 ,e ,public ,heal? ,work=ce ,loan ,repaym5t #djda4 ,public ,heal? ,work=ce ,loan ,repaym5t ,program ,"p ,d ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b et seq471 z am5d$ by section #bjca1 is fur!r am5d$ by add+ at ! end ! foll[+ new subp>t3 ,,xiv ,public ,heal? ,work=ce #cdj,k4 ,loan ,repaym5t ,program 7a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a program to be kn[n z ! ,public ,heal? ,work=ce ,loan ,repaym5t ,program 7ref]r$ to 9 ?is section z ! ,program7 to assure an adequate supply ( & enc\rage recruitm5t ( public heal? pr(essionals to elim9ate critical public heal? work=ce %ortages 9 local1 ,/ate1 & ,tribal public heal? ag5cies4 7b7 ,eligibility ,to be eligible to p>ticipate 9 ! ,program1 an individual %all-- 7#a7 7,a7 be accept$ = enrollm5t1 or be enroll$1 z a /ud5t 9 an accr$it$ academic educational in/itution 9 a ,/ate or t]ritory 9 ! f9al ye> ( a c\rse ( /udy or program lead+ to a public heal? or heal? pr(essions degree or c]tificate & h accept$ employm5t ) a local1 ,/ate1 or ,tribal public heal? ag5cy1 or a relat$ tra9+ fell[%ip1 z recogniz$ by ! ,secret>y1 to comm5ce ^u graduation2 or 7,b7 7i7 h graduat$1 dur+ ! prec$+ #aj-ye> p]iod1 f an accr$it$ educational in/itution 9 a ,/ate or t]ritory & receiv$ a public heal? or heal? pr(essions degree or c]tificate2 & 7ii7 be employ$ by1 or h accept$ employm5t )1 a local1 ,/ate1 or ,tribal public heal? ag5cy or a relat$ tra9+ fell[%ip1 z recogniz$ by ! ,secret>y2 7#b7 be a ,unit$ ,/ates citiz52 7#c7 7,a7 submit an application to ! ,secret>y to p>ticipate 9 ! ,program2 & 7,b7 execute a writt5 contract z requir$ 9 subsection 7c72 & 7#d7 n h receiv$1 = ! same s]vice1 a r$uction ( loan obligations "u section #dbh;,j1 #dbh,k1 #dbh,l1 #dee7m71 or #dfj ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgh-aj1 #ajgh-aa1 #ajgh-ab1 #ajhg;e7m71 & #ajhg;j74 7c7 ,contract ,! writt5 contract ref]r$ to 9 subsection 7b77#c77;,b7 betwe5 ! ,secret>y & an individual %all conta9-- 7#a7 an agreem5t on ! "p ( ! ,secret>y t ! ,secret>y w repay1 on behalf ( ! individual1 loans incurr$ by ! individual 9 ! pursuit ( ! relevant degree or c]tificate 9 accordance ) ! t]ms ( ! contract2 7#b7 an agreem5t on ! "p ( ! individual t ! individual w s]ve 9 ! full-"t employm5t ( a local1 ,/ate1 or ,tribal public heal? ag5cy or a relat$ fell[%ip program 9 a position relat$ to ! c\rse ( /udy or program = :i* ! contract 0 aw>d$ = a p]iod ( "t equal to ! great] (-- 7,a7 #c ye>s2 or 7,b7 su* long] p]iod ( "t z det]m9$ appropriate by ! ,secret>y & ! individual2 7#c7 an agreem5t1 z appropriate1 on ! "p ( ! individual to relocate to a priority s]vice area 7z det]m9$ by ! ,secret>y7 9 ex*ange = an additional loan repaym5t inc5tive am\nt to be det]m9$ by ! ,secret>y2 7#d7 a provision t any f9ancial obligation ( ! ,unit$ ,/ates aris+ out ( a contract ent]$ into "u ?is section & any obligation ( ! individual t is condition$ !reon1 is cont+5t on funds be+ appropriat$ = loan repaym5ts "u ?is section2 7#e7 a /atem5t ( ! damages to :i* ! ,unit$ ,/ates is entitl$1 "u ?is section = ! individual's brea* ( ! contract2 & 7#f7 su* o!r /atem5ts ( ! rights & liabilities ( ! ,secret>y & ( ! individual z ! ,secret>y det]m9es appropriate1 n inconsi/5t ) ?is section4 7d7 ,paym5ts 7#a7 ,9 g5]al ,a loan repaym5t provid$ = an individual "u a writt5 contract ref]r$ to 9 subsection 7b77#c77;,b7 %all consi/ ( paym5t1 9 accordance ) p>agraph 7#b71 on behalf ( ! individual ( ! pr9cipal1 int]e/1 & relat$ exp5ses on gov]nm5t & comm]cial loans receiv$ by ! individual reg>d+ ! und]graduate or graduate education ( ! individual 7or bo?71 :i* loans 7 made = tuition exp5ses incurr$ by ! individual4 7#b7 ,paym5ts = ye>s s]v$ ,= ea* ye> ( s]vice t an individual contracts to s]ve pursuant to subsection 7c77#b71 ! ,secret>y may pay n m ?an #ce1jjj on behalf ( ! individual = loans describ$ 9 p>agraph 7#a74 ,) respect to p>ticipants "u ! ,program ^: total eligible loans are less ?an #aje1jjj1 ! ,secret>y %all pay an am\nt t does n exce$ ( ! eligible loan balance = ea* ye> ( su* s]vice ( su* individual4 7#c7 ,tax liability ,= ! purpose ( provid+ reimbursem5ts = tax liability result+ f paym5ts "u p>agraph 7#b7 on behalf ( an individual1 ! ,secret>y %all1 9 addition to su* paym5ts1 make paym5ts to ! individual 9 an am\nt n to exce$ #ci p]c5t ( ! total am\nt ( loan repaym5ts made = ! taxable ye> involv$4 7e7 ,po/pon+ obligat$ s]vice ,) respect to an individual receiv+ a degree or c]tificate f a heal? pr(essions or o!r relat$ s*ool1 ! date ( ! initiation ( ! p]iod ( obligat$ s]vice may be po/pon$ z approv$ by ! ,secret>y4 7f7 ,brea* ( contract ,an individual :o fails to comply ) ! contract ent]$ into "u subsection 7c7 %all be subject to ! same f9ancial p5alties z provid$ = "u section #cch;,e ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bedo7 = brea*es ( loan repaym5t contracts "u section #cch;,b ( su* ,act 7#db ,u4,s4,c4 section #bedl-#a74 7g7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section-- 7#a7 #ajj1jjj1jjj = fiscal ye> #bjba2 & 7#b7 #ge1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 4 ,f ,vacc9e ,aw>5ess & ,disease ,prev5tion #djea4 ,improv+ aw>5ess ( disease prev5tion 7a7 ,9 g5]al ,! ,public ,heal? ,s]vice ,act is am5d$ by /rik+ section #cac ( su* ,act 7#db ,u4,s4,c4 #bde7 & ins]t+ ! foll[+3 #cac4 ,public aw>5ess campaign on ! importance ( vacc9ations 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & 9 coord9ation ) o!r (fices & ag5cies1 z appropriate1 %all aw>d competitive grants or contracts to "o or m public or private entities to c>ry out a national1 evid5ce-bas$ campaign to increase aw>5ess & k ( ! safety & effectiv5ess ( vacc9es = ! prev5tion & control ( diseases1 combat mis9=mation ab\t vacc9es1 & dissem9ate sci5tific & evid5ce-bas$ vacc9e-relat$ in=mation1 ) ! goal ( increas+ rates ( vacc9ation across all ages1 z applicable1 p>ticul>ly 9 communities ) l[ rates ( vacc9ation1 to r$uce & elim9ate vacc9e-prev5table diseases4 7b7 ,consultation ,9 c>ry+ out ! campaign "u ?is section1 ! ,secret>y %all consult ) appropriate public heal? & m$ical exp]ts1 includ+ ! ,national ,academy ( ,m$ic9e & m$ical & public heal? associations & nonpr(it organizations1 9 ! developm5t1 implem5tation1 & evaluation ( ! evid5ce-bas$ public aw>5ess campaign4 7c7 ,requirem5ts ,! campaign "u ?is section %all-- 7#a7 be a nationwide1 evid5ce-bas$ m$ia & public engagem5t initiative2 7#b7 include ! developm5t ( res\rces = communities ) l[ rates ( vacc9ation1 includ+ culturally & l+ui/ically appropriate res\rces1 z applicable2 7#c7 include ! dissem9ation ( vacc9e in=mation & communication res\rces to public heal? dep>tm5ts1 heal? c>e provid]s1 & heal? c>e facilities1 includ+ su* provid]s & facilities t provide pr5atal & p$iatric c>e2 7#d7 be complem5t>y to1 & coord9at$ )1 any o!r ,f$]al1 ,/ate1 local1 or ,tribal ef=ts1 z appropriate2 & 7#e7 assess ! effectiv5ess ( communication /rategies to increase rates ( vacc9ation4 7d7 ,additional activities ,! campaign "u ?is section may-- 7#a7 include ! use ( television1 radio1 ! int]net1 & o!r m$ia & telecommunications te*nologies2 7#b7 include ! use ( 9-p]son activities2 7#c7 be focus$ to address specific ne$s ( communities & populations ) l[ rates ( vacc9ation2 & 7#d7 include ! dissem9ation ( sci5tific & evid5ce-bas$ vacc9e-relat$ in=mation1 su* z-- 7,a7 advancem5ts 9 evid5ce-bas$ rese>* relat$ to diseases t may be prev5t$ by vacc9es & vacc9e developm5t2 7,b7 in=mation on vacc9ations = individuals & communities1 includ+ individuals = :om vacc9es are n recomm5d$ by ! ,advisory ,committee = ,immunization ,practices1 & ! effects ( l[ vacc9ation rates )9 a community on su* individuals2 7,c7 in=mation on diseases t may be prev5t$ by vacc9es2 & 7,d7 in=mation on vacc9e safety & ! sy/ems 9 place to monitor vacc9e safety4 7e7 ,evaluation ,! ,secret>y %all-- 7#a7 e/abli% b5*m>ks & metrics to quantitatively measure & evaluate ! aw>5ess campaign "u ?is section2 7#b7 conduct qualitative assessm5ts reg>d+ ! aw>5ess campaign "u ?is section2 & 7#c7 prep>e & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives an evaluation ( ! aw>5ess campaign "u ?is section4 7f7 ,supplem5t n supplant ,funds appropriat$ "u ?is section %all be us$ to supplem5t & n supplant o!r ,f$]al1 ,/ate1 & local public funds provid$ = activities describ$ 9 ?is section4 7g7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section & subsections 7k7 & 7n7 ( section #cag #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 7b7 ,grants ,to address vacc9e-,prev5table diseases ,section #cag ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b7 is am5d$-- 7#a7 9 subsection 7k77#a7-- 7,a7 9 subp>agraph 7,c71 by /rik+ 2 & & ins]t+ a semicolon2 7,b7 9 subp>agraph 7,d71 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7,c7 by add+ at ! end ! foll[+3 7,e7 plann+1 implem5tation1 & evaluation ( activities to address vacc9e-prev5table diseases1 includ+ activities to-- 7i7 id5tify communities at high risk ( outbreaks relat$ to vacc9e-prev5table diseases1 includ+ ?r\gh improv$ data collection & analysis2 7ii7 pilot innovative approa*es to improve vacc9ation rates 9 communities & among populations ) l[ rates ( vacc9ation2 7iii7 r$uce b>ri]s to access+ vacc9es & evid5ce-bas$ in=mation ab\t ! heal? effects ( vacc9es2 7iv7 p>tn] ) community organizations & heal? c>e provid]s to develop & deliv] evid5ce-bas$ int]v5tions1 includ+ culturally & l+ui/ically appropriate int]v5tions1 to increase vacc9ation rates2 7v7 improve deliv]y ( evid5ce-bas$1 vacc9e-relat$ in=mation to p>5ts & o!rs2 & 7vi7 improve ! ability ( ,/ate1 local1 ,tribal1 & t]ritorial public heal? dep>tm5ts to engage communities at high risk = outbreaks relat$ to vacc9e-prev5table diseases1 9 coord9ation1 z appropriate1 ) local educational ag5cies1 z def9$ 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife2 & 7,f7 rese>* relat$ to /rategies = improv+ aw>5ess ( sci5tific & evid5ce-bas$1 vacc9e-relat$ in=mation1 includ+ = communities ) l[ rates ( vacc9ation1 9 ord] to und]/& b>ri]s to vacc9ation1 improve vacc9ation rates1 & assess ! public heal? outcomes ( su* /rategies4 2 & 7#b7 by add+ at ! end ! foll[+3 7n7 ,vacc9ation data ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all exp& & enhance1 &1 z appropriate1 e/abli% & improve1 programs & conduct activities to collect1 monitor1 & analyze vacc9ation cov]age data to assess levels ( protection f vacc9e-prev5table diseases1 includ+ by assess+ factors contribut+ to und]utilization ( vacc9es & v>iations ( su* factors1 & id5tify+ communities at high risk ( outbreaks associat$ ) vacc9e-prev5table diseases4 4 7c7 ,supplem5tal grant funds ,section #ccj7;d77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b7 is am5d$-- 7#a7 9 subp>agraph 7,f71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,g71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,h7 improv+ access to recomm5d$ immunizations4 4 7d7 ,update ( #bjae ,,nvac report ,! ,national ,vacc9e ,advisory ,committee e/abli%$ "u section #baje ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;aa-#e7 %all1 z appropriate1 update ! report entitl$1 ,assess+ ! ,/ate ( ,vacc9e ,confid5ce 9 ! ,unit$ ,/ates3 ,recomm5dations f ! ,national ,vacc9e ,advisory ,committee1 approv$ by ! ,national ,vacc9e ,advisory ,committee on ,june #aj1 #bjae1 ) respect to factors affect+ *ildhood vacc9ation4 ,g ,protect+ ! ,heal? ( ,am]ica's ,old] ,adults ,dur+ ,,covid-#ai ,beyond #djfa4 ,national ,,covid-#ai ,res\rce ,c5t] = ,old] ,adults 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is subtitle ref]r$ to z ! ,secret>y7 %all e/abli% )9 ! ,(fice ( ! ,assi/ant ,secret>y = ,heal? a ,national ,,covid-#ai ,res\rce ,c5t] = ,old] ,adults 79 ?is section ref]r$ to z ! ,c5t]7 to id5tify1 curate1 & dissem9ate1 promis+ & prov5 practices & tools = ! c>e ( old] adults 9 _! homes1 community-bas$ c>e sett+s1 hospitals1 & nurs+ & acute c>e facilities4 7b7 ,involvem5t by ,f$]al dep>tm5ts & all levels ( gov]nm5t ,! ,c5t] %all-- 7#a7 be advis$ by a team ( s5ior (ficials f-- 7,a7 ag5cies across ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 includ+ ! ,adm9i/ration = ,community ,liv+ 7includ+ ! ,adm9i/ration on ,ag+71 ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,indian ,heal? ,s]vice1 & ! ,(fice ( ,m9ority ,heal? 9 ! ,(fice ( ! ,secret>y2 & 7,b7 o!r ,f$]al dep>tm5ts1 includ+ ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t & ! ,dep>tm5t ( ,vet]ans ,affairs2 & 7#b7 collaborate ) ,/ate & local gov]nm5ts1 ,indian tribes & ,tribal organizations1 & nonpr(it organizations4 7c7 ,activities ,! ,c5t] %all p]=m ! foll[+ activities3 7#a7 ,develop a set ( be/ practices = old] adult heal? & well-be+ dur+ & beyond ! p]iod ( ! ,,covid-#ai p&emic1 includ+ su* be/ practices ) respect to ! foll[+ focus areas3 7,a7 ,provid+ specializ$ s]vices to ov]come ! risks associat$ ) social isolation1 su* z additional res\rces = home-deliv]$ meals & o!r nutrition programs to provide n only food b also face-to-face int]actions4 7,b7 ,/reaml9+ & improv+ access to scre5+1 te/+1 & heal? c>e s]vices & res\rces1 & prioritiz+ v5ues old] adults c rea*4 7,c7 ,exp&+ ! use ( telem$ic9e1 includ+ ! provision ( te*nology to execute televisits t safely & compreh5sively address old] adults' heal? c>e ne$s4 7,d7 ,support+ family c>egiv]s1 includ+ ^? ) additional responsibilities = homeb\nd individuals4 7,e7 ,r$uc+ disp>ities among und]s]v$ populations4 7,f7 ,develop+ cross-sector collaborative ef=ts4 7#b7 ,create & dissem9ate tools1 te*nical assi/ance1 tra9+1 & fund+ to ,/ate1 local1 ,tribal1 & t]ritorial gov]nm5ts to adopt be/ practices develop$ "u subp>agraphs 7,e7 & 7,f7 ( p>agraph 7#a74 7#c7 ,e/abli% me*anisms = provid+ tra9+ & te*nical assi/ance to ,/ate1 local1 ,tribal1 & t]ritorial gov]nm5ts to ensure t complem5t>y cross-sector activities are replicat$ at ! ,/ate1 local1 ,tribal1 & t]ritorial levels4 7#d7 ,facilitate ! developm5t ( le>n+ networks ( practition]s at ! hospital1 nurs+ facility1 & community levels to dissem9ate ! be/ practices develop$ "u p>agraph 7#a7 & ensure implem5tation ( su* be/ practices to r$uce morbidity & mortality ( old] adults affect$ by ,,covid-#ai4 7#e7 ,id5tify & dissem9ate approa*es t /r5g!n public heal? & heal? c>e sy/em capacity to s]ve old] ,am]icans ) reg>d to heal? issues dur+ & beyond ! ,,covid-#ai p&emic4 #djfb4 ,heal?y ,ag+ ,program 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all e/abli% a ,heal?y ,ag+ ,program = ! purpose ( promot+ ! heal? & well-be+ ( old] adults by-- 7#a7 improv+ ! coord9ation ( public heal? int]v5tions t promote ! heal? & well-be+ ( old] adults2 7#b7 dissem9at+ & implem5t+ evid5ce-bas$ be/ practices & programs ) respect to promot+ ! heal? & well-be+ ( old] adults2 & 7#c7 coord9at+ multisectoral ef=ts to promote ! heal? & well-be+ ( old] adults across gov]nm5tal & nongov]nm5tal heal? & relat$ ag5cies4 7b7 ,activities ,= ! purpose describ$ 9 subsection 7a71 ! ,secret>y %all design ! ,heal?y ,ag+ ,program to c>ry out ! foll[+ activities3 7#a7 ,regul>ly assess ! heal?-relat$ ne$s ( old] adults & promote policies address+ ^? ne$s ?r\gh evid5ce-bas$ public heal? int]v5tions to promote ov]all heal? & well-be+ among old] adults & r$uce heal? c>e co/s4 7#b7 ,id5tify disp>ities 9 heal? among vuln]able populations ( old] adults4 7#c7 ,id5tify gaps 9 exi/+ public heal? programs & policies t focus on old] adults4 7#d7 ,promote public heal? p>tn]%ips ) ag+ & o!r sector /akehold]s to ensure nonduplication ( ef=ts & increase effici5cy by work+ collaboratively across sectors4 7#e7 ,"w ) multisectoral ag5cies to improve em]g5cy prep>$ness plans & activities = vuln]able old] adult populations4 7#f7 ,coord9ate ef=ts to promote ! heal? ( old] adults ) ! ,adm9i/ration = ,community ,liv+1 o!r ,f$]al dep>tm5ts & ag5cies1 & nonpr(it organizations4 7#g7 ,id5tify res\rces & evid5ce-bas$ programs available to local & ,/ate heal? dep>tm5ts1 includ+ res\rces & programs t c\ld be coord9at$ across sectors1 to address ! heal? & well-be+ ( old] adults4 7c7 ,grants to heal? dep>tm5ts ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all aw>d grants or coop]ative agreem5ts to eligible heal? dep>tm5ts to c>ry out any ( ! foll[+ activities3 7#a7 ,improv+ availability ( data on ! old] adult population1 includ+ ?r\gh data-%>+ ) eld] affairs ag5cies4 7#b7 ,l9k+ ! heal? c>e sector ) ! community s]vices sector 7includ+ ag+ s]vices & supports7 to coord9ate & promote community-bas$ prev5tion s]vices4 7#c7 ,ensur+ t ,/ate & local em]g5cy prep>$ness plans & activities address ! special ne$s ( old] adults1 p>ticul>ly ! mo/ vuln]able populations4 7#d7 ,tra9+ ,/ate & local public heal? p]sonnel to implem5t or adapt evid5ce-bas$ & innovative heal? promotion & disease prev5tion programs & policies4 7#e7 ,improv+ community conditions & address+ social det]m9ants to promote heal? & well-be+ & fo/] indep5d5ce among old] adults1 su* z ef=ts to advance age-fri5dly communities & dem5tia-fri5dly communities4 7d7 ,te*nical assi/ance ,! ,secret>y %all 7directly or ?r\gh grants1 coop]ative agreem5ts1 or contracts7 provide te*nical assi/ance to eligible heal? dep>tm5ts 9 c>ry+ out activities describ$ 9 subsection 7c74 7e7 ,evaluations ,! ,secret>y %all 7directly or ?r\gh grants1 coop]ative agreem5ts1 or contracts7 provide = ! evaluation ( activities c>ri$ out "u subsections 7a71 7b71 & 7c7 9 ord] to det]m9e ! ext5t to :i* su* activities h be5 effective 9 c>ry+ out ! purpose describ$ 9 subsection 7a71 includ+ ! effects ( su* activities on address+ heal? disp>ities4 7f7 ,def9ition ,9 ?is section1 ! t]m eligible heal? dep>tm5t means a heal? dep>tm5t ( a ,/ate1 ! ,di/rict ( ,columbia1 ! ,commonweal? ( ,pu]to ,rico1 ! ,unit$ ,/ates ,virg9 ,isl&s1 ,guam1 ,am]ican ,samoa1 ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s1 a ,tribe 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 or a l>ge city 7z def9$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion = purposes ( ?is section74 #djfc4 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$-- 7#a7 #aj1jjj1jjj = ! p]iod ( fiscal ye>s #bjba ?r\gh #bjbe to c>ry out section #djfa1 to rema9 available until ,septemb] #cj1 #bjbe2 & 7#b7 #bj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe to c>ry out section #djfb1 includ+ = grants "u section #djfb7;c71 to rema9 available until ,septemb] #cj1 #bjbe4 ,h ,exp&+ ,capacity = ,heal? ,outcomes #djga4 ,exp&+ capacity = heal? outcomes ,title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ccj,m 7#db ,u4,s4,c4 #bed;c-#ai7 ! foll[+3 #ccj,n4 ,exp&+ capacity = heal? outcomes 7a7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity-- 7,a7 means an entity t provides1 or supports ! provision (1 heal? c>e s]vices-- 7i7 9 rural areas1 fronti] areas1 heal? pr(essional %ortage areas1 or m$ically und]s]v$ areas2 or 7ii7 to m$ically und]s]v$ populations or ,native ,am]icans1 includ+ ,indian ,tribes1 ,tribal organizations1 or urban ,indian organizations2 & 7,b7 may include entities lead+1 or capable ( lead+1 a te*nology-enabl$ collaborative le>n+ & capacity build+ model or engag+ 9 te*nology-enabl$ collaborative tra9+ ( p>ticipants 9 su* model4 7#b7 ,heal? pr(essional %ortage area ,! t]m heal? pr(essional %ortage area means a heal? pr(essional %ortage area designat$ "u section #ccb4 7#c7 ,indian tribe ,! t]ms ,indian ,tribe & ,tribal organization h ! mean+s giv5 ! t]ms ,indian tribe & tribal organization 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#d7 ,m$ically und]s]v$ population ,! t]m m$ically und]s]v$ population has ! mean+ giv5 ! t]m 9 section #ccj7;b77#c74 7#e7 ,native ,am]icans ,! t]m ,native ,am]icans has ! mean+ giv5 su* t]m 9 section #gcf & includes ,indian ,tribes & ,tribal organizations4 7#f7 ,te*nology-enabl$ collaborative le>n+ & capacity build+ model ,! t]m te*nology-enabl$ collaborative le>n+ & capacity build+ model means a di/ance heal? education model t connects heal? c>e pr(essionals1 & p>ticul>ly speciali/s1 ) multiple o!r heal? c>e pr(essionals ?r\gh simultane\s int]active videoconf]5c+ = ! purpose ( facilitat+ case-bas$ le>n+1 dissem9at+ be/ practices1 & evaluat+ outcomes4 7#g7 ,urban ,indian organization ,! urban ,indian organization has ! mean+ giv5 ! t]m ,urban ,indian organization 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act4 7b7 ,program e/abli%$ ,! ,secret>y %all1 z appropriate1 aw>d grants to evaluate1 develop1 &1 z appropriate1 exp& ! use ( te*nology-enabl$ collaborative le>n+ & capacity build+ models1 to improve ret5tion ( heal? c>e provid]s & increase access to heal? c>e s]vices1 su* z ^? to address *ronic diseases & conditions1 infecti\s diseases1 m5tal heal?1 sub/ance use disord]s1 pr5atal & mat]nal heal?1 p$iatric c>e1 pa9 managem5t1 palliative c>e1 & o!r specialty c>e 9 rural areas1 fronti] areas1 heal? pr(essional %ortage areas1 or m$ically und]s]v$ areas & = m$ically und]s]v$ populations or ,native ,am]icans1 includ+ ,indian ,tribes & ,tribal organizations4 7c7 ,use ( funds 7#a7 ,9 g5]al ,grants aw>d$ "u subsection 7b7 %all be us$ =-- 7,a7 ! developm5t & acquisition ( in/ructional programm+1 & ! tra9+ ( heal? c>e provid]s & o!r pr(essionals t provide or assi/ 9 ! provision ( s]vices ?r\gh models describ$ 9 subsection 7b71 su* z tra9+ on be/ practices = data collection & lead+ or p>ticipat+ 9 su* te*nology-enabl$ activities consi/5t ) te*nology-enabl$ collaborative le>n+ & capacity build+ models2 7,b7 in=mation collection & evaluation activities to /udy ! impact ( su* models on pati5t outcomes & heal? c>e provid]s1 & to id5tify be/ practices = ! expansion & use ( su* models2 or 7,c7 o!r activities consi/5t ) a*iev+ ! objectives ( ! grants aw>d$ "u ?is section1 z det]m9$ by ! ,secret>y4 7#b7 ,o!r uses ,9 addition to any ( ! uses "u p>agraph 7#a71 grants aw>d$ "u subsection 7b7 may be us$ =-- 7,a7 equipm5t to support ! use & expansion ( te*nology-enabl$ collaborative le>n+ & capacity build+ models1 includ+ = h>dw>e & s(tw>e t enables di/ance le>n+1 heal? c>e provid] support1 & ! secure ex*ange ( electronic heal? in=mation2 or 7,b7 support = heal? c>e provid]s & o!r pr(essionals t provide or assi/ 9 ! provision ( s]vices ?r\gh su* models4 7d7 ,l5g? ( grants ,grants aw>d$ "u subsection 7b7 %all be = a p]iod ( up to #e ye>s4 7e7 ,grant requirem5ts ,! ,secret>y may require entities aw>d$ a grant "u ?is section to collect in=mation on ! effect ( ! use ( te*nology-enabl$ collaborative le>n+ & capacity build+ models1 su* z on heal? outcomes1 access to heal? c>e s]vices1 quality ( c>e1 & provid] ret5tion 9 areas & populations describ$ 9 subsection 7b74 ,! ,secret>y may aw>d a grant or contract to assi/ 9 ! coord9ation ( su* models1 includ+ to assess outcomes associat$ ) ! use ( su* models 9 grants aw>d$ "u subsection 7b71 includ+ = ! purpose describ$ 9 subsection 7c77#a77;,b74 7f7 ,application ,an eligible entity t seeks to receive a grant "u subsection 7b7 %all submit to ! ,secret>y an application1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 ,su* application %all include plans to assess ! effect ( te*nology-enabl$ collaborative le>n+ & capacity build+ models on pati5t outcomes & heal? c>e provid]s4 7g7 ,access to broadb& ,9 adm9i/]+ grants "u ?is section1 ! ,secret>y may coord9ate ) o!r ag5cies to ensure t fund+ opportunities are available to support access to reliable1 high-spe$ int]net = grantees4 7h7 ,te*nical assi/ance ,! ,secret>y %all provide 7ei!r directly ?r\gh ! ,dep>tm5t ( ,heal? & ,human ,s]vices or by contract7 te*nical assi/ance to eligible entities1 includ+ recipi5ts ( grants "u subsection 7b71 on ! developm5t1 use1 & evaluation ( te*nology-enabl$ collaborative le>n+ & capacity build+ models 9 ord] to exp& access to heal? c>e s]vices provid$ by su* entities1 includ+ = m$ically und]s]v$ areas & to m$ically und]s]v$ populations or ,native ,am]icans1 includ+ ,indian ,tribes & ,tribal organizations4 7i7 ,rese>* & evaluation ,! ,secret>y1 9 consultation ) /akehold]s ) appropriate exp]tise 9 su* models1 %all develop a /rategic plan to rese>* & evaluate ! evid5ce = su* models4 ,! ,secret>y %all use su* plan to in=m ! activities c>ri$ out "u ?is section4 7j7 ,report by ,secret>y ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all prep>e & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 & po/ on ! int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 a report includ+1 at m9imum-- 7#a7 a description ( any new & cont9u+ grants aw>d$ to entities "u subsection 7b7 & ! specific purpose & am\nts ( su* grants2 7#b7 an ov]view (-- 7,a7 ! evaluations conduct$ "u subsection 7b72 7,b7 te*nical assi/ance provid$ "u subsection 7h72 & 7,c7 activities conduct$ by entities aw>d$ grants "u subsection 7b72 & 7#c7 a description ( any significant f9d+s or developm5ts relat$ to pati5t outcomes or heal? c>e provid]s & be/ practices = eligible entities exp&+1 us+1 or evaluat+ te*nology-enabl$ collaborative le>n+ & capacity build+ models1 includ+ ?r\gh ! activities describ$ 9 subsection 7h74 7k7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #bj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 ,i ,community ,read9ess #djha4 ,grants = rese>* on1 or e/abli%+1 wa/ewat] surveillance & o!r e>ly w>n+ sy/ems ,subtitle ,c ( title ,,xxviii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#ca et seq47 is am5d$ by add+ at ! end ! foll[+3 #bhbc4 ,grants = rese>* on1 or e/abli%+1 wa/ewat] surveillance & o!r e>ly w>n+ sy/ems 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy1 may aw>d grants to eligible entities to conduct rese>* on1 or to e/abli%1 a wa/ewat] surveillance or o!r e>ly w>n+ sy/em ?r\gh-- 7#a7 wa/ewat] te/+2 7#b7 temp]ature track+ to monitor axill>y body temp]ature2 & 7#c7 o!r me?ods deem$ p]missible by ! ,secret>y & ,adm9i/rator4 7b7 ,p]missible uses ( funds ,a grant recipi5t "u ?is section may use grant funds to support ! activities describ$ 9 subsection 7a71 includ+ by-- 7#a7 pay+ = data-c5tric s]vices t c detect infecti\s diseases be=e positive cases or hospitalizations2 7#b7 ent]+ into contracts ) private companies to implem5t e>ly w>n+ detection me?ods2 or 7#c7 fund+ rese>* to /udy e>ly w>n+ detection me?ods4 7c7 ,priority ,9 select+ grant recipi5ts "u ?is section1 ! ,secret>y %all give priority to eligible entities propos+ to conduct rese>* on1 or to e/abli%1 wa/ewat] surveillance or o!r e>ly w>n+ sy/em 9 "o or m areas t-- 7#a7 are 7or include "o or m areas t are7 a hot spot2 or 7#b7 a high] p]c5tage ( vuln]able populations ?an ! national av]age4 7d7 ,f$]al privacy requirem5ts ,no?+ 9 ?is section %all be con/ru$ to sup]s$e any ,f$]al privacy or confid5tiality requirem5t1 includ+ ! regulations promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif & section #edc ( ?is ,act4 7e7 ,def9itions ,9 ?is section3 7#a7 ,! t]m ,adm9i/rator means ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy4 7#b7 ,! t]m eligible entity means-- 7,a7 a ,/ate gov]nm5t2 7,b7 a local gov]nm5t2 7,c7 a ,tribal gov]nm5t2 7,d7 an entity t conducts heal? rese>*2 & 7,e7 an academic in/itution4 7#c7 ,! t]m em]g5cy p]iod has ! mean+ giv5 to t t]m 9 section #aace7;g77#a77;,b7 ( ! ,social ,security ,act4 7#d7 ,! t]m hot spot means a geographic area :]e ! rate ( infection ) a p>ticul> pa?og5 exce$s ! national av]age4 7#e7 ,! t]m local gov]nm5t means a c\nty1 municipality1 t[n1 t[n%ip1 village1 p>i%1 bor\gh1 or o!r unit ( g5]al local gov]nm5t4 7#f7 ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#g7 ,! t]m ,/ate means ea* ( ! sev]al ,/ates1 ! ,di/rict ( ,columbia1 ! ,commonweal? ( ,pu]to ,rico1 ,am]ican ,samoa1 ,guam1 ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s1 ! ,virg9 ,isl&s1 & ! ,tru/ ,t]ritory ( ! ,pacific ,isl&s4 7#h7 ,! t]m vuln]able population means p at increas$ risk ( sev]e illness4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #ah1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 ,v ,address+ ,,covid-#ai ,heal? ,disp>ities ,a ,tribal ,heal? ,data ,improvem5t #ejja4 ,collection & availability ( heal? data ) respect to ,indian ,tribes 7a7 ,data collection ,section #caja7;a77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjkk7a77#a77 is am5d$-- 7#a7 by /rik+ 1 by n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is title12 & 7#b7 9 subp>agraph 7,b71 by ins]t+ ,tribal1 aft] ,/ate14 7b7 ,data report+ & dissem9ation ,section #caja7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjkk7c77 is am5d$-- 7#a7 by am5d+ subp>agraph 7,f7 ( p>agraph 7#a7 to read z foll[s3 7,f7 ! ,indian ,heal? ,s]vice1 ,indian ,tribes1 ,tribal organizations1 & epidemiology c5t]s au?oriz$ "u ! ,indian ,heal? ,c>e ,improvem5t ,act2 2 & 7#b7 9 p>agraph 7#c71 by ins]t+ ,indian ,tribes1 ,tribal organizations1 & epidemiology c5t]s1 aft] ,f$]al ag5cies14 7c7 ,protection & %>+ ( data ,section #caja7;e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjkk7e77 is am5d$ by add+ at ! end ! foll[+ new p>agraphs3 7#c7 ,data %>+ /rategy ,) respect to data access = ,tribal epidemiology c5t]s & ,tribes1 ! ,secret>y %all create a data %>+ /rategy t takes into consid]ation recomm5dations by ! ,secret>y's ,tribal ,advisory ,committee =-- 7,a7 ensur+ t ,tribal epidemiology c5t]s & ,indian ,tribes h access to ! data s\rces necess>y to accompli% _! public heal? responsibilities2 & 7,b7 protect+ ! privacy & security ( su* data4 7#d7 ,tribal public heal? au?ority 7,a7 ,availability ,beg9n+ n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 ! ,secret>y %all make available to ! entities li/$ 9 subp>agraph 7,b7 all data t is collect$ pursuant to ?is title ) respect to heal? c>e & public heal? surveillance programs & activities1 includ+ su* programs & activities t are f$]ally support$ or conduct$1 s long z-- 7i7 su* entities reque/ ! data pursuant to /atute2 & 7ii7 ! data is reque/$ = use-- 7,i7 consi/5t ) ,f$]al law & obligations2 & 7,,ii7 to satisfy a p>ticul> purpose or c>ry out a specific function consi/5t ) ! purpose = :i* ! data 0 collect$4 7,b7 ,entities ,! entities li/$ 9 ?is subp>agraph are-- 7i7 ! ,indian ,heal? ,s]vice2 7ii7 ,indian ,tribes & ,tribal organizations2 & 7iii7 epidemiology c5t]s4 4 7d7 ,te*nical updates ,section #caja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjkk7 is am5d$-- 7#a7 by /rik+ subsections 7g7 & 7h72 & 7#b7 by r$esignat+ subsection 7i7 z subsection 7h74 7e7 ,def9itions ,aft] execut+ ! am5dm5ts made by subsection 7d71 section #caja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjkk7 is am5d$ by ins]t+ aft] subsection 7f7 ! foll[+ new subsection3 7g7 ,def9itions ,9 ?is section3 7#a7 ,! t]m epidemiology c5t] means an epidemiology c5t] e/abli%$ "u section #bad ( ! ,indian ,heal? ,c>e ,improvem5t ,act1 includ+ su* ,tribal epidemiology c5t]s s]v+ ,indian ,tribes regionally & any ,tribal epidemiology c5t] s]v+ ,urban ,indian organizations nationally4 7#b7 ,! t]m ,indian ,tribe has ! mean+ giv5 to ! t]m ,indian tribe 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#c7 ,! t]m ,tribal organization has ! mean+ giv5 to ! t]m tribal organization 9 section #d ( ! ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#d7 ,! t]m ,urban ,indian organization has ! mean+ giv5 to t t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act4 4 7f7 ,te*nical correction ,section #caja7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjkk7b77 is am5d$ by /rik+ ,data analysis4-- & all t foll[s ?r\gh ,= ea* f$]ally & ins]t+ ,data analysis4--,= ea* f$]ally4 #ejjb4 ,improv+ heal? /ati/ics report+ ) respect to ,indian ,tribes 7a7 ,te*nical aid to ,/ates & localities ,section #cjf7;d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdbk7d77 is am5d$ by ins]t+ 1 ,indian ,tribes1 ,tribal organizations1 & epidemiology c5t]s aft] jurisdictions4 7b7 ,coop]ative heal? /ati/ics sy/em ,section #cjf7;e77#c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdbk7e77#c77 is am5d$ by ins]t+ 1 ,indian ,tribes1 ,tribal organizations1 & epidemiology c5t]s aft] heal? ag5cies4 7c7 ,f$]al-,/ate-,tribal coop]ation ,section #cjf7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdbk7f77 is am5d$-- 7#a7 by ins]t+ ! ,indian ,heal? ,s]vice1 be=e ! ,dep>tm5ts ( ,comm]ce2 7#b7 by ins]t+ a comma aft] ! ,dep>tm5ts ( ,comm]ce & ,labor2 7#c7 by ins]t+ 1 ,indian ,tribes1 ,tribal organizations1 & epidemiology c5t]s aft] ,/ate & local heal? dep>tm5ts & ag5cies2 & 7#d7 by /rik+ he %all & ins]t+ ! ,secret>y %all4 7d7 ,regi/ration area records ,section #cjf7;h77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdbk7h77#a77 is am5d$-- 7#a7 by /rik+ 9 8 discretion & ins]t+ 9 ! discretion ( ! ,secret>y2 & 7#b7 by /rik+ ,hispanics1 ,asian ,am]icans1 & ,pacific ,isl&]s & ins]t+ ,am]ican ,indians & ,alaska ,natives1 ,hispanics1 ,asian ,am]icans1 & ,native ,hawaiian & o!r ,pacific ,isl&]s4 7e7 ,national ,committee on ,vital & ,heal? ,/ati/ics ,section #cjf7k7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdbk7k77 is am5d$-- 7#a7 9 p>agraph 7#c71 by /rik+ 1 n lat] ?an #fj days aft] ! date ( ! enactm5t ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif1 ea* place x appe>s2 & 7#b7 9 p>agraph 7#g71 by /rik+ ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif1 & annually !reaft]1 ! ,committee %all & ins]t+ ,! ,committee %all1 on an bi5nial basis14 7f7 ,grants = assembly & analysis ( data on e?nic & racial populations ,section #cjf7m77#d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdbk7m77#d77 is am5d$-- 7#a7 9 subp>agraph 7,a7-- 7,a7 by /rik+ ,subject to subp>agraph 7,b71 ! & ins]t+ ,!2 & 7,b7 by /rik+ & major ,hispanic subpopulation gr\ps & ,am]ican ,indians & ins]t+ 1 major ,hispanic subgr\ps1 & ,am]ican ,indians & ,alaska ,natives2 & 7#b7 by am5d+ subp>agraph 7,b7 to read z foll[s3 7,b7 ,9 c>ry+ out subp>agraph 7,a71 ) respect to ,am]ican ,indians & ,alaska ,natives1 ! ,secret>y %all-- 7i7 consult ) ,indian ,tribes1 ,tribal organizations1 ! ,tribal ,te*nical ,advisory ,gr\p ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ma9ta9$ "u section #ejjf7;e7 ( ! ,am]ican ,recov]y & ,re9ve/m5t ,act ( #bjji1 & ! ,tribal ,advisory ,committee e/abli%$ by ! ,c5t]s = ,disease ,control & ,prev5tion1 9 coord9ation ) epidemiology c5t]s1 to develop guidel9es = ,/ate & local heal? ag5cies to improve ! quality & accuracy ( data ) respect to ! bir? & dea? records ( ,am]ican ,indians & ,alaska ,natives2 7ii7 conf] ) ,urban ,indian organizations to develop guidel9es = ,/ate & local heal? ag5cies to improve ! quality & accuracy ( data ) respect to ! bir? & dea? records ( ,am]ican ,indians & ,alaska ,natives2 7iii7 ent] into coop]ative agreem5ts ) ,indian ,tribes1 ,tribal organizations1 ,urban ,indian organizations1 & epidemiology c5t]s to address misclassification & und]sampl+ ( ,am]ican ,indians & ,alaska ,natives ) respect to-- 7,i7 bir? & dea? records2 & 7,,ii7 heal? c>e & public heal? surveillance sy/ems1 includ+1 b n limit$ to1 data ) respect to *ronic & infecti\s diseases1 un9t5tional injuries1 environm5tal heal?1 *ild & adolesc5t heal?1 mat]nal heal? & mortality1 foodborne & wat]borne illness1 reproductive heal?1 & any o!r notifiable disease or condition2 7iv7 enc\rage ,/ates to ent] into data %>+ agreem5ts ) ,indian ,tribes1 ,tribal organizations1 & epidemiology c5t]s to improve ! quality & accuracy ( public heal? data2 & 7v7 n lat] ?an #ahj days aft] ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 & bi5nially !reaft]1 issue a report on ! foll[+3 7,i7 ,:i* ,/ates h data %>+ agreem5ts ) ,indian ,tribes1 ,tribal organizations1 ,urban ,indian organizations1 & ,tribal epidemiology c5t]s to improve ! quality & accuracy ( heal? data4 7,,ii7 ,:at ! ,c5t]s = ,disease ,control & ,prev5tion is do+ to enc\rage ,/ates to ent] into data %>+ agreem5ts ) ,indian ,tribes1 ,tribal organizations1 ,urban ,indian organizations1 & ,tribal epidemiology c5t]s to improve ! quality & accuracy ( heal? data4 7,,iii7 ,be/ practices & guidance = ,/ates1 ,indian ,tribes1 ,tribal organizations1 ,urban ,indian organizations1 & ,tribal epidemiology c5t]s t wi% to ent] into data %>+ agreem5ts4 7,,iv7 ,be/ practices & guidance = local1 ,/ate1 ,tribal1 & ,f$]al uni=m /&>ds = ! collection ( data on race & e?nicity4 4 7g7 ,def9itions ,section #cjf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdbk7 is am5d$-- 7#a7 by r$esignat+ subsection 7n7 z subsection 7o72 & 7#b7 by ins]t+ aft] subsection 7m7 ! foll[+3 7n7 ,9 ?is section3 7#a7 ,! t]m epidemiology c5t] means an epidemiology c5t] e/abli%$ "u section #bad ( ! ,indian ,heal? ,c>e ,improvem5t ,act1 includ+ su* ,tribal epidemiology c5t]s s]v+ ,indian ,tribes regionally & any ,tribal epidemiology c5t] s]v+ ,urban ,indian organizations nationally4 7#b7 ,! t]m ,indian ,tribe has ! mean+ giv5 to ! t]m ,indian tribe 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#c7 ,! t]m ,tribal organization has ! mean+ giv5 to ! t]m tribal organization 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#d7 ,! t]m ,urban ,indian organization has ! mean+ giv5 to t t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act4 4 7h7 ,au?orization ( appropriations ,section #cjf7o7 ( ! ,public ,heal? ,s]vice ,act1 z r$esignat$ by subsection 7g71 is am5d$ to read z foll[s3 7o7 7#a7 ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #ahe1jjj1jjj = ea* ( ! fiscal ye>s #bjba ?r\gh #bjbe4 7#b7 ,( ! am\nt au?oriz$ to be appropriat$ to c>ry out ?is section = a fiscal ye>1 ! ,secret>y %all n use m ?an #aj p]c5t = ! comb9$ co/s (-- 7,a7 adm9i/ration ( ?is section2 & 7,b7 c>ry+ out subsection 7m77#b74 4 ,b ,tribal ,m$ical ,supplies ,/ockpile ,access #ejaa4 ,provision ( items to ,indian programs & facilities 7a7 ,/rategic national /ockpile ,section #cai;,f-#b7;a77#c77;,g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7a77#c77;,g77 is am5d$ by ins]t+ 1 &1 9 ! case t ! ,secret>y deploys ! /ockpile "u ?is subp>agraph1 ensure t appropriate drugs1 vacc9es & o!r biological products1 m$ical devices1 & o!r supplies are deploy$ by ! ,secret>y directly to heal? programs or facilities op]at$ by ! ,indian ,heal? ,s]vice1 an ,indian tribe1 a tribal organization 7z ^? t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 or an int]-tribal consortium 7z def9$ 9 section #eja ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #echa77 or ?r\gh an urban ,indian organization 7z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act71 :ile avoid+ duplicative di/ributions to su* programs or facilities be=e ! semicolon4 7b7 ,di/ribution ( qualifi$ p&emic or epidemic products to ,,ihs facilities ,title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda et seq471 z am5d$ by section #cjae1 is fur!r am5d$ by ins]t+ aft] section #cai;,f-#e ! foll[+3 #cai;,f-#f4 ,di/ribution ( qualifi$ p&emic or epidemic products to ,indian programs & facilities ,9 ! case t ! ,secret>y di/ributes qualifi$ p&emic or epidemic products 7z def9$ 9 section #cai;,f-#c7;i77#g77 to ,/ates or o!r entities1 ! ,secret>y %all ensure t1 z appropriate1 su* products are di/ribut$ directly to heal? programs or facilities op]at$ by ! ,indian ,heal? ,s]vice1 an ,indian tribe1 a tribal organization 7z ^? t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 or an int]-tribal consortium 7z def9$ 9 section #eja ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #echa77 or ?r\gh an urban ,indian organization 7z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act71 :ile avoid+ duplicative di/ributions to su* programs or facilities4 4 ,c ,native ,am]ican ,suicide ,prev5tion #ejba4 ,native ,am]ican suicide prev5tion ,section #ebj;,e7b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf7;b77 is am5d$ by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 ,consultation ,a ,/ate apply+ = a grant or coop]ative agreem5t "u ?is section %all1 9 ! developm5t & implem5tation ( a /atewide e>ly int]v5tion /rategy1 consult or conf] ) entities describ$ 9 p>agraph 7#a77;,c7 9 su* ,/ate4 4 ,d ,pursu+ ,equity 9 ,m5tal ,heal? #a ,heal? ,equity & ,acc\ntability #ejca4 ,integrat$ ,heal? ,c>e ,demon/ration ,program ,"p ,d ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd et seq47 is am5d$ by add+ at ! end ! foll[+3 #eed4 ,int]pr(essional heal? c>e teams = provision ( behavioral heal? c>e 9 prim>y c>e sett+s 7a7 ,grants ,! ,secret>y %all aw>d grants to eligible entities = ! purpose ( e/abli%+ int]pr(essional heal? c>e teams t provide behavioral heal? c>e4 7b7 ,eligible entities ,to be eligible to receive a grant "u ?is section1 an entity %all be a f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa7 ( ! ,social ,security ,act71 rural heal? cl9ic1 or behavioral heal? program1 s]v+ a high proportion ( individuals f racial & e?nic m9ority gr\ps 7z def9$ 9 section #agjg7;g774 7c7 ,sci5tifically bas$ ,integrat$ heal? c>e fund$ ?r\gh ?is section %all be sci5tifically bas$1 tak+ into consid]ation ! results ( ! mo/ rec5t pe]-review$ rese>* available4 7d7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #bj1jjj1jjj = ea* ( ! fir/ #e fiscal ye>s foll[+ ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act4 4 #ejcb4 ,address+ racial & e?nic m9ority m5tal heal? disp>ities rese>* gaps ,n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,director ( ! ,national ,in/itutes ( ,heal? %all ent] into an arrangem5t ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e 7or1 if ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e decl9e to ent] into su* an arrangem5t1 ! ,pati5t-,c5t]$ ,outcomes ,rese>* ,in/itute1 ! ,ag5cy = ,heal?c>e ,rese>* & ,quality1 or ano!r appropriate entity7-- 7#a7 to conduct a /udy ) respect to m5tal heal? disp>ities 9 racial & e?nic m9ority gr\ps 7z def9$ 9 section #agjg7;g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjju-#f7;g7772 & 7#b7 to submit to ! ,congress a report on ! results ( su* /udy1 includ+-- 7,a7 a compilation ( in=mation on ! dynamics ( m5tal disord]s 9 su* racial & e?nic m9ority gr\ps2 & 7,b7 a compilation ( in=mation on ! impact ( exposure to community viol5ce1 adv]se *ildhood exp]i5ces1 /ructural racism1 & o!r psy*ological traumas on m5tal disord]s 9 su* racial & m9ority gr\ps4 #ejcc4 ,heal? pr(essions compet5cies to address racial & e?nic m9ority m5tal heal? disp>ities 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all aw>d grants to qualifi$ national organizations = ! purposes (-- 7#a7 develop+1 & dissem9at+ to heal? pr(essional educational programs be/ practices or core compet5cies address+ m5tal heal? disp>ities among racial & e?nic m9ority gr\ps = use 9 ! tra9+ ( /ud5ts 9 ! pr(essions ( social "w1 psy*ology1 psy*iatry1 m>riage & family !rapy1 m5tal heal? c\nsel+1 & sub/ance misuse c\nsel+2 & 7#b7 c]tify+ community heal? work]s & pe] wellness speciali/s ) respect to su* be/ practices & core compet5cies & integrat+ & exp&+ ! use ( su* work]s & speciali/s into heal? c>e to address m5tal heal? disp>ities among racial & e?nic m9ority gr\ps4 7b7 ,be/ practices2 core compet5cies ,organizations receiv+ funds "u subsection 7a7 may use ! funds to engage 9 ! foll[+ activities relat$ to ! developm5t & dissem9ation ( be/ practices or core compet5cies describ$ 9 subsection 7a77#a73 7#a7 ,=mation ( committees or work+ gr\ps compris$ ( exp]ts f accr$it$ heal? pr(essions s*ools to id5tify be/ practices & core compet5cies relat+ to m5tal heal? disp>ities among racial & e?nic m9ority gr\ps4 7#b7 ,plann+ ( work%ops 9 national =a to all[ = public input into ! educational ne$s associat$ ) m5tal heal? disp>ities among racial & e?nic m9ority gr\ps4 7#c7 ,dissem9ation & promotion ( ! use ( be/ practices or core compet5cies 9 und]graduate & graduate heal? pr(essions tra9+ programs nationwide4 7#d7 ,e/abli%+ ext]nal /akehold] advisory bo>ds to provide mean+ful input into policy & program developm5t & be/ practices to r$uce m5tal heal? disp>ities among racial & e?nic m9ority gr\ps4 7c7 ,def9itions ,9 ?is section3 7#a7 ,qualifi$ national organization ,! t]m qualifi$ national organization means a national organization t focuses on ! education ( /ud5ts 9 "o or m ( ! pr(essions ( social "w1 psy*ology1 psy*iatry1 m>riage & family !rapy1 m5tal heal? c\nsel+1 & sub/ance misuse c\nsel+4 7#b7 ,racial & e?nic m9ority gr\p ,! t]m racial & e?nic m9ority gr\p has ! mean+ giv5 to su* t]m 9 section #agjg7;g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjju-#f7;g774 #ejcd4 ,racial & e?nic m9ority behavioral & m5tal heal? outrea* & education /rategy ,"p ,d ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd et seq471 z am5d$ by section #ejca1 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #eee4 ,behavioral & m5tal heal? outrea* & education /rategy 7a7 ,9 g5]al ,! ,secret>y %all1 9 consultation ) advocacy & behavioral & m5tal heal? organizations s]v+ racial & e?nic m9ority gr\ps1 develop & implem5t an outrea* & education /rategy to promote behavioral & m5tal heal? & r$uce /igma associat$ ) m5tal heal? conditions & sub/ance abuse among racial & e?nic m9ority gr\ps4 ,su* /rategy %all-- 7#a7 be design$ to-- 7,a7 meet ! div]se cultural & language ne$s ( ! v>i\s racial & e?nic m9ority gr\ps2 & 7,b7 be developm5tally & age-appropriate2 7#b7 increase aw>5ess ( symptoms ( m5tal illnesses common among su* gr\ps1 tak+ into acc\nt diff]5ces )9 at-risk subgr\ps2 7#c7 provide in=mation on evid5ce-bas$1 culturally & l+ui/ically appropriate & adapt$ int]v5tions & treatm5ts2 7#d7 ensure full p>ticipation (1 & engage1 bo? consum]s & community memb]s 9 ! developm5t & implem5tation ( mat]ials2 & 7#e7 seek to broad5 ! p]spective among bo? individuals 9 ^! gr\ps & /akehold]s s]v+ ^! gr\ps to use a compreh5sive public heal? approa* to promot+ behavioral heal? t addresses a holi/ic view ( heal? by focus+ on ! int]section betwe5 behavioral & physical heal?4 7b7 ,reports ,beg9n+ n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is section & annually !reaft]1 ! ,secret>y %all submit to ,congress1 & make publicly available1 a report on ! ext5t to :i* ! /rategy develop$ & implem5t$ "u subsection 7a7 increas$ behavioral & m5tal heal? outcomes associat$ ) m5tal heal? conditions & sub/ance abuse among racial & e?nic m9ority gr\ps4 7c7 ,def9ition ,9 ?is section1 ! t]m racial & e?nic m9ority gr\p has ! mean+ giv5 to t t]m 9 section #agjg7;g74 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 #ejce4 ,additional funds = ,national ,in/itutes ( ,heal? 7a7 ,9 g5]al ,9 addition to am\nts o!rwise au?oriz$ to be appropriat$ to ! ,national ,in/itutes ( ,heal?1 !re is au?oriz$ to be appropriat$ to su* ,in/itutes #ajj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe to build relations ) communities & conduct or support cl9ical rese>*1 includ+ cl9ical rese>* on racial or e?nic disp>ities 9 physical & m5tal heal?4 7b7 ,def9ition ,9 ?is section1 ! t]m cl9ical rese>* has ! mean+ giv5 to su* t]m 9 section #dji ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhd;d74 #ejcf4 ,additional funds = ,national ,in/itute on ,m9ority ,heal? & ,heal? ,disp>ities ,9 addition to am\nts o!rwise au?oriz$ to be appropriat$ to ! ,national ,in/itute on ,m9ority ,heal? & ,heal? ,disp>ities1 !re is au?oriz$ to be appropriat$ to su* ,in/itute #fej1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #b ,o!r provisions #ejcg4 ,reau?orization ( ,m9ority ,fell[%ip ,program ,section #eig7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bigll7c77 is am5d$ by /rik+ #ab1ffi1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #be1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #ejch4 ,/udy on ! ,effects ( ,sm>tphone & ,social ,m$ia ,use on ,adolesc5ts 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all conduct or support rese>* on-- 7#a7 sm>tphone & social m$ia use by adolesc5ts2 & 7#b7 ! effects ( su* use on-- 7,a7 emotional1 behavioral1 & physical heal? & developm5t2 & 7,b7 disp>ities 9 m9ority & und]s]v$ populations4 7b7 ,report ,n lat] ?an #e ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,congress1 & make publicly available1 a report on ! f9d+s ( rese>* describ$ 9 ?is section4 #ejci4 ,te*nical correction ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$-- 7#a7 by r$esignat+ ! second section #eej ( su* ,act 7#db ,u4,s4,c4 #bij;ee-#aj7 7relat+ to ,sobriety ,treatm5t ,& ,recov]y ,teams7 z section #eec2 & 7#b7 by mov+ su* section #eec1 z s r$esignat$1 s z to appe> aft] section #eeb ( su* ,act 7#db ,u4,s4,c4 #bij;ee-#g74 ,e ,mat]nal ,heal? ,quality ,improvem5t #ejda4 ,innovation = mat]nal heal? ,"p ,d ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b et seq471 z am5d$ by section #djga1 is fur!r am5d$-- 7#a7 9 ! section designation ( section #ccj,m ( su* ,act 7#db ,u4,s4,c4 #bed;c-#ai7 by ins]t+ a p]iod aft] #ccj,m2 & 7#b7 by ins]t+ aft] section #ccj,n ( su* ,act1 z ins]t$ by section #djga1 ! foll[+3 #ccj,o4 ,innovation = mat]nal heal? 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) exp]ts repres5t+ a v>iety ( cl9ical specialties1 ,/ate1 ,tribal1 or local public heal? (ficials1 rese>*]s1 epidemiologi/s1 /ati/icians1 & community organizations1 %all e/abli% or cont9ue a program to aw>d competitive grants to eligible entities = ! purposes (-- 7#a7 id5tify+1 develop+1 or dissem9at+ be/ practices to improve mat]nal heal? c>e quality & outcomes1 elim9ate prev5table mat]nal mortality & sev]e mat]nal morbidity1 & improve infant heal? outcomes1 :i* may include-- 7,a7 in=mation on evid5ce-bas$ practices to improve ! quality & safety ( mat]nal heal? c>e 9 hospitals & o!r heal? c>e sett+s ( a ,/ate or heal? c>e sy/em1 includ+ by address+ topics commonly associat$ ) heal? complications or risks relat$ to pr5atal c>e1 labor c>e1 bir?+1 & po/p>tum c>e2 7,b7 be/ practices = improv+ mat]nal heal? c>e bas$ on data f9d+s & reviews conduct$ by a ,/ate mat]nal mortality review committee t address topics ( relevance to common complications or heal? risks relat$ to pr5atal c>e1 labor c>e1 bir?+1 & po/p>tum c>e2 & 7,c7 in=mation on address+ det]m9ants ( heal? t impact mat]nal heal? outcomes = wom5 be=e1 dur+1 & aft] pregnancy2 7#b7 collaborat+ ) ,/ate mat]nal mortality review committees to id5tify issues = ! developm5t & implem5tation ( evid5ce-bas$ practices to improve mat]nal heal? outcomes & r$uce prev5table mat]nal mortality & sev]e mat]nal morbidity2 7#c7 provid+ te*nical assi/ance & support+ ! implem5tation ( be/ practices id5tifi$ pursuant to p>agraph 7#a7 to entities provid+ heal? c>e s]vices to pregnant & po/p>tum wom52 & 7#d7 id5tify+1 develop+1 & evaluat+ new models ( c>e t improve mat]nal & infant heal? outcomes1 :i* may include ! integration ( community-bas$ s]vices & cl9ical c>e4 7b7 ,eligible entities ,to be eligible = a grant "u subsection 7a71 an entity %all-- 7#a7 submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require2 & 7#b7 demon/rate 9 su* application t ! entity is capable ( c>ry+ out data-driv5 mat]nal safety & quality improvem5t initiatives 9 ! areas ( ob/etrics & gynecology or mat]nal heal?4 7c7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #e1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 #ejdb4 ,tra9+ = heal? c>e provid]s ,title ,,vii ( ! ,public ,heal? ,s]vice ,act is am5d$ by /rik+ section #gfc 7#db ,u4,s4,c4 #bidp7 & ins]t+ ! foll[+3 #gfc4 ,tra9+ = heal? c>e provid]s 7a7 ,grant program ,! ,secret>y %all e/abli% a program to aw>d grants to accr$it$ s*ools ( allopa?ic m$ic9e1 o/eopa?ic m$ic9e1 & nurs+1 & o!r heal? pr(essional tra9+ programs = ! tra9+ ( heal? c>e pr(essionals to r$uce & prev5t discrim9ation 7includ+ tra9+ relat$ to implicit & explicit biases7 9 ! provision ( heal? c>e s]vices relat$ to pr5atal c>e1 labor c>e1 bir?+1 & po/p>tum c>e4 7b7 ,eligibility ,to be eligible = a grant "u subsection 7a71 an entity describ$ 9 su* subsection %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7c7 ,report+ requirem5t ,ea* entity aw>d$ a grant "u ?is section %all p]iodically submit to ! ,secret>y a report on ! /atus ( activities conduct$ us+ ! grant1 includ+ a description ( ! impact ( su* tra9+ on pati5t outcomes1 z applicable4 7d7 ,be/ practices ,! ,secret>y may id5tify & dissem9ate be/ practices = ! tra9+ ( heal? c>e pr(essionals to r$uce & prev5t discrim9ation 7includ+ tra9+ relat$ to implicit & explicit biases7 9 ! provision ( heal? c>e s]vices relat$ to pr5atal c>e1 labor c>e1 bir?+1 & po/p>tum c>e4 7e7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #e1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 #ejdc4 ,/udy on tra9+ to r$uce & prev5t discrim9ation ,n lat] ?an #b ye>s aft] date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all1 ?r\gh a contract ) an indep5d5t rese>* organization1 conduct a /udy & make recomm5dations = accr$it$ s*ools ( allopa?ic m$ic9e1 o/eopa?ic m$ic9e1 & nurs+1 & o!r heal? pr(essional tra9+ programs1 on be/ practices relat$ to tra9+ to r$uce & prev5t discrim9ation1 includ+ tra9+ relat$ to implicit & explicit biases1 9 ! provision ( heal? c>e s]vices relat$ to pr5atal c>e1 labor c>e1 bir?+1 & po/p>tum c>e4 #ejdd4 ,p]9atal quality collaboratives ,section #cag,k7a77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;a77#b77 is am5d$ by add+ at ! end ! foll[+3 7,e7 7i7 ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & 9 coord9ation ) o!r (fices & ag5cies1 z appropriate1 %all e/abli% or cont9ue a competitive grant program = ! e/abli%m5t or support ( p]9atal quality collaboratives to improve p]9atal c>e & p]9atal heal? outcomes = pregnant & po/p>tum wom5 & _! infants4 ,a ,/ate1 ,indian ,tribe1 or ,tribal organization may use funds receiv$ ?r\gh su* grant to-- 7,i7 support ! use ( evid5ce-bas$ or evid5ce-in=m$ practices to improve outcomes = mat]nal & infant heal?2 7,,ii7 "w ) cl9ical teams2 exp]ts2 ,/ate1 local1 &1 z appropriate1 ,tribal public heal? (ficials2 & /akehold]s1 includ+ pati5ts & families1 to id5tify1 develop1 or dissem9ate be/ practices to improve p]9atal c>e & outcomes2 & 7,,iii7 employ /rategies t provide opportunities = heal? c>e pr(essionals & cl9ical teams to collaborate across heal? c>e sett+s & discipl9es1 includ+ prim>y c>e & m5tal heal?1 z appropriate1 to improve mat]nal & infant heal? outcomes1 :i* may include ! use ( data to provide timely fe$back across hospital & cl9ical teams to in=m responses1 & to provide support & tra9+ to hospital & cl9ical teams = quality improvem5t1 z appropriate4 7ii7 ,to be eligible = a grant "u clause 7i71 an entity %all submit to ! ,secret>y an application 9 su* =m & mann] & conta9+ su* in=mation z ! ,secret>y may require4 4 #ejde4 ,integrat$ s]vices = pregnant & po/p>tum wom5 7a7 ,grants ,title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ccj,o ( su* ,act1 z add$ by section #ejda1 ! foll[+3 #ccj,p4 ,integrat$ s]vices = pregnant & po/p>tum wom5 7a7 ,9 g5]al ,! ,secret>y may aw>d grants to ,/ates1 ,indian ,tribes1 & ,tribal organizations = ! purpose ( e/abli%+ or op]at+ evid5ce-bas$ or innovative1 evid5ce-in=m$ programs to deliv] integrat$ heal? c>e s]vices to pregnant & po/p>tum wom5 to optimize ! heal? ( wom5 & _! infants1 includ+ to r$uce adv]se mat]nal heal? outcomes1 pregnancy-relat$ dea?s1 & relat$ heal? disp>ities 7includ+ su* disp>ities associat$ ) racial & e?nic m9ority populations71 &1 z appropriate1 by address+ issues rese>*$ "u subsection 7b77#b7 ( section #cag,k4 7b7 ,integrat$ s]vices = pregnant & po/p>tum wom5 7#a7 ,eligibility ,to be eligible to receive a grant "u subsection 7a71 a ,/ate1 ,indian ,tribe1 or ,tribal organization %all "w ) relevant /akehold]s t coord9ate c>e 7includ+ coord9at+ res\rces & ref]rals = heal? c>e & social s]vices7 to develop & c>ry out ! program1 includ+-- 7,a7 ,/ate1 ,tribal1 & local ag5cies responsible = ,m$icaid1 public heal?1 social s]vices1 m5tal heal?1 & sub/ance use disord] treatm5t & s]vices2 7,b7 heal? c>e provid]s :o s]ve pregnant & po/p>tum wom52 & 7,c7 community-bas$ heal? organizations & heal? work]s1 includ+ provid]s ( home visit+ s]vices & individuals repres5t+ communities ) disproportionately high rates ( mat]nal mortality & sev]e mat]nal morbidity1 & includ+ individuals repres5t+ racial & e?nic m9ority populations4 7#b7 ,t]ms 7,a7 ,p]iod ,a grant aw>d$ "u subsection 7a7 %all be made = a p]iod ( #e ye>s4 ,any supplem5tal aw>d made to a grantee "u subsection 7a7 may be made = a p]iod ( less ?an #e ye>s4 7,b7 ,pref]5ce ,9 aw>d+ grants "u subsection 7a71 ! ,secret>y %all-- 7i7 give pref]5ce to ,/ates1 ,indian ,tribes1 & ,tribal organizations t h ! highe/ rates ( mat]nal mortality & sev]e mat]nal morbidity relative to o!r su* ,/ates1 ,indian ,tribes1 or ,tribal organizations1 respectively2 & 7ii7 %all consid] heal? disp>ities relat$ to mat]nal mortality & sev]e mat]nal morbidity1 includ+ su* disp>ities associat$ ) racial & e?nic m9ority populations4 7,c7 ,priority ,9 aw>d+ grants "u subsection 7a71 ! ,secret>y %all give priority to applications f up to #ae entities describ$ 9 subp>agraph 7,b77i74 7,d7 ,evaluation ,! ,secret>y %all require grantees to evaluate ! outcomes ( ! programs support$ "u ! grant4 7c7 ,def9itions ,9 ?is section1 ! t]ms ,indian ,tribe & ,tribal organization h ! mean+s giv5 ! t]ms ,indian tribe & tribal organization1 respectively1 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7d7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 7b7 ,report on grant outcomes & dissem9ation ( be/ practices 7#a7 ,report ,n lat] ?an ,febru>y #a1 #bjbf1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report t describes-- 7,a7 ! outcomes ( ! activities support$ by ! grants aw>d$ "u ! am5dm5t made by ?is section on mat]nal & *ild heal?2 7,b7 be/ practices & models ( c>e us$ by recipi5ts ( grants "u su* am5dm5t2 & 7,c7 ob/acles id5tifi$ by recipi5ts ( grants "u su* am5dm5t1 & /rategies us$ by su* recipi5ts to deliv] c>e1 improve mat]nal & *ild heal?1 & r$uce heal? disp>ities4 7#b7 ,dissem9ation ( be/ practices ,n lat] ?an ,augu/ #a1 #bjbf1 ! ,secret>y ( ,heal? & ,human ,s]vices %all dissem9ate in=mation on be/ practices & models ( c>e us$ by recipi5ts ( grants "u ! am5dm5t made by ?is section 7includ+ be/ practices & models ( c>e relat+ to ! r$uction ( heal? disp>ities1 includ+ su* disp>ities associat$ ) racial & e?nic m9ority populations1 9 rates ( mat]nal mortality & sev]e mat]nal morbidity7 to relevant /akehold]s1 :i* may include heal? provid]s1 m$ical s*ools1 nurs+ s*ools1 relevant ,/ate1 ,tribal1 & local ag5cies1 & ! g5]al public4 #ejdf4 ,improv+ rural mat]nal & ob/etric c>e data 7a7 ,mat]nal mortality & morbidity activities ,section #cja7;e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda7;e77 is am5d$ by ins]t+ 1 prev5table mat]nal mortality & sev]e mat]nal morbidity1 aft] deliv]y4 7b7 ,(fice ( wom5's heal? ,section #caj;,a7b77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdbs7b77#a77 is am5d$ by /rik+ & sociocultural contexts1 & ins]t+ sociocultural 7includ+ among ,am]ican ,indians1 ,native ,hawaiians1 & ,alaska ,natives71 & geographical contexts4 7c7 ,safe mo!rhood ,section #cag,k ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7 is am5d$-- 7#a7 9 subsection 7a77#b77;,a71 by ins]t+ 1 includ+ improv+ collection ( data on race1 e?nicity1 & o!r demographic in=mation be=e ! p]iod2 & 7#b7 9 subsection 7b77#b7-- 7,a7 9 subp>agraph 7,l71 by /rik+ & at ! end2 7,b7 by r$esignat+ subp>agraph 7,m7 z subp>agraph 7,n72 & 7,c7 by ins]t+ aft] subp>agraph 7,l7 ! foll[+3 7,m7 an exam9ation ( ! relation%ip betwe5 mat]nal heal? & ob/etric s]vices 9 rural areas & outcomes 9 deliv]y & po/p>tum c>e2 & 4 7d7 ,(fice ( rese>* on wom5's heal? ,section #dhf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhg;d7 is am5d$-- 7#a7 9 subsection 7b71 by am5d+ p>agraph 7#c7 to read z foll[s3 7#c7 c>ry out p>agraphs 7#a7 & 7#b7 ) respect to-- 7,a7 ! ag+ process 9 wom51 ) priority giv5 to m5opause2 & 7,b7 pregnancy1 ) priority giv5 to dea?s relat$ to prev5table mat]nal mortality & sev]e mat]nal morbidity2 2 & 7#b7 9 subsection 7d77#d77;,a77iv71 by ins]t+ 1 includ+ prev5table mat]nal morbidity & sev]e mat]nal morbidity be=e ! semicolon4 #ejdg4 ,rural ob/etric network grants ,! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ccj;,a-#a 7#db ,u4,s4,c4 #bed;c-#a;a7 ! foll[+3 #ccj;,a-#b4 ,rural ob/etric network grants 7a7 ,program e/abli%$ ,! ,secret>y %all aw>d grants or coop]ative agreem5ts to eligible entities to e/abli% collaborative improvem5t & innovation networks 7ref]r$ to 9 ?is section z rural ob/etric networks7 to improve mat]nal & infant heal? outcomes & r$uce prev5table mat]nal mortality & sev]e mat]nal morbidity by improv+ mat]nity c>e & access to c>e 9 rural areas1 fronti] areas1 mat]nity c>e heal? pr(essional t>get areas1 or jurisdictions ( ,indian ,tribes & ,tribal organizations4 7b7 ,use ( funds ,grants or coop]ative agreem5ts aw>d$ pursuant to ?is section %all be us$ = ! e/abli%m5t or cont9uation ( collaborative improvem5t & innovation networks to improve mat]nal heal? 9 rural areas by improv+ infant heal? & mat]nal outcomes & r$uc+ prev5table mat]nal mortality & sev]e mat]nal morbidity4 ,rural ob/etric networks e/abli%$ 9 accordance ) ?is section may-- 7#a7 develop a network to improve coord9ation & increase access to mat]nal heal? c>e & assi/ pregnant wom5 9 ! areas describ$ 9 subsection 7a7 ) access+ & utiliz+ mat]nal & ob/etric c>e1 includ+ heal? c>e s]vices relat$ to pr5atal c>e1 labor c>e1 bir?+1 & po/p>tum c>e to improve outcomes 9 bir? & mat]nal mortality & morbidity2 7#b7 id5tify & implem5t evid5ce-bas$ & su/a9able deliv]y models = mat]nal & ob/etric c>e 7includ+ heal? c>e s]vices relat$ to pr5atal c>e1 labor c>e1 bir?+1 & po/p>tum c>e = wom5 9 ! areas describ$ 9 subsection 7a771 includ+ home visit+ programs & culturally appropriate c>e models t r$uce heal? disp>ities2 7#c7 develop a model = mat]nal heal? c>e collaboration betwe5 heal? c>e sett+s to improve access to c>e 9 areas describ$ 9 subsection 7a71 :i* may include ! use ( teleheal?2 7#d7 provide tra9+ = pr(essionals 9 heal? c>e sett+s t d n h specialty mat]nity c>e2 7#e7 collaborate ) academic in/itutions t c provide regional exp]tise & help id5tify b>ri]s to provid+ mat]nal heal? c>e1 includ+ /rategies = address+ su* b>ri]s2 & 7#f7 assess & address disp>ities 9 infant & mat]nal heal? outcomes1 includ+ among racial & e?nic m9ority populations & und]s]v$ populations 9 areas describ$ 9 subsection 7a74 7c7 ,def9itions ,9 ?is section3 7#a7 ,eligible entities ,! t]m eligible entities means entities provid+ mat]nal heal? c>e s]vices 9 rural areas1 fronti] areas1 or m$ically und]s]v$ areas1 or to m$ically und]s]v$ populations or ,indian ,tribes or ,tribal organizations4 7#b7 ,fronti] area ,! t]m fronti] area means a fronti] c\nty1 z def9$ 9 section #ahhf7;d77#c77;,e77iii77,,iii7 ( ! ,social ,security ,act4 7#c7 ,indian ,tribes2 ,tribal organization ,! t]ms ,indian ,tribe & ,tribal organization h ! mean+s giv5 ! t]ms ,indian tribe & tribal organization1 respectively1 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#d7 ,mat]nity c>e heal? pr(essional t>get area ,! t]m mat]nity c>e heal? pr(essional t>get area has ! mean+ describ$ 9 section #ccb7k77#b74 7d7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #c1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 #ejdh4 ,teleheal? network & teleheal? res\rce c5t]s grant programs ,section #ccj;,i ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#ad7 is am5d$-- 7#a7 9 subsection 7f77#c71 by add+ at ! end ! foll[+3 7,m7 ,provid]s ( mat]nal c>e1 includ+ pr5atal1 labor c>e1 bir?+1 & po/p>tum c>e s]vices & entities op]at+ ob/etric c>e units4 2 & 7#b7 9 subsection 7h77#a77;,b71 by ins]t+ labor c>e1 bir?+ c>e1 po/p>tum c>e1 be=e or pr5atal4 #ejdi4 ,rural mat]nal & ob/etric c>e tra9+ demon/ration ,subp>t #a ( "p ,e ( title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bidn et seq47 is am5d$ by add+ at ! end ! foll[+3 #gfd4 ,rural mat]nal & ob/etric c>e tra9+ demon/ration 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to accr$it$ s*ools ( allopa?ic m$ic9e1 o/eopa?ic m$ic9e1 & nurs+1 & o!r appropriate heal? pr(essional tra9+ programs1 to e/abli% a tra9+ demon/ration program to support-- 7#a7 tra9+ = physicians1 m$ical resid5ts1 fell[s1 nurse practition]s1 physician assi/ants1 nurses1 c]tifi$ nurse midwives1 relevant home visit+ work=ce pr(essionals & p>apr(essionals1 or o!r pr(essionals :o meet relevant ,/ate tra9+ & lic5s+ requirem5ts1 z applicable1 to provide mat]nal heal? c>e s]vices 9 rural community-bas$ sett+s2 & 7#b7 develop+ recomm5dations = su* tra9+ programs4 7b7 ,application ,to be eligible to receive a grant "u subsection 7a71 an entity %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7c7 ,activities 7#a7 ,tra9+ = heal? c>e pr(essionals ,a recipi5t ( a grant "u subsection 7a7-- 7,a7 %all use ! grant funds to plan1 develop1 & op]ate a tra9+ program to provide mat]nal heal? c>e 9 rural areas2 & 7,b7 may use ! grant funds to provide additional support = ! adm9i/ration ( ! program or to meet ! co/s ( projects to e/abli%1 ma9ta91 or improve faculty developm5t1 or dep>tm5ts1 divisions1 or o!r units necess>y to implem5t su* tra9+4 7#b7 ,tra9+ program requirem5ts ,! recipi5t ( a grant "u subsection 7a7 %all ensure t tra9+ programs c>ri$ out "u ! grant are evid5ce-bas$ & address improv+ mat]nal heal? c>e 9 rural areas1 & su* programs may include tra9+ on topics su* z-- 7,a7 mat]nal m5tal heal?1 includ+ p]9atal depression & anxiety2 7,b7 sub/ance use disord]s2 7,c7 social det]m9ants ( heal? t affect individuals liv+ 9 rural areas2 & 7,d7 implicit & explicit bias4 7d7 ,evaluation & report 7#a7 ,evaluation 7,a7 ,9 g5]al ,! ,secret>y %all evaluate ! outcomes ( ! demon/ration program "u ?is section4 7,b7 ,data submission ,recipi5ts ( a grant "u subsection 7a7 %all submit to ! ,secret>y p]=mance metrics & o!r relat$ data 9 ord] to evaluate ! program = ! report describ$ 9 p>agraph 7#b74 7#b7 ,report to ,congress ,n lat] ?an ,janu>y #a1 #bjbe1 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report t includes-- 7,a7 an analysis ( ! effects ( ! demon/ration program "u ?is section on ! quality1 quantity1 & di/ribution ( mat]nal heal? c>e s]vices1 includ+ heal? c>e s]vices relat$ to pr5atal c>e1 labor c>e1 bir?+1 & po/p>tum c>e1 & ! demographics ( ! recipi5ts ( ^? s]vices2 7,b7 an analysis ( mat]nal & infant heal? outcomes 7includ+ quality ( c>e1 morbidity1 & mortality7 be=e & aft] implem5tation ( ! program 9 ! communities s]v$ by entities p>ticipat+ 9 ! demon/ration program2 & 7,c7 recomm5dations on :e!r ! demon/ration program %\ld be cont9u$4 7e7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 ,,vi ,address+ ! ,impacts ( ,,covid-#ai on ,m5tal ,heal? ,a ,creat+ ,res\rces ,to ,improve ,situations ( ,inh]5t ,sev]ity #fjja4 ,set-aside = evid5ce-bas$ crisis c>e s]vices ,section #aibj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ #ecb1ega1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #ecb1ega1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbj1 & #geh1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbb2 & 7#b7 by add+ at ! end ! foll[+3 7d7 ,crisis c>e 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#c71 a ,/ate %all exp5d at lea/ #e p]c5t ( ! am\nt ! ,/ate receives pursuant to section #aiaa = ea* fiscal ye> to support evid5c$-bas$ programs t address ! crisis c>e ne$s ( individuals ) s]i\s m5tal disord]s1 & *ildr5 ) s]i\s m5tal & emotional di/urbances4 7#b7 ,core elem5ts ,at ! discretion ( ! s+le ,/ate ag5cy responsible = ! adm9i/ration ( ! program ( ! ,/ate "u a grant "u section #aiaa1 funds exp5d$ pursuant to p>agraph 7#a7 may be us$ to fund "s or all ( ! core crisis c>e s]vice compon5ts1 deliv]$ accord+ to evid5ce-bas$ pr9ciples1 includ+ ! foll[+3 7,a7 ,crisis call c5t]s4 7,b7 #bd_/g mobile crisis s]vices4 7,c7 ,crisis /abilization programs (f]+ acute c>e or subacute c>e 9 a hospital or appropriately lic5s$ facility1 z det]m9$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ) ref]rals to inpati5t or outpati5t c>e4 7#c7 ,/ate flexibility ,9 lieu ( exp5d+ #e p]c5t ( ! am\nt ! ,/ate receives pursuant to section #aiaa = a fiscal ye> to support evid5ce-bas$ programs z requir$ by p>agraph 7#a71 a ,/ate may elect to exp5d n less ?an #aj p]c5t ( su* am\nt to support su* programs by ! end ( two consecutive fiscal ye>s4 4 ,b ,em]g5cy ,m5tal ,heal? & ,sub/ance ,use ,tra9+ & ,te*nical ,assi/ance ,c5t] #fjaa4 ,em]g5cy m5tal heal? & sub/ance use tra9+ & te*nical assi/ance c5t] ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq47 is am5d$ by ins]t+ aft] section #ebj;,a 7#db ,u4,s4,c4 #bij;bb-#cb7 ! foll[+3 #ebj;,b4 ,em]g5cy m5tal heal? & sub/ance use tra9+ & te*nical assi/ance c5t] 7a7 ,e/abli%m5t ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y1 %all e/abli% or op]ate a c5t] to be kn[n z ! ,em]g5cy ,m5tal ,heal? & ,sub/ance ,use ,tra9+ & ,te*nical ,assi/ance ,c5t] 7ref]r$ to 9 ?is section z ! ,c5t]7 to provide te*nical assi/ance & support-- 7#a7 to public or nonpr(it entities seek+ to e/abli% or exp& access to m5tal heal? & sub/ance use prev5tion1 treatm5t1 & recov]y support s]vices1 & increase aw>5ess ( su* s]vices2 & 7#b7 to public heal? pr(essionals1 heal? c>e pr(essionals & support /aff1 ess5tial work]s 7z def9$ by a ,/ate1 ,tribe1 locality1 or t]ritory71 & memb]s ( ! public to address ! trauma1 /ress1 & m5tal heal? ne$s associat$ ) an em]g5cy p]iod4 7b7 ,assi/ance & support ,! assi/ance & support provid$ "u subsection 7a7 %all include assi/ance & support ) respect to-- 7#a7 tra9+ on id5tify+ signs ( trauma1 /ress1 & m5tal heal? ne$s2 7#b7 provid+ accessible res\rces to assi/ individuals & families exp]i5c+ trauma1 /ress1 or o!r m5tal heal? ne$s dur+ & aft] an em]g5cy p]iod2 7#c7 provid+ res\rces = sub/ance use disord] prev5tion1 treatm5t1 & recov]y design$ to assi/ individuals & families dur+ & aft] an em]g5cy p]iod2 7#d7 ! provision ( language access s]vices1 includ+ translation s]vices1 int]pretation1 or o!r su* s]vices = individuals ) limit$ ,engli% speak+ pr(ici5cy or individuals ) disabilities2 & 7#e7 evaluation & improvem5t1 z necess>y1 ( ! effectiv5ess ( su* s]vices provid$ by public or nonpr(it entities4 7c7 ,be/ practices ,! ,c5t] %all p]iodically issue be/ practices = use by organizations seek+ to provide m5tal heal? s]vices or sub/ance use disord] prev5tion1 treatm5t1 or recov]y s]vices1 includ+ be/ practices = ! foll[+ special populations3 7#a7 ,inc>c]at$ individuals4 7#b7 ,*ildr54 7#c7 ,pregnant wom54 7#d7 ,und]s]v$ populations4 7#e7 ,communities ( color4 7#f7 ,heal? c>e provid]s & ess5tial work]s4 7d7 ,em]g5cy p]iod ,9 ?is section1 ! t]m em]g5cy p]iod has ! mean+ giv5 su* t]m 9 section #aace7;g77#a77;,a7 ( ! ,social ,security ,act4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #bj1jjj1jjj = ea* ( fiscal ye>s #bjba & #bjbb4 4 ,c ,suicide ,prev5tion ,grants #fjba4 ,syndromic surveillance ( self-h>m behaviors program ,title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #cag,u ( su* ,act 7#db ,u4,s4,c4 #bdg;b-#bc7 ! foll[+3 #cag,v4 ,syndromic surveillance ( self-h>m behaviors program 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to ,/ate1 local1 ,tribal1 & t]ritorial public heal? dep>tm5ts = ! expansion ( surveillance ( self-h>m4 7b7 ,data %>+ by grantees ,z a condition ( receipt ( su* grant "u subsection 7a71 ea* grantee %all agree to %>e ) ! ,c5t]s = ,disease ,control & ,prev5tion 9 real "t1 to ! ext5t feasible & z specifi$ 9 ! grant agreem5t1 data on suicides & self-h>m = purposes (-- 7#a7 track+ & monitor+ self-h>m to in=m response activities to suicide clu/]s2 7#b7 in=m+ prev5tion programm+ = id5tifi$ at-risk populations2 & 7#c7 conduct+ or support+ rese>*4 7c7 ,disaggregation ( data ,! ,secret>y %all provide = ! data collect$ ?r\gh surveillance ( self-h>m "u subsection 7b7 to be disaggregat$ by ! foll[+ categories3 7#a7 ,nonfatal self-h>m data ( any int5t4 7#b7 ,data on suicidal ideation4 7#c7 ,data on self-h>m :]e !re is no evid5ce1 :e!r implicit or explicit1 ( suicidal int5t4 7#d7 ,data on self-h>m :]e !re is evid5ce1 :e!r implicit or explicit1 ( suicidal int5t4 7#e7 ,data on self-h>m :]e suicidal int5t is uncle> bas$ on ! available evid5ce4 7d7 ,priority ,9 mak+ aw>ds "u subsection 7a71 ! ,secret>y %all give priority to eligible entities t are-- 7#a7 locat$ 9 a ,/ate ) an age-adju/$ rate ( nonfatal suicidal behavior t is above ! national rate ( nonfatal suicidal behavior1 z det]m9$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion2 7#b7 s]v+ an ,indian ,tribe 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act7 ) an age-adju/$ rate ( nonfatal suicidal behavior t is above ! national rate ( nonfatal suicidal behavior1 z det]m9$ ?r\gh appropriate me*anisms det]m9$ by ! ,secret>y 9 consultation ) ,indian ,tribes2 or 7#c7 locat$ 9 a ,/ate ) a high rate ( cov]age ( /atewide 7or ,tribal7 em]g5cy dep>tm5t visits1 z det]m9$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7e7 ,geographic di/ribution ,9 mak+ grants "u ?is section1 ! ,secret>y %all make an ef=t to ensure geographic di/ribution1 tak+ into acc\nt ! unique ne$s ( rural communities1 includ+-- 7#a7 communities ) an incid5ce ( individuals ) s]i\s m5tal illness1 demon/rat$ suicidal ideation or behavior1 or suicide rates t are above ! national av]age1 z det]m9$ by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use2 7#b7 communities ) a %ortage ( prev5tion & treatm5t s]vices1 z det]m9$ by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use & ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration2 & 7#c7 o!r appropriate community-level factors & social det]m9ants ( heal? su* z income1 employm5t1 & education4 7f7 ,p]iod ( p>ticipation ,to be select$ z a grant recipi5t "u ?is section1 a ,/ate1 local1 ,tribal1 or t]ritorial public heal? dep>tm5t %all agree to p>ticipate 9 ! program = a p]iod ( n less ?an #d ye>s4 7g7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance & tra9+ to grantees = collect+ & %>+ ! data "u subsection 7b74 7h7 ,data %>+ by ,,hhs ,subject to subsection 7b71 ! ,secret>y %all1 ) respect to data on self-h>m t is collect$ pursuant to ?is section1 %>e & integrate su* data ?r\gh-- 7#a7 ! ,national ,syndromic ,surveillance ,program's ,e>ly ,notification ( ,community ,epidemics 7,,ess5ce7 plat=m 7or any successor plat=m72 7#b7 ! ,national ,viol5t ,dea? ,report+ ,sy/em1 z appropriate2 or 7#c7 ano!r appropriate surveillance program1 includ+ su* a program t collects data on suicides & self-h>m among special populations1 su* z memb]s ( ! milit>y & vet]ans4 7i7 ,rule ( con/ruction reg>d+ applicability ( privacy protections ,no?+ 9 ?is section %all be con/ru$ to limit or alt] ! application ( ,f$]al or ,/ate law relat+ to ! privacy ( in=mation to data or in=mation t is collect$ or creat$ "u ?is section4 7j7 ,report 7#a7 ,submission ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all evaluate ! suicide & self-h>m syndromic surveillance sy/ems at ! ,f$]al1 ,/ate1 & local levels & submit a report to ,congress on ! data collect$ "u subsections 7b7 & 7c7 9 a mann] t prev5ts ! disclosure ( individually id5tifiable in=mation1 at a m9imum1 consi/5t ) all applicable privacy laws & regulations4 7#b7 ,cont5ts ,9 addition to ! data collect$ "u subsections 7b7 & 7c71 ! report "u p>agraph 7#a7 %all include-- 7,a7 *all5ges & gaps 9 data collection & report+2 7,b7 recomm5dations to address su* gaps & *all5ges2 & 7,c7 a description ( any public heal? responses initiat$ at ! ,f$]al1 ,/ate1 or local level 9 response to ! data collect$4 7k7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #bj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 #fjbb4 ,grants to provide self-h>m & suicide prev5tion s]vices ,"p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$ by add+ at ! end ! foll[+3 #ebj,n4 ,grants to provide self-h>m & suicide prev5tion s]vices 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all aw>d grants to hospital em]g5cy dep>tm5ts to provide self-h>m & suicide prev5tion s]vices4 7b7 ,activities support$ 7#a7 ,9 g5]al ,a hospital em]g5cy dep>tm5t aw>d$ a grant "u subsection 7a7 %all use am\nts "u ! grant to implem5t a program or protocol to bett] prev5t suicide attempts among hospital pati5ts aft] dis*>ge1 :i* may include-- 7,a7 scre5+ pati5ts = self-h>m & suicide 9 accordance ) ! /&>ds ( practice describ$ 9 subsection 7e77#a7 & /&>ds ( c>e e/abli%$ by appropriate m$ical & advocacy organizations2 7,b7 provid+ pati5ts %ort-t]m self-h>m & suicide prev5tion s]vices 9 accordance ) ! results ( ! scre5+s describ$ 9 subp>agraph 7,a72 & 7,c7 ref]r+ pati5ts1 z appropriate1 to a heal? c>e facility or provid] = purposes ( receiv+ long-t]m self-h>m & suicide prev5tion s]vices1 & provid+ any additional foll[ up s]vices & c>e id5tifi$ z appropriate z a result ( ! scre5+s & %ort-t]m self-h>m & suicide prev5tion s]vices describ$ 9 subp>agraphs 7,a7 & 7,b74 7#b7 ,use ( funds to hire & tra9 /aff ,am\nts aw>d$ "u subsection 7a7 may be us$ to hire cl9ical social work]s1 m5tal & behavioral heal? c>e pr(essionals1 & support /aff z appropriate1 & to tra9 exi/+ /aff & newly hir$ /aff to c>ry out ! activities describ$ 9 p>agraph 7#a74 7c7 ,grant t]ms ,a grant aw>d$ "u subsection 7a7-- 7#a7 %all be = a p]iod ( #c ye>s2 & 7#b7 may be r5ew$ subject to ! requirem5ts ( ?is section4 7d7 ,applications ,a hospital em]g5cy dep>tm5t seek+ a grant "u subsection 7a7 %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,secret>y may require4 7e7 ,/&>ds ( ,practice 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y %all develop /&>ds ( practice = scre5+ pati5ts = self-h>m & suicide = purposes ( c>ry+ out subsection 7b77#a77;,c74 7#b7 ,consultation ,! ,secret>y %all develop ! /&>ds ( practice describ$ 9 p>agraph 7#a7 9 consultation ) individuals & entities ) exp]tise 9 self-h>m & suicide prev5tion1 includ+ public1 private1 & non-pr(it entities4 7f7 ,report+ 7#a7 ,reports to ! ,secret>y 7,a7 ,9 g5]al ,a hospital em]g5cy dep>tm5t aw>d$ a grant "u subsection 7a7 %all1 at lea/ qu>t]ly = ! duration ( ! grant1 submit to ! ,secret>y a report evaluat+ ! activities support$ by ! grant4 7,b7 ,matt]s to be includ$ ,! report requir$ "u subp>agraph 7,a7 %all include-- 7i7 ! numb] ( pati5ts receiv+-- 7,i7 scre5+s c>ri$ out at ! hospital em]g5cy dep>tm5t2 7,,ii7 %ort-t]m self-h>m & suicide prev5tion s]vices at ! hospital em]g5cy dep>tm5t2 & 7,,iii7 ref]rals to heal? c>e facilities = ! purposes ( receiv+ long-t]m self-h>m & suicide prev5tion2 7ii7 in=mation on ! adh]5ce ( ! hospital em]g5cy dep>tm5t to ! /&>ds ( practice describ$ 9 subsection 7f77#a72 & 7iii7 o!r in=mation z ! ,secret>y det]m9es appropriate to evaluate ! use ( grant funds4 7#b7 ,reports to ,congress ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 & bi5nially !reaft]1 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on ! grant program "u ?is section1 includ+-- 7,a7 a summ>y ( reports receiv$ by ! ,secret>y "u p>agraph 7#a72 & 7,b7 an evaluation ( ! program by ! ,secret>y4 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #cj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 ,d ,effective ,suicide ,scre5+ 9 ! ,em]g5cy ,dep>tm5t #fjca4 ,program to improve ! c>e provid$ to pati5ts 9 ! em]g5cy dep>tm5t :o are at risk ( suicide ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #cii,v-#g4 ,program to improve ! c>e provid$ to pati5ts 9 ! em]g5cy dep>tm5t :o are at risk ( suicide 7a7 ,9 g5]al ,! ,secret>y %all e/abli% a program 79 ?is section ref]r$ to z ! ,program7 to improve ! id5tification1 assessm5t1 & treatm5t ( pati5ts 9 em]g5cy dep>tm5ts :o are at risk = suicide1 includ+ by-- 7#a7 develop+ policies & proc$ures = id5tify+ & assess+ individuals :o are at risk ( suicide2 & 7#b7 enhanc+ ! coord9ation ( c>e = su* individuals aft] dis*>ge4 7b7 ,grant e/abli%m5t & p>ticipation 7#a7 ,9 g5]al ,9 c>ry+ out ! ,program1 ! ,secret>y %all aw>d grants on a competitive basis to n m ?an #dj eligible heal? c>e sites describ$ 9 p>agraph 7#b74 7#b7 ,eligibility ,to be eligible = a grant "u ?is section1 a heal? c>e site %all-- 7,a7 submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may specify2 7,b7 be a hospital 7z def9$ 9 section #ahfa7;e7 ( ! ,social ,security ,act72 7,c7 h an em]g5cy dep>tm5t2 & 7,d7 deploy onsite heal? c>e or social s]vice pr(essionals to help connect & integrate pati5ts :o are at risk ( suicide ) treatm5t & m5tal heal? support s]vices4 7#c7 ,pref]5ce ,9 aw>d+ grants "u ?is section1 ! ,secret>y may give pref]5ce to eligible heal? c>e sites describ$ 9 p>agraph 7#b7 t meet at lea/ "o ( ! foll[+ crit]ia3 7,a7 ,! eligible heal? c>e site is a critical access hospital 7z def9$ 9 section #ahfa7mm77#a7 ( ! ,social ,security ,act74 7,b7 ,! eligible heal? c>e site is a sole community hospital 7z def9$ 9 section #ahhf7;d77#e77;,d77iii7 ( ! ,social ,security ,act74 7,c7 ,! eligible heal? c>e site is op]at$ by ! ,indian ,heal? ,s]vice1 by an ,indian tribe or tribal organization 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act71 or by an urban ,indian organization 7z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act74 7,d7 ,! eligible heal? c>e site is locat$ 9 a geographic area ) a suicide rate t is high] ?an ! national rate1 z det]m9$ by ! ,secret>y bas$ on ! mo/ rec5t data f ! ,c5t]s = ,disease ,control & ,prev5tion4 7c7 ,p]iod ( grant ,a grant aw>d$ to an eligible heal? c>e site "u ?is section %all be = a p]iod ( at lea/ #b ye>s4 7d7 ,grant uses 7#a7 ,requir$ uses ,a grant aw>d$ "u ?is section to an eligible heal? c>e site %all be us$ = ! foll[+ purposes3 7,a7 ,to tra9 em]g5cy dep>tm5t heal? c>e pr(essionals to id5tify1 assess1 & treat pati5ts :o are at risk ( suicide4 7,b7 ,to e/abli% & implem5t policies & proc$ures = em]g5cy dep>tm5ts to improve ! id5tification1 assessm5t & treatm5t ( individuals :o are at risk ( suicide4 7,c7 ,to e/abli% & implem5t policies & proc$ures ) respect to c>e coord9ation1 integrat$ c>e models1 or ref]ral to evid5ce-bas$ treatm5t to be us$ ^u ! dis*>ge f ! em]g5cy dep>tm5t ( pati5ts :o are at risk ( suicide4 7#b7 ,additional p]missible uses ,9 addition to ! requir$ uses li/$ 9 p>agraph 7#a71 a grant aw>d$ "u ?is section to an eligible heal? c>e site may be us$ = any ( ! foll[+ purposes3 7,a7 ,to hire em]g5cy dep>tm5t psy*iatri/s1 psy*ologi/s1 nurse practition]s1 c\nselors1 !rapi/s1 or o!r lic5s$ heal? c>e & behavioral heal? pr(essionals specializ+ 9 ! treatm5t ( individuals at risk ( suicide4 7,b7 ,to develop & implem5t be/ practices = ! foll[-up c>e & long-t]m treatm5t ( individuals :o are at risk ( suicide4 7,c7 ,to increase ! availability ( & access to evid5ce-bas$ treatm5t = individuals :o are at risk ( suicide1 includ+ ?r\gh teleheal? s]vices & /rategies to r$uce ! bo>d+ ( ^! pati5ts 9 em]g5cy dep>tm5ts4 7,d7 ,to (f] consultation ) & ref]ral to o!r supportive s]vices t provide evid5ce-bas$ treatm5t & recov]y = individuals :o are at risk ( suicide4 7e7 ,report+ requirem5ts 7#a7 ,reports by grantees ,ea* eligible heal? c>e site receiv+ a grant "u ?is section %all submit to ! ,secret>y an annual report = ea* ye> = :i* ! grant is receiv$ on ! progress ( ! program fund$ ?r\gh ! grant4 ,ea* su* report %all include in=mation on-- 7,a7 ! numb] ( individuals scre5$ 9 ! site's em]g5cy dep>tm5t = be+ at risk ( suicide2 7,b7 ! numb] ( individuals id5tifi$ 9 ! site's em]g5cy dep>tm5t z be+-- 7i7 survivors ( an attempt$ suicide2 or 7ii7 are at risk ( suicide2 7,c7 ! numb] ( individuals :o are id5tifi$ 9 ! site's em]g5cy dep>tm5t z be+ at risk ( suicide by a heal? c>e or behavioral heal? pr(essional hir$ pursuant to subsection 7d77#b77;,a72 7,d7 ! numb] ( individuals ref]r$ by ! site's em]g5cy dep>tm5t to o!r treatm5t facilities1 ! types ( su* o!r facilities1 & ! numb] ( su* individuals admitt$ to su* o!r facilities pursuant to su* ref]rals2 7,e7 ! effectiv5ess ( programs & activities fund$ ?r\gh ! grant 9 prev5t+ suicides & suicide attempts2 & 7,f7 any o!r relevant additional data reg>d+ ! programs & activities fund$ ?r\gh ! grant4 7#b7 ,report by ,secret>y ,n lat] ?an "o ye> aft] ! end ( fiscal ye> #bjbe1 ! ,secret>y %all submit to ,congress a report t includes-- 7,a7 f9d+s on ! ,program2 7,b7 ov]all pati5t outcomes a*iev$ ?r\gh ! ,program2 7,c7 an evaluation ( ! effectiv5ess ( hav+ a tra9$ heal? c>e or behavioral heal? pr(essional onsite to id5tify1 assess1 & treat pati5ts :o are at risk ( suicide2 & 7,d7 a compilation ( policies1 proc$ures1 & be/ practices e/abli%$1 develop$1 or implem5t$ by grantees "u ?is section4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #bj1jjj1jjj = ! p]iod ( fiscal ye>s #bjba ?r\gh #bjbe4 4 ,e ,suicide ,prev5tion ,lifel9e ,improvem5t #fjda4 ,suicide ,prev5tion ,lifel9e 7a7 ,plan ,section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$-- 7#a7 by r$esignat+ subsection 7c7 z subsection 7e72 & 7#b7 by ins]t+ aft] subsection 7b7 ! foll[+3 7c7 ,plan 7#a7 ,9 g5]al ,= purposes ( ma9ta9+ ! suicide prev5tion hotl9e "u subsection 7b77#b71 ! ,secret>y %all develop & implem5t a plan to ensure ! provision ( high-quality s]vice4 7#b7 ,cont5ts ,! plan requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,quality assurance provisions1 includ+-- 7i7 cle>ly def9$ & measurable p]=mance indicators & objectives to improve ! responsiv5ess & p]=mance ( ! hotl9e1 includ+ at backup call c5t]s2 & 7ii7 quantifiable timeframes to track ! progress ( ! hotl9e 9 meet+ su* p]=mance indicators & objectives4 7,b7 ,/&>ds t crisis c5t]s & backup c5t]s mu/ meet-- 7i7 to p>ticipate 9 ! network "u subsection 7b77#a72 & 7ii7 to ensure t ea* telephone call1 onl9e *at message1 & o!r communication receiv$ by ! hotl9e1 includ+ at backup call c5t]s1 is answ]$ 9 a timely mann] by a p]son1 consi/5t ) ! guidance e/abli%$ by ! ,am]ican ,association ( ,suicidology or o!r guidance det]m9$ by ! ,secret>y to be appropriate4 7,c7 ,guidel9es = crisis c5t]s & backup c5t]s to implem5t evid5ce-bas$ practices includ+ ) respect to foll[up & ref]ral to o!r heal? & social s]vices res\rces4 7,d7 ,guidel9es to ensure t res\rces are available & di/ribut$ to individuals us+ ! hotl9e :o are n p]sonally 9 a "t ( crisis b "k ( someone :o is4 7,e7 ,guidel9es to c>ry out p]iodic te/+ ( ! hotl9e1 includ+ at crisis c5t]s & backup c5t]s1 dur+ ea* fiscal ye> to id5tify & correct any problems 9 a timely mann]4 7,f7 ,guidel9es to op]ate 9 consultation ) ! ,/ate dep>tm5t ( heal?1 local gov]nm5ts1 ,indian tribes1 & tribal organizations4 7#c7 ,initial plan2 updates ,! ,secret>y %all-- 7,a7 n lat] ?an #f mon?s aft] ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 complete developm5t ( ! initial v]sion ( ! plan requir$ by p>agraph 7#a71 beg9 implem5tation ( su* plan1 & make su* plan publicly available2 & 7,b7 p]iodically !reaft]1 update su* plan & make ! updat$ plan publicly available4 4 7b7 ,transmission ( data to ,,cdc ,section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$ by ins]t+ aft] subsection 7c7 ( su* section1 z add$ by subsection 7a7 ( ?is section1 ! foll[+3 7d7 ,transmission ( data to ,,cdc ,! ,secret>y %all =malize & /r5g!n agreem5ts betwe5 ! ,national ,suicide ,prev5tion ,lifel9e program & ! ,c5t]s = ,disease ,control & ,prev5tion to transmit any necess>y epidemiological data f ! program to ! ,c5t]s1 includ+ local call c5t] data1 to assi/ ! ,c5t]s 9 suicide prev5tion ef=ts4 4 7c7 ,au?orization ( appropriations ,subsection 7e7 ( section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$ to read z foll[s3 7e7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #ej1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbc4 7#b7 ,allocation ,( ! am\nt au?oriz$ to be appropriat$ by p>agraph 7#a7 = ea* ( fiscal ye>s #bjba ?r\gh #bjbc1 at lea/ #hj p]c5t %all be made available to crisis c5t]s4 4 #fjdb4 ,pilot program on innovative te*nologies 7a7 ,pilot program 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all c>ry out a pilot program to rese>*1 analyze1 & employ v>i\s te*nologies & plat=ms ( communication 7includ+ social m$ia plat=ms1 text+ plat=ms1 & email plat=ms7 = suicide prev5tion 9 addition to ! telephone & onl9e *at s]vice provid$ by ! ,suicide ,prev5tion ,lifel9e4 7#b7 ,au?orization ( appropriations ,to c>ry out p>agraph 7#a71 !re is au?oriz$ to be appropriat$ #e1jjj1jjj = ! p]iod ( fiscal ye>s #bjba & #bjbb4 7b7 ,report ,n lat] ?an #bd mon?s aft] ! date on :i* ! pilot program "u subsection 7a7 comm5ces1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all submit to ! ,congress a report on ! pilot program4 ,) respect to ea* plat=m ( communication employ$ pursuant to ! pilot program1 ! report %all include-- 7#a7 a full description ( ! program2 7#b7 ! numb] ( individuals s]v$ by ! program2 7#c7 ! av]age wait "t = ea* individual to receive a response2 7#d7 ! co/ ( ! program1 includ+ ! co/ p] individual s]v$2 & 7#e7 any o!r in=mation ! ,secret>y det]m9es appropriate4 #fjdc4 ,,hhs /udy & report ,n lat] ?an #bd mon?s aft] ! ,secret>y ( ,heal? & ,human ,s]vices beg9s implem5tation ( ! plan requir$ by section #ebj;,e-#c7;c7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #fjda7;a77#b7 ( ?is subtitle1 ! ,secret>y %all-- 7#a7 complete a /udy on-- 7,a7 ! implem5tation ( su* plan1 includ+ ! progress t[>ds meet+ ! objectives id5tifi$ pursuant to p>agraph 7#b77;,a77i7 ( su* section #ebj;,e-#c7;c7 by ! timeframes id5tifi$ pursuant to p>agraph 7#b77;,a77ii7 ( su* section #ebj;,e-#c7;c72 & 7,b7 9 consultation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 options to exp& data ga!r+ f calls to ! ,suicide ,prev5tion ,lifel9e 9 ord] to bett] track aspects ( usage su* z repeat calls1 consi/5t ) applicable ,f$]al & ,/ate privacy laws2 & 7#b7 submit a report to ! ,congress on ! results ( su* /udy1 includ+ recomm5dations on :e!r additional legislation or appropriations are ne$$4 #fjdd4 ,,gao /udy & report 7a7 ,9 g5]al ,n lat] ?an #bd mon?s aft] ! ,secret>y ( ,heal? & ,human ,s]vices beg9s implem5tation ( ! plan requir$ by section #ebj;,e-#c7;c7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #fjda7;a77#b7 ( ?is subtitle1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all-- 7#a7 complete a /udy on ! ,suicide ,prev5tion ,lifel9e2 & 7#b7 submit a report to ! ,congress on ! results ( su* /udy4 7b7 ,issues ,to be /udi$ ,! /udy requir$ by subsection 7a7 %all address-- 7#a7 ! feasibility ( geolocat+ call]s to direct calls to ! ne>e/ crisis c5t]2 7#b7 op]ation %ortcom+s ( ! ,suicide ,prev5tion ,lifel9e2 7#c7 geographic cov]age ( ea* crisis call c5t]2 7#d7 ! call answ] rate ( ea* crisis call c5t]2 7#e7 ! call wait "t ( ea* crisis call c5t]2 7#f7 ! h\rs ( op]ation ( ea* crisis call c5t]2 7#g7 fund+ av5ues ( ea* crisis call c5t]2 7#h7 ! implem5tation ( ! plan "u section #ebj;,e-#c7;c7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #fjda7;a7 ( ?is subtitle1 includ+ ! progress t[>ds meet+ ! objectives id5tifi$ pursuant to p>agraph 7#b77;,a77i7 ( su* section #ebj;,e-#c7;c7 by ! timeframes id5tifi$ pursuant to p>agraph 7#b77;,a77ii7 ( su* section #ebj;,e-#c7;c72 & 7#i7 s]vice to individuals reque/+ a =eign language speak]1 includ+-- 7,a7 ! numb] ( calls or *ats ! ,lifel9e receives f individuals speak+ a =eign language2 7,b7 ! capacity ( ! ,lifel9e to h&le ^! calls or *ats2 & 7,c7 ! numb] ( crisis c5t]s ) ! capacity to s]ve =eign language speak]s1 9 h\se4 7c7 ,recomm5dations ,! report requir$ by subsection 7a7 %all include recomm5dations = improv+ ! ,suicide ,prev5tion ,lifel9e1 includ+ recomm5dations = legislative & adm9i/rative actions4 #fjde4 ,def9ition ,9 ?is subtitle1 ! t]m ,suicide ,prev5tion ,lifel9e means ! suicide prev5tion hotl9e ma9ta9$ pursuant to section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c74 ,f ,campaign ,to ,prev5t ,suicide #fjea4 ,national ,suicide ,prev5tion ,lifel9e ,section #ebj;,e-#c7;b77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7b77#b77 is am5d$ by ins]t+ aft] suicide prev5tion hotl9e ! foll[+3 1 :i*1 beg9n+ n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 %all be a #c-;digit nationwide toll-free telephone numb]14 #fjeb4 ,national suicide prev5tion m$ia campaign 7a7 ,national suicide prev5tion m$ia campaign 7#a7 ,9 g5]al ,n lat] ?an ! date t is ?ree ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 9 coord9ation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 7ref]r$ to 9 ?is section z ! ,assi/ant ,secret>y7 & ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7ref]r$ to 9 ?is section z ! ,director71 %all conduct a national suicide prev5tion m$ia campaign 7ref]r$ to 9 ?is section z ! national m$ia campaign71 9 accordance ) ! requirem5ts ( ?is section1 = purposes (-- 7,a7 prev5t+ suicide 9 ! ,unit$ ,/ates2 7,b7 educat+ families1 fri5ds1 & communities on h[ to address suicide & suicidal ?\ghts1 includ+ :5 to enc\rage individuals ) suicidal risk to seek help2 & 7,c7 increas+ aw>5ess ( suicide prev5tion res\rces ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration 7includ+ ! suicide prev5tion hotl9e ma9ta9$ "u section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c771 any suicide prev5tion mobile application ( ! ,c5t]s = ,disease ,control & ,prev5tion or ! ,sub/ance ,abuse ,m5tal ,heal? ,s]vices ,adm9i/ration1 & o!r support res\rces det]m9$ appropriate by ! ,secret>y4 7#b7 ,additional consultation ,9 addition to coord9at+ ) ! ,assi/ant ,secret>y & ! ,director "u ?is section1 ! ,secret>y %all consult )1 z appropriate1 ,/ate1 local1 ,tribal1 & t]ritorial heal? dep>tm5ts1 prim>y heal? c>e provid]s1 hospitals ) em]g5cy dep>tm5ts1 m5tal & behavioral heal? s]vices provid]s1 crisis response s]vices provid]s1 fir/ respond]s1 suicide prev5tion & m5tal heal? pr(essionals1 pati5t advocacy gr\ps1 survivors ( suicide attempts1 & repres5tatives ( television & social m$ia plat=ms 9 plann+ ! national m$ia campaign to be conduct$ "u p>agraph 7#a74 7b7 ,t>get audi5ces 7#a7 ,tailor+ adv]tisem5ts & o!r communications ,9 conduct+ ! national m$ia campaign "u subsection 7a77#a71 ! ,secret>y may tailor culturally compet5t adv]tisem5ts & o!r communications ( ! campaign across all available m$ia = a t>get audi5ce 7su* z a p>ticul> geographic location or demographic7 across ! lifespan4 7#b7 ,t>get+ c]ta9 local areas ,! ,secret>y %all1 to ! maximum ext5t practicable1 use am\nts made available "u subsection 7f7 = m$ia t t>gets individuals 9 local areas ) high] suicide rates4 7c7 ,use ( funds 7#a7 ,requir$ uses 7,a7 ,9 g5]al ,! ,secret>y %all1 to ! ext5t reasonably feasible ) ! funds made available "u subsection 7f71 c>ry out ! foll[+1 ) respect to ! national m$ia campaign3 7i7 ,! pur*ase ( adv]tis+ "t & space1 includ+ ! /rategic plann+ =1 & acc\nt+ (1 any su* pur*ase4 7ii7 ,creative s]vices & tal5t co/s4 7iii7 ,adv]tis+ production co/s4 7iv7 ,te/+ & evaluation ( adv]tis+4 7v7 ,evaluation ( ! effectiv5ess ( ! national m$ia campaign4 7vi7 ,op]ational & managem5t exp5ses4 7vii7 ,! creation ( an educational toolkit = television & social m$ia plat=ms to use 9 discuss+ suicide & rais+ aw>5ess ab\t h[ to prev5t suicide4 7,b7 ,specific requirem5ts 7i7 ,te/+ & evaluation ( adv]tis+ ,9 te/+ & evaluat+ adv]tis+ "u subp>agraph 7,a77iv71 ! ,secret>y %all te/ all adv]tisem5ts aft] use 9 ! national m$ia campaign to evaluate ! ext5t to :i* su* adv]tisem5ts h be5 effective 9 c>ry+ out ! purposes ( ! national m$ia campaign4 7ii7 ,evaluation ( effectiv5ess ( national m$ia campaign ,9 evaluat+ ! effectiv5ess ( ! national m$ia campaign "u subp>agraph 7,a77v71 ! ,secret>y %all take into acc\nt-- 7,i7 ! numb] ( unique calls t are made to ! suicide prev5tion hotl9e ma9ta9$ "u section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 & assess :e!r !re are any ,/ate & regional v>iations ) respect to ! capacity to answ] su* calls2 7,,ii7 ! numb] ( unique enc\nt]s ) suicide prev5tion & support res\rces ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & assess engagem5t ) su* suicide prev5tion & support res\rces2 7,,iii7 :e!r ! national m$ia campaign has contribut$ to increas$ aw>5ess t suicidal individuals %\ld be engag$1 r ?an ignor$2 & 7,,iv7 su* o!r measures ( evaluation z ! ,secret>y det]m9es are appropriate4 7#b7 ,optional uses ,! ,secret>y may use am\nts made available "u subsection 7f7 = ! foll[+1 ) respect to ! national m$ia campaign3 7,a7 ,p>tn]%ips ) pr(essional & civic gr\ps1 community-bas$ organizations1 includ+ fai?-bas$ organizations1 & ,gov]nm5t or ,tribal organizations t ! ,secret>y det]m9es h exp]i5ce 9 suicide prev5tion1 includ+ ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & ! ,c5t]s = ,disease ,control & ,prev5tion4 7,b7 ,ent]ta9m5t indu/ry outrea*1 int]active outrea*1 m$ia projects & activities1 public in=mation1 news m$ia outrea*1 outrea* ?r\gh television programs1 & corporate sponsor%ip & p>ticipation4 7d7 ,prohibitions ,none ( ! am\nts made available "u subsection 7f7 may be obligat$ or exp5d$ = any ( ! foll[+3 7#a7 ,to supplant curr5t suicide prev5tion campaigns4 7#b7 ,= p>tisan political purposes1 or to express advocacy 9 support ( or to defeat any cle>ly id5tifi$ c&idate1 cle>ly id5tifi$ ballot initiative1 or cle>ly id5tifi$ legislative or regulatory proposal4 7e7 ,report to ,congress ,n lat] ?an #ah mon?s aft] implem5tation ( ! national m$ia campaign has begun1 ! ,secret>y1 9 coord9ation ) ! ,assi/ant ,secret>y & ! ,director1 %all1 ) respect to ! fir/ ye> ( ! national m$ia campaign1 submit to ,congress a report t describes-- 7#a7 ! /rategy ( ! national m$ia campaign & :e!r specific objectives ( su* campaign 7 accompli%$1 includ+ :e!r su* campaign impact$ ! numb] ( calls made to lifel9e crisis c5t]s & ! capacity ( su* c5t]s to manage su* calls2 7#b7 /eps tak5 to ensure t ! national m$ia campaign op]ates 9 an effective & effici5t mann] consi/5t ) ! ov]all /rategy & focus ( ! national m$ia campaign2 7#c7 plans to pur*ase adv]tis+ "t & space2 7#d7 policies & practices implem5t$ to ensure t ,f$]al funds are us$ responsibly to pur*ase adv]tis+ "t & space & elim9ate ! pot5tial = wa/e1 fraud1 & abuse2 & 7#e7 all contracts ent]$ into ) a corporation1 a p>tn]%ip1 or an individual work+ on behalf ( ! national m$ia campaign4 7f7 ,au?orization ( appropriations ,= purposes ( c>ry+ out ?is section1 !re is au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 ,g ,help+ ,em]g5cy ,respond]s ,ov]come #fjfa4 ,data sy/em to capture national public safety (fic] suicide incid5ce ,! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ be=e section #cah ( su* ,act 7#db ,u4,s4,c4 #bdg;c7 ! foll[+3 #cag,w4 ,data sy/em to capture national public safety (fic] suicide incid5ce 7a7 ,9 g5]al ,! ,secret>y1 9 coord9ation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & o!r ag5cies z ! ,secret>y det]m9es appropriate1 %all-- 7#a7 develop & ma9ta9 a data sy/em1 to be kn[n z ! ,public ,safety ,(fic] ,suicide ,report+ ,sy/em1 = ! purposes (-- 7,a7 collect+ data on ! suicide incid5ce among public safety (fic]s2 & 7,b7 facilitat+ ! /udy ( successful int]v5tions to r$uce suicide among public safety (fic]s2 & 7#b7 integrate su* sy/em into ! ,national ,viol5t ,dea? ,report+ ,sy/em1 s long z ! ,secret>y det]m9es su* integration to be consi/5t ) ! purposes describ$ 9 p>agraph 7#a74 7b7 ,data collection ,9 collect+ data = ! ,public ,safety ,(fic] ,suicide ,report+ ,sy/em1 ! ,secret>y %all1 at a m9imum1 collect ! foll[+ in=mation3 7#a7 ,! total numb] ( suicides 9 ! ,unit$ ,/ates among all public safety (fic]s 9 a giv5 cal5d> ye>4 7#b7 ,suicide rates = public safety (fic]s 9 a giv5 cal5d> ye>1 disaggregat$ by-- 7,a7 age & g5d] ( ! public safety (fic]2 7,b7 ,/ate2 7,c7 occupation2 includ+ bo? ! individual's role 9 _! public safety ag5cy & _! prim>y occupation 9 ! case ( volunte] public safety (fic]s2 7,d7 :]e available1 ! /atus ( ! public safety (fic] z volunte]1 paid-on-call1 or c>e]2 & 7,e7 /atus ( ! public safety (fic] z active or retir$4 7c7 ,consultation dur+ developm5t ,9 develop+ ! ,public ,safety ,(fic] ,suicide ,report+ ,sy/em1 ! ,secret>y %all consult ) non-,f$]al exp]ts to det]m9e ! be/ means to collect data reg>d+ suicide incid5ce 9 a safe1 s5sitive1 anonym\s1 & effective mann]4 ,su* non-,f$]al exp]ts %all include1 z appropriate1 ! foll[+3 7#a7 ,public heal? exp]ts ) exp]i5ce 9 develop+ & ma9ta9+ suicide regi/ries4 7#b7 ,organizations t track suicide among public safety (fic]s4 7#c7 ,m5tal heal? exp]ts ) exp]i5ce 9 /udy+ suicide & o!r pr(ession-relat$ traumatic /ress4 7#d7 ,cl9icians ) exp]i5ce 9 diagnos+ & treat+ m5tal heal? issues4 7#e7 ,active & retir$ volunte]1 paid-on-call1 & c>e] public safety (fic]s4 7#f7 ,relevant national police1 & fire & em]g5cy m$ical s]vices1 organizations4 7d7 ,data privacy & security ,9 develop+ & ma9ta9+ ! ,public ,safety ,(fic] ,suicide ,report+ ,sy/em1 ! ,secret>y %all ensure t all applicable ,f$]al privacy & security protections are foll[$ to ensure t-- 7#a7 ! confid5tiality & anonymity ( suicide victims & _! families are protect$1 includ+ s z to ensure t data _c be us$ to d5y b5efits2 & 7#b7 data is suffici5tly secure to prev5t unau?oriz$ access4 7e7 ,report+ 7#a7 ,annual report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act1 & biannually !reaft]1 ! ,secret>y %all submit a report to ! ,congress on ! suicide incid5ce among public safety (fic]s4 ,ea* su* report %all-- 7,a7 include ! numb] & rate ( su* suicide incid5ce1 disaggregat$ by age1 g5d]1 & ,/ate ( employm5t2 7,b7 id5tify *>act]i/ics & contribut+ circum/ances = suicide among public safety (fic]s2 7,c7 disaggregate rates ( suicide by-- 7i7 occupation2 7ii7 /atus z volunte]1 paid-on-call1 or c>e]2 & 7iii7 /atus z active or retir$2 7,d7 include recomm5dations = fur!r /udy reg>d+ ! suicide incid5ce among public safety (fic]s2 7,e7 specify 9 detail1 if f\nd1 any ob/acles 9 collect+ suicide rates = volunte]s & include recomm5d$ improvem5ts to ov]come su* ob/acles2 7,f7 id5tify options = int]v5tions to r$uce suicide among public safety (fic]s2 & 7,g7 describe proc$ures to ensure ! confid5tiality & anonymity ( suicide victims & _! families1 z describ$ 9 subsection 7d77#a74 7#b7 ,public availability ,^u ! submission ( ea* report to ! ,congress "u p>agraph 7#a71 ! ,secret>y %all make ! full report publicly available on ! website ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7f7 ,def9ition ,9 ?is section1 ! t]m public safety (fic] means-- 7#a7 a public safety (fic] z def9$ 9 section #abjd ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh2 or 7#b7 a public safety telecommunicator z describ$ 9 detail$ occupation #dc-ejca 9 ! ,/&>d ,occupational ,classification ,manual ( ! ,(fice ( ,managem5t & ,budget 7#bjah74 7g7 ,prohibit$ use ( in=mation ,not)/&+ any o!r provision ( law1 if an individual is id5tifi$ z deceas$ bas$ on in=mation conta9$ 9 ! ,public ,safety ,(fic] ,suicide ,report+ ,sy/em1 su* in=mation may n be us$ to d5y or resc9d life insurance paym5ts or o!r b5efits to a survivor ( ! deceas$ individual4 4 #fjfb4 ,pe]-support behavioral heal? & wellness programs )9 fire dep>tm5ts & em]g5cy m$ical s]vice ag5cies 7a7 ,9 g5]al ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdc et seq47 is am5d$ by add+ at ! end ! foll[+3 #cbj;,b4 ,pe]-support behavioral heal? & wellness programs )9 fire dep>tm5ts & em]g5cy m$ical s]vice ag5cies 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to eligible entities = ! purpose ( e/abli%+ or enhanc+ pe]-support behavioral heal? & wellness programs )9 fire dep>tm5ts & em]g5cy m$ical s]vices ag5cies4 7b7 ,program description ,a pe]-support behavioral heal? & wellness program fund$ "u ?is section %all-- 7#a7 use c>e] & volunte] memb]s ( fire dep>tm5ts or em]g5cy m$ical s]vices ag5cies to s]ve z pe] c\nselors2 7#b7 provide tra9+ to memb]s ( c>e]1 volunte]1 & comb9ation fire dep>tm5ts or em]g5cy m$ical s]vice ag5cies to s]ve z su* pe] c\nselors2 7#c7 pur*ase mat]ials to be us$ exclusively to provide su* tra9+2 & 7#d7 dissem9ate su* in=mation & mat]ials z are necess>y to conduct ! program4 7c7 ,def9ition ,9 ?is section3 7#a7 ,! t]m eligible entity means a nonpr(it organization ) exp]tise & exp]i5ce ) respect to ! heal? & life safety ( memb]s ( fire & em]g5cy m$ical s]vices ag5cies4 7#b7 ,! t]m memb]-- 7,a7 ) respect to an em]g5cy m$ical s]vices ag5cy1 means an employee1 reg>dless ( rank or :e!r ! employee receives comp5sation 7z def9$ 9 section #abjd7g7 ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh72 & 7,b7 ) respect to a fire dep>tm5t1 means any employee1 reg>dless ( rank or :e!r ! employee receives comp5sation1 ( a ,f$]al1 ,/ate1 ,tribal1 or local fire dep>tm5t :o is responsible = respond+ to calls = em]g5cy s]vice4 4 7b7 ,te*nical correction ,effective z if includ$ 9 ! enactm5t ( ! ,*ildr5's ,heal? ,act ( #bjjj 7,public ,law #ajf-caj71 ! am5dm5t in/ruction 9 section #afjc ( su* ,act is am5d$ by /rik+ ,"p ,b ( ! ,public ,heal? ,s]vice ,act & ins]t+ ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act4 #fjfc4 ,heal? c>e provid] behavioral heal? & wellness programs ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdc et seq471 z am5d$ by section #fjfb1 is fur!r am5d$ by add+ at ! end ! foll[+3 #cbj;,c4 ,heal? c>e provid] behavioral heal? & wellness programs 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to eligible entities = ! purpose ( e/abli%+ or enhanc+ behavioral heal? & wellness programs = heal? c>e provid]s4 7b7 ,program description ,a behavioral heal? & wellness program fund$ "u ?is section %all-- 7#a7 provide confid5tial support s]vices = heal? c>e provid]s to help h&le /ressful or traumatic pati5t-relat$ ev5ts1 includ+ c\nsel+ s]vices & wellness sem9>s2 7#b7 provide tra9+ to heal? c>e provid]s to s]ve z pe] c\nselors to o!r heal? c>e provid]s2 7#c7 pur*ase mat]ials to be us$ exclusively to provide su* tra9+2 & 7#d7 dissem9ate su* in=mation & mat]ials z are necess>y to conduct su* tra9+ & provide su* pe] c\nsel+4 7c7 ,def9itions ,9 ?is section1 ! t]m eligible entity means a hospital1 includ+ a critical access hospital 7z def9$ 9 section #ahfa7mm77#a7 ( ! ,social ,security ,act7 or a disproportionate %>e hospital 7z def9$ "u section #aibc7;a77#a77;,a7 ( su* ,act71 a f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #aije7a77b77;,b7 ( su* ,act71 or any o!r heal? c>e facility4 4 #fjfd4 ,developm5t ( res\rces = educat+ m5tal heal? pr(essionals ab\t treat+ fire fight]s & em]g5cy m$ical s]vices p]sonnel 7a7 ,9 g5]al ,! ,adm9i/rator ( ! ,unit$ ,/ates ,fire ,adm9i/ration1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all develop & make publicly available res\rces t may be us$ by ! ,f$]al ,gov]nm5t & o!r entities to educate m5tal heal? pr(essionals ab\t-- 7#a7 ! culture ( ,f$]al1 ,/ate1 ,tribal1 & local c>e]1 volunte]1 & comb9ation fire dep>tm5ts & em]g5cy m$ical s]vices ag5cies2 7#b7 ! diff]5t /ressors exp]i5c$ by firefight]s & em]g5cy m$ical s]vices p]sonnel1 sup]visory firefight]s & em]g5cy m$ical s]vices p]sonnel1 & *ief (fic]s ( fire dep>tm5ts & em]g5cy m$ical s]vices ag5cies2 7#c7 *all5ges enc\nt]$ by retir$ firefight]s & em]g5cy m$ical s]vices p]sonnel2 & 7#d7 evid5ce-bas$ !rapies = m5tal heal? issues common to firefight]s & em]g5cy m$ical s]vices p]sonnel )9 su* dep>tm5ts & ag5cies4 7b7 ,consultation ,9 develop+ res\rces "u subsection 7a71 ! ,adm9i/rator ( ! ,unit$ ,/ates ,fire ,adm9i/ration & ! ,secret>y ( ,heal? & ,human ,s]vices %all consult ) national fire & em]g5cy m$ical s]vices organizations4 7c7 ,def9itions ,9 ?is section3 7#a7 ,! t]m firefight] means any employee1 reg>dless ( rank or :e!r ! employee receives comp5sation1 ( a ,f$]al1 ,/ate1 ,tribal1 or local fire dep>tm5t :o is responsible = respond+ to calls = em]g5cy s]vice4 7#b7 ,! t]m em]g5cy m$ical s]vices p]sonnel means any employee1 reg>dless ( rank or :e!r ! employee receives comp5sation1 z def9$ 9 section #abjd7g7 ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajbhd7g774 7#c7 ,! t]m *ief (fic] means any individual :o is responsible = ! ov]all op]ation ( a fire dep>tm5t or an em]g5cy m$ical s]vices ag5cy1 irrespective ( :e!r su* individual also s]ves z a firefight] or em]g5cy m$ical s]vices p]sonnel4 #fjfe4 ,be/ practices & o!r res\rces = address+ po/traumatic /ress disord] 9 public safety (fic]s 7a7 ,developm5t2 updates ,! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 develop & assemble evid5ce-bas$ be/ practices & o!r res\rces to id5tify1 prev5t1 & treat po/traumatic /ress disord] & co-occurr+ disord]s 9 public safety (fic]s2 & 7#b7 reassess & update1 z ! ,secret>y det]m9es necess>y1 su* be/ practices & res\rces1 includ+ bas$ ^u ! options = int]v5tions to r$uce suicide among public safety (fic]s id5tifi$ 9 ! annual reports requir$ by section #cag,w7e77#a77;,f7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by section #fjfa ( ?is subtitle4 7b7 ,consultation ,9 develop+1 assembl+1 & updat+ ! be/ practices & res\rces "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all consult )1 at a m9imum1 ! foll[+3 7#a7 ,public heal? exp]ts4 7#b7 ,m5tal heal? exp]ts ) exp]i5ce 9 /udy+ suicide & o!r pr(ession-relat$ traumatic /ress4 7#c7 ,cl9icians ) exp]i5ce 9 diagnos+ & treat+ m5tal heal? issues4 7#d7 ,relevant national police1 fire1 & em]g5cy m$ical s]vices organizations4 7c7 ,availability ,! ,secret>y ( ,heal? & ,human ,s]vices %all make ! be/ practices & res\rces "u subsection 7a7 available to ,f$]al1 ,/ate1 & local fire1 law en=cem5t1 & em]g5cy m$ical s]vices ag5cies4 7d7 ,f$]al tra9+ & developm5t programs ,! ,secret>y ( ,heal? & ,human ,s]vices %all "w ) ,f$]al dep>tm5ts & ag5cies1 includ+ ! ,unit$ ,/ates ,fire ,adm9i/ration1 to incorporate education & tra9+ on ! be/ practices & res\rces "u subsection 7a7 into ,f$]al tra9+ & developm5t programs = public safety (fic]s4 7e7 ,def9ition ,9 ?is section1 ! t]m public safety (fic] means-- 7#a7 a public safety (fic] z def9$ 9 section #abjd ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajbhd72 or 7#b7 a public safety telecommunicator z describ$ 9 detail$ occupation #dc-ejca 9 ! ,/&>d ,occupational ,classification ,manual ( ! ,(fice ( ,managem5t & ,budget 7#bjah74 ,h ,behavioral ,heal? ,int]v5tion ,guidel9es #fjga4 ,be/ practices = behavioral int]v5tion teams ,! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ebj;,g ( su* ,act 7#db ,u4,s4,c4 #bij;bb-#ch7 ! foll[+ new section3 #ebj;,h4 ,be/ practices = behavioral int]v5tion teams 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y1 %all develop & p]iodically update-- 7#a7 be/ practices to assi/ elem5t>y s*ools1 second>y s*ools1 & in/itutions ( high] education 9 e/abli%+ & us+ behavioral int]v5tion teams2 & 7#b7 a li/ ( evid5ce-bas$ ?reat assessm5t tra9+ provid]s to assi/ p]sonnel 9 elem5t>y s*ools1 second>y s*ools1 & in/itutions ( high] education 9 implem5t+ su* be/ practices1 includ+ ) respect to tra9+ behavioral int]v5tion teams4 7b7 ,elem5ts ,! be/ practices "u subsection 7a77#a7 %all include guidance on ! foll[+3 7#a7 ,h[ behavioral int]v5tion teams c op]ate effectively f an evid5ce-bas$1 objective p]spective :ile protect+ ! con/itutional & civil rights ( individuals1 includ+ any individual ( conc]n4 7#b7 ,! use ( behavioral int]v5tion teams to id5tify individuals ( conc]n1 implem5t int]v5tions1 & manage risk ?r\gh ! framework ( ! s*ool's or in/itution's rules or code ( conduct1 z applicable4 7#c7 ,h[ behavioral int]v5tion teams c1 :5 assess+ an individual ( conc]n-- 7,a7 seek tra9+ on evid5ce-bas$1 ?reat-assessm5t rubrics2 7,b7 ensure t su* teams-- 7i7 h adequately tra9$1 div]se /akehold]s ) v>i$ exp]tise2 & 7ii7 use cross validation by a wide-range ( individual p]spectives on ! team2 & 7,c7 use viol5ce risk assessm5t4 7#d7 ,h[ behavioral int]v5tion teams c avoid-- 7,a7 attempt+ to pr$ict future behavior by ! concept ( pre-crime2 7,b7 inappropriately us+ a m5tal heal? assessm5t2 7,c7 inappropriately limit+ or re/rict+ law en=cem5t's jurisdiction ov] crim9al matt]s2 7,d7 attempt+ to sub/itute ! behavioral int]v5tion process 9 place ( a crim9al process1 or imp$e a crim9al process1 :5 an individual ( conc]n's behavior has pot5tial crim9al implications2 7,e7 endang]+ an individual's privacy by fail+ to ensure t all applicable ,f$]al & ,/ate privacy laws are fully compli$ )2 or 7,f7 creat+ s*ool-to-prison pipel9es4 7c7 ,consultation ,9 c>ry+ out subsection 7a77#a71 ! ,secret>y %all consult )-- 7#a7 ! ,secret>y ( ,education2 7#b7 ! ,director ( ! ,national ,?reat ,assessm5t ,c5t] ( ! ,dep>tm5t ( ,homel& ,security2 7#c7 ! ,attorney ,g5]al ( ! ,unit$ ,/ates2 & 7#d7 z appropriate1 relevant /akehold]s includ+-- 7,a7 tea*]s & o!r educators1 pr9cipals1 s*ool adm9i/rators1 s*ool bo>d memb]s1 s*ool psy*ologi/s1 m5tal heal? pr(essionals1 & p>5ts ( elem5t>y s*ool & second>y s*ool /ud5ts2 7,b7 local law en=cem5t ag5cies & campus law en=cem5t adm9i/rators2 7,c7 m5tal heal? mobile crisis provid]s2 7,d7 *ild & adolesc5t psy*iatri/s2 & 7,e7 o!r education & m5tal heal? pr(essionals4 7d7 ,publication ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all publi% ! be/ practices "u subsection 7a77#a7 & ! li/ "u subsection 7a77#b7 on a publicly accessible website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7e7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance to in/itutions ( high] education1 elem5t>y s*ools1 & second>y s*ools to assi/ su* in/itutions & s*ools 9 implem5t+ ! be/ practices "u subsection 7a74 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m behavioral int]v5tion team means a team ( qualifi$ individuals :o-- 7,a7 are responsible = id5tify+ & assess+ individuals ( conc]n2 & 7,b7 develop & facilitate implem5tation ( evid5ce-bas$ int]v5tions to mitigate ! ?reat ( h>m to self or o!rs pos$ by individuals ( conc]n & address ! m5tal & behavioral heal? ne$s ( individuals ( conc]n to r$uce su* ?reat4 7#b7 ,! t]ms elem5t>y s*ool1 p>5t1 & second>y s*ool h ! mean+s giv5 to su* t]ms 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#c7 ,! t]m individual ( conc]n means an individual ^: behavior indicates a pot5tial ?reat to self or o!rs4 7#d7 ,! t]m in/itution ( high] education has ! mean+ giv5 to su* t]m 9 section #ajb ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajjb74 7#e7 ,! t]m m5tal heal? assessm5t means an evaluation1 prim>ily focus$ on diagnosis1 det]m9+ ! ne$ = involunt>y commitm5t1 m$ication managem5t1 & on-go+ treatm5t recomm5dations4 7#f7 ,! t]m pre-crime means law-en=cem5t ef=ts & /rategies to det] crime by pr$ict+ :5 & :]e crim9al activity w occur4 7#g7 ,! t]m viol5ce risk assessm5t ref]s to a broad det]m9ation ( ! pot5tial risk ( viol5ce bas$ on evid5ce-bas$ lit]ature4 4 ,i ,suicide ,tra9+ & ,aw>5ess ,nationally ,deliv]$ = ,univ]sal ,prev5tion #fjha4 ,/ud5t suicide aw>5ess & prev5tion tra9+ 7a7 ,9 g5]al ,title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ebj;,a ( su* ,act 7#db ,u4,s4,c4 #bij;bb-#cb7 ! foll[+3 #ebj;,b4 ,/ud5t suicide aw>5ess & prev5tion tra9+ policies 7a7 ,9 g5]al ,z a condition on receipt ( funds "u section #ebj;,a1 ea* ,/ate educational ag5cy1 local educational ag5cy1 & ,tribal educational ag5cy t receives su* funds1 directly or ?r\gh a ,/ate or ,indian ,tribe1 = activities to be p]=m$ )9 second>y s*ools1 includ+ ! ,project ,,aw>e ,/ate ,education ,ag5cy ,grant ,program1 %all-- 7#a7 e/abli% & implem5t a s*ool-bas$ /ud5t suicide aw>5ess & prev5tion tra9+ policy2 7#b7 consult ) /akehold]s 7includ+ pr9cipals1 tea*]s1 p>5ts1 local ,tribal (ficials1 & o!r s*ool lead]s7 9 ! developm5t ( ! policy "u subsection 7a77#a72 & 7#c7 collect & report in=mation 9 accordance ) subsection 7c74 7b7 ,s*ool-,bas$ /ud5t suicide aw>5ess & prev5tion tra9+ policy ,a s*ool-bas$ /ud5t suicide aw>5ess & prev5tion tra9+ policy implem5t$ pursuant to subsection 7a7-- 7#a7 %all be evid5ce-bas$2 7#b7 %all be culturally & l+ui/ically appropriate2 7#c7 %all provide evid5ce-bas$ tra9+ to /ud5ts 9 grades #f ?r\gh #ab1 9 coord9ation ) s*ool-bas$ m5tal heal? s]vice provid]s z def9$ 9 section #dajb7f7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife1 if applicable1 reg>d+-- 7,a7 suicide education & aw>5ess1 includ+ w>n+ signs ( self-h>m or suicidal ideation2 7,b7 me?ods t /ud5ts c use to seek help = !mselves & o!rs2 & 7,c7 /ud5t res\rces = suicide aw>5ess & prev5tion2 7#d7 %all provide = retra9+ ( su* /ud5ts e s*ool ye>2 7#e7 may la/ = su* p]iod z ! ,/ate educational ag5cy1 local educational ag5cy1 or ,tribal educational ag5cy involv$ det]m9es to be appropriate2 7#f7 may be implem5t$ ?r\gh any deliv]y me?od1 includ+ 9-p]son tra9+s1 digital tra9+s1 or tra9-!-tra9] models2 & 7#g7 may include discussion ( comorbidities or risk factors = suicidal ideation or self-h>m1 includ+ sub/ance misuse1 sexual or physical abuse1 m5tal illness1 or o!r evid5ce-bas$ comorbidities & risk factors4 7c7 ,collection ( in=mation & report+ ,ea* ,/ate educational ag5cy1 local educational ag5cy1 & ,tribal educational ag5cy t receives funds "u section #ebj;,a %all1 ) respect to ea* s*ool s]v$ by ! ag5cy1 collect & report to ! ,secret>y ! foll[+ in=mation3 7#a7 ,! numb] ( /ud5t tra9+s conduct$4 7#b7 ,! numb] ( /ud5ts tra9$1 disaggregat$ by age & grade level4 7#c7 ,! numb] ( help-seek+ reports made by /ud5ts aft] implem5tation ( su* policy4 7d7 ,evid5ce-,bas$ program li/+ ,! ,secret>y ( ,heal? & ,human ,s]vices %all coord9ate ) ! ,secret>y ( ,education to make publicly available ! policies e/abli%$ by ,/ate educational ag5cies1 local educational ag5cies1 & ,tribal educational ag5cies pursuant to ?is section & ! tra9+ t is available to /ud5ts & teams pursuant to su* policies1 includ+ id5tification ( :e!r su* tra9+ is available to tra9ees at no co/4 7e7 ,implem5tation timel9e ,a ,/ate educational ag5cy1 local educational ag5cy1 or ,tribal educational ag5cy %all e/abli% & beg9 implem5tation ( ! policies requir$ by subsection 7a77#a7 n lat] ?an ! beg9n+ ( ! ?ird fiscal ye> foll[+ ! date ( enactm5t ( ?is section = :i* ! ag5cy receives funds "u section #ebj;,a4 7f7 ,def9itions ,9 ?is section & section #ebj;,b-#a3 7#a7 ,! t]m evid5ce-bas$ has ! mean+ giv5 to su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife4 7#b7 ,! t]m local educational ag5cy has ! mean+ giv5 to su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife4 7#c7 ,! t]m ,/ate educational ag5cy has ! mean+ giv5 to su* t]m 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife4 7#d7 ,! t]m ,tribal educational ag5cy has ! mean+ giv5 to ! t]m tribal educational ag5cy 9 section #facb ( ! ,elem5t>y & ,second>y ,education ,act ( #aife4 #ebj;,b-#a4 ,be/ practices = /ud5t suicide aw>5ess & prev5tion tra9+ ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,secret>y ( ,education & ! ,bureau ( ,indian ,education1 %all-- 7#a7 publi% be/ practices = s*ool-bas$ /ud5t suicide aw>5ess & prev5tion tra9+1 pursuant to section #ebj;,b1 t are bas$ on-- 7,a7 evid5ce-bas$ practices2 & 7,b7 input f relevant ,f$]al ag5cies1 national organizations1 ,indian ,tribes & ,tribal organizations1 & relat$ /akehold]s2 7#b7 publi% guidance1 bas$ on ! be/ practices "u p>agraph 7#a71 to provide ,/ate educational ag5cies1 local educational ag5cies1 & ,tribal educational ag5cies ) in=mation on /ud5t suicide aw>5ess & prev5tion be/ practices2 7#c7 dissem9ate su* be/ practices to ,/ate educational ag5cies1 local educational ag5cies1 & ,tribal educational ag5cies2 & 7#d7 provide te*nical assi/ance to ,/ate educational ag5cies1 local educational ag5cies1 & ,tribal educational ag5cies4 4 #fjhb4 ,effective date ,! am5dm5ts made by ?is subtitle %all only apply ) respect to applications = assi/ance "u section #ebj;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cb7 t are submitt$ aft] ! date ( enactm5t ( ?is ,act4 ,,vii ,address+ ! ,impacts ( ,,covid-#ai on ,sub/ance ,use ,disord]s ,a ,easy ,m$ication ,access & ,treatm5t = ,opioid ,addiction #gjja4 ,disp5sation ( n>cotic drugs = ! purpose ( reliev+ acute )drawal symptoms f opioid use disord] ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all revise section #acjf4jg7;b7 ( title #ba1 ,code ( ,f$]al ,regulations1 s t practition]s1 9 accordance ) applicable ,/ate1 ,f$]al1 or local laws relat+ to controll$ sub/ances1 are all[$ to disp5se n m ?an a ?ree-day supply ( n>cotic drugs to "o p]son or = "o p]son's use at "o "t = ! purpose ( initiat+ ma9t5ance treatm5t or detoxification treatm5t 7or bo?74 ,b ,access to ,remote ,behavioral ,heal? ,treatm5t #gjaa4 ,regi/ration ( qualifi$ community m5tal heal? c5t]s 7a7 ,def9itions ,section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb7 is am5d$-- 7#a7 by /rik+ p>agraph 7#ed77;,a77i7 & ins]t+ ! foll[+3 7i7 :ile ! pati5t is be+ treat$ by1 & physically locat$ 9-- 7,i7 a hospital or cl9ic regi/]$ "u section #cjc7;f72 or 7,,ii7 a qualifi$ community m5tal heal? c5t] regi/]$ "u section #cjc7l72 & 2 7#b7 by r$esignat+ p>agraph 7#eh7 z p>agraph 7#ei72 7#c7 by r$esignat+ ! second p>agraph 7#eg7 7z add$ by section #dja7;a7 ( ! ,fir/ ,/ep ,act ( #bjah 7,public ,law #aae-cia77 z p>agraph 7#eh72 & 7#d7 by add+ at ! end ! foll[+3 7#fj7 ,! t]m qualifi$ community m5tal heal? c5t] means a facility t-- 7,a7 7i7 meets ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act to be consid]$ a community m5tal heal? c5t]2 or 7ii7 meets ! crit]ia specifi$ pursuant to section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad to be consid]$ a c]tifi$ community behavioral heal? cl9ic2 & 7,b7 is lic5s$1 op]at$1 au?oriz$1 c]tifi$1 or o!rwise recogniz$ by a ,/ate gov]nm5t4 4 7b7 ,regi/ration ,section #cjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7 is am5d$ by add+ at ! end ! foll[+3 7l7 ,qualifi$ community m5tal heal? c5t]s 7#a7 ,regi/ration ,! ,attorney ,g5]al %all regi/] qualifi$ community m5tal heal? c5t]s to adm9i/] controll$ sub/ances ?r\gh ! practice ( telem$ic9e4 7#b7 ,d5ial ( applications ,! ,attorney ,g5]al may d5y an application = regi/ration "u p>agraph 7#a7 if ! ,attorney ,g5]al det]m9es t ! regi/ration w\ld be inconsi/5t ) ! public int]e/ aft] consid]+-- 7,a7 any recomm5dation by ! lic5s+ bo>d or pr(essional discipl9>y au?ority ( ! ,/ate 9 :i* ! applicant is locat$2 7,b7 ! exp]i5ce ( ! applicant 9 treat+ pati5ts2 7,c7 any conviction ( an employee ( ! applicant "u ,f$]al or ,/ate law relat+ to treatm5t ( pati5ts2 7,d7 ! compliance ( ! applicant ) applicable ,f$]al1 ,/ate1 or local laws relat+ to treatm5t ( pati5ts2 & 7,e7 any o!r conduct by ! applicant t may ?reat5 ! public's heal? & safety4 4 7c7 ,report to ,congress ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,congress a plan = implem5tation ( ! am5dm5ts made by subsections 7a7 & 7b74 7d7 ,delay$ applicability ,! am5dm5ts made by subsections 7a7 & 7b7 apply beg9n+ on ! date t is #abj days aft] ! date ( enactm5t ( ?is ,act4 ,c ,,pdmp ,pilot ,program #gjba4 ,pilot program = integrat+ sub/ance use disord] & behavioral heal? treatm5t locator tool into ,/ate prescription drug monitor+ programs 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all e/abli% & implem5t a pilot program 9 :i* ! ,secret>y aw>ds grants to1 or ent]s into coop]ative agreem5ts )1 n m ?an #e eligible ,/ates to te/ ! feasibility & outcomes ( integrat+ a sub/ance use disord] & behavioral heal? treatm5t locator tool into ! ,/ate's prescription drug monitor+ program4 7b7 ,grant e/abli%m5t & p>ticipation 7#a7 ,9 g5]al ,9 c>ry+ out ! pilot program "u ?is section1 ! ,secret>y %all1 on a competitive basis1 aw>d grants to1 or ent] into coop]ative agreem5ts )1 n m ?an #e eligible ,/ates4 7#b7 ,eligibility ,to be eligible = a grant "u ?is section1 a ,/ate %all demon/rate to ! ,secret>y's satisfaction t ! ,/ate is mak+ progress 9 integrat+ ! ,/ate's ,,pdmp ) electronic heal? records & heal? in=mation te*nology infra/ructure4 7#c7 ,pref]5ce ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give pref]5ce to eligible ,/ates describ$ 9 p>agraph 7#b7 ^: rates ( dea? due to drug ov]dose p] population ( #ajj1jjj are 9 ! top qu>tile accord+ to ! mo/ rec5t data ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7c7 ,p]iod ( grant ,a grant aw>d$ to an eligible entity "u ?is section %all be = a p]iod ( #b ye>s4 7d7 ,grant uses 7#a7 ,requir$ uses ,a grant aw>d$ "u ?is section to an eligible ,/ate %all be us$ = bo? ( ! foll[+ purposes3 7,a7 ,to integrate a sub/ance use disord] & behavioral heal? treatm5t locator tool into ! ,,pdmp4 7,b7 ,to develop & dissem9ate guidance = heal? c>e provid]s on h[ to consult & %>e in=mation obta9$ ?r\gh ! sub/ance use disord] & behavioral heal? treatm5t locator tool :5 a pati5t's ,,pdmp in=mation indicates possible misuse ( a controll$ sub/ance4 7#b7 ,additional p]missible uses ,a grant aw>d$ "u ?is section to an eligible ,/ate may be us$ = any ( ! foll[+ additional purposes3 7,a7 ,to integrate a sub/ance use disord] & behavioral heal? treatm5t locator tool into ! ,,pdmp t incorporates direct ref]ral capabilities t enable ! heal? c>e provid]-- 7i7 to ref] a pati5t to treatm5t or = an assessm5t2 & 7ii7 consi/5t ) ! protection ( in=mation by ,f$]al & ,/ate privacy laws & security rules1 receive fe$back ab\t ! pati5t's engagem5t ) su* treatm5t or assessm5t4 7,b7 ,to integrate a sub/ance use disord] & behavioral heal? treatm5t locator tool into ! ,,pdmp t provides in=mation reg>d+ ! curr5t capacity ( inpati5t or outpati5t treatm5t res\rces ( a heal? c>e provid]4 7e7 ,report+ requirem5ts 7#a7 ,reports by ,/ates ,ea* eligible ,/ate t p>ticipates 9 ! pilot program "u ?is section %all submit to ! ,secret>y an annual report = ea* ye> ( ! pilot program t includes in=mation on-- 7,a7 ! numb] ( heal? c>e provid]s & heal? facilities ) access to ! sub/ance use disord] & behavioral heal? treatm5t locator tool2 7,b7 ! numb] ( individuals ref]r$ to treatm5t ) ! assi/ance ( ! locator tool2 7,c7 aggregate1 de-id5tifi$ pati5t data relat$ to ! type ( treatm5t locat$ by ! locator tool1 h[ (t5 pati5ts foll[$ ?r\gh on seek+ su* treatm5t1 & ! av]age duration ( su* treatm5t1 to ! ext5t collect$ by ! ,/ate2 7,d7 fe$back f provid]s ) access to ! locator tool on usability & any impact on outcomes2 7,e7 recomm5dations to improve ! usability & efficacy ( a sub/ance use disord] & behavioral heal? treatm5t locator tool )9 ! ,,pdmp2 & 7,f7 additional in=mation & report+ metrics z det]m9$ by ! ,secret>y4 7#b7 ,report by ,secret>y ,n less ?an #ahj days aft] ! conclusion ( ! pilot program "u ?is section1 ! ,secret>y %all submit to ! ,congress a report on ! f9d+s ( ! program1 includ+-- 7,a7 outcomes report$ by ! p>ticipat+ ,/ates2 7,b7 f9d+s on ! suitability ( includ+ a sub/ance use disord] & behavioral heal? treatm5t locator tool )9 ,/ate ,p,d,m,ps2 & 7,c7 recomm5dations on be/ practices = integrat+ a sub/ance use disord] & behavioral heal? treatm5t locator tool )9 ,/ate ,p,d,m,ps4 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m prescription drug monitor+ program or ,,pdmp has ! mean+ giv5 to ! t]m ,,pdmp 9 section #cii,o ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#c74 7#b7 ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #b1ejj1jjj = ea* ( fiscal ye>s #bjba & #bjbb4 ,d ,family ,support ,s]vices = ,addiction #gjca4 ,family support s]vices = individuals /ruggl+ ) sub/ance use disord] ,"p ,d ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd et seq47 is am5d$ by add+ at ! end ! foll[+3 #eec4 ,family support s]vices = individuals /ruggl+ ) sub/ance use disord] 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m family community organization means an indep5d5t nonpr(it organization t-- 7,a7 mobilizes res\rces )9 & outside ( ! community ( families ) individuals liv+ ) addiction1 to provide a support network1 education1 & evid5ce-in=m$ tools = families & lov$ ones ( individuals /ruggl+ ) sub/ance use disord]s2 & 7,b7 is gov]n$ by exp]ts 9 ! field ( addiction1 :i* may include-- 7i7 exp]ts 9 evid5ce-in=m$ int]v5tions = family memb]s2 7ii7 exp]ts 9 ! impact ( addiction on family sy/ems2 7iii7 families :o h exp]i5ce ) sub/ance use disord]s & addiction2 & 7iv7 o!r exp]ts 9 ! field ( addiction2 & 7#b7 ! t]m family support s]vices means res\rces or programs t support families t include an individual ) sub/ance use disord]4 7b7 ,grants au?oriz$ ,! ,secret>y %all aw>d grants to family community organizations to enable su* organizations to develop1 exp&1 & enhance evid5ce-in=m$ family support s]vices4 7c7 ,f$]al %>e ,! ,f$]al %>e ( ! co/s ( a program fund$ by a grant "u ?is section may n exce$ #he p]c5t4 7d7 ,use ( funds ,grants aw>d$ "u subsection 7b7-- 7#a7 %all be us$ to develop1 exp&1 & enhance community & /atewide evid5ce-in=m$ family support s]vices2 & 7#b7 may be us$ to-- 7,a7 build connections betwe5 family support networks1 includ+ provid+ te*nical assi/ance betwe5 family community organizations & pe] support networks1 & ) o!r family support s]vices1 focus$ on enhanc+ k ( evid5ce-in=m$ int]v5tions = family memb]s & lov$ ones ( individuals liv+ ) sub/ance use disord]s & r$uc+ h>m by educat+ s]vice provid]s on curr5t evid5ce reg>d+ addiction & ! family1 includ+-- 7i7 behavioral heal? provid]s1 includ+ su* provid]s focus$ specifically on family & c\ples !rapy 9 ! context ( addiction2 7ii7 prim>y c>e provid]s2 7iii7 provid]s ( fo/] c>e s]vices or support s]vices = gr&p>5ts1 gu>dians1 & o!r ext5d$ family impact$ by addiction2 & 7iv7 o!r family support s]vices t connect to community res\rces = individuals ) sub/ance use disord]s1 includ+ non-cl9ical community s]vices2 7,b7 r$uce /igma associat$ ) ! family ( individuals ) sub/ance use disord]s by improv+ k ab\t addiction & its treatm5t1 provid+ compassionate support1 & dispell+ my?s t p]petuate su* /igma2 7,c7 conduct outrea* on issues relat+ to sub/ance use disord]s & family support1 :i* may include education1 tra9+1 & res\rces ) respect to-- 7i7 build+ a resili5ce- & /r5g?s-bas$ approa* to prev5tion (1 & liv+ )1 addiction 9 ! family2 7ii7 id5tify+ ! signs ( sub/ance use disord]2 7iii7 adopt+ an approa* t m9imizes h>m to all family memb]s2 & 7iv7 families ( individuals ) a sub/ance use disord]1 includ+ ) respect to-- 7,i7 navigat+ ! treatm5t & recov]y sy/ems2 7,,ii7 pay+ = addiction treatm5t2 7,,iii7 education ab\t sub/ance use disord]2 & 7,,iv7 avoid+ pr$atory treatm5t programs2 & 7,d7 connect families to evid5ce-in=m$ pe] support programs4 7e7 ,data report+ & program ov]sight ,) respect to a grant aw>d$ "u subsection 7a71 n lat] ?an #ij days aft] ! end ( ! fir/ ye> ( ! grant p]iod1 & annually !reaft] = ! duration ( ! grant p]iod1 ! entity %all submit data1 z appropriate & to ! ext5t practicable1 to ! ,secret>y reg>d+-- 7#a7 ! programs & activities fund$ by ! grant2 7#b7 heal? outcomes ( ! population ( individuals ) a sub/ance use disord] :o receiv$ s]vices ?r\gh programs support$ by ! grant1 z evaluat$ by an indep5d5t program evaluator ?r\gh ! use ( outcomes measures1 z det]m9$ by ! ,secret>y2 & 7#c7 any o!r in=mation t ! secret>y may require = ! purpose ( ensur+ t ! grant recipi5t is comply+ ) all ! requirem5ts ( ! grant4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 ,e ,block1 ,report1 ,& ,susp5d ,suspici\s ,%ipm5ts #gjda4 ,cl>ification ( process = regi/rants to ex]cise due dilig5ce ^u discov]+ a suspici\s ord] 7a7 ,9 g5]al ,p>agraph 7#c7 ( section #cab7;a7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hcb7;a77 is am5d$ to read z foll[s3 7#c7 ^u discov]+ a suspici\s ord] or s]ies ( ord]s-- 7,a7 ex]cise due dilig5ce2 7,b7 e/abli% & ma9ta9 7= n less ?an a p]iod to be det]m9$ by ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration7 a record ( ! due dilig5ce t 0 p]=m$2 7,c7 decl9e to fill ! ord] or s]ies ( ord]s if ! due dilig5ce fails to resolve all ( ! indicators t gave rise to ! suspicion t fill+ ! ord] or s]ies ( ord]s w\ld cause a violation ( ?is title by ! regi/rant or ! prospective pur*as]2 & 7,d7 notify ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration & ! ,special ,ag5t 9 ,*>ge ( ! ,division ,(fice ( ! ,drug ,en=cem5t ,adm9i/ration = ! area 9 :i* ! regi/rant is locat$ or conducts bus9ess (-- 7i7 ea* suspici\s ord] or s]ies ( ord]s discov]$ by ! regi/rant2 & 7ii7 ! indicators giv+ rise to ! suspicion t fill+ ! ord] or s]ies ( ord]s w\ld cause a violation ( ?is title by ! regi/rant or ! prospective pur*as]4 4 7b7 ,applicability ,section #cab7;a77#c7 ( ! ,controll$ ,sub/ances ,act1 z am5d$ by subsection 7a71 %all apply beg9n+ on ! day t is #f mon?s aft] ! date ( enactm5t ( ?is ,act4 ,until su* day1 section #cab7;a77#c7 ( ! ,controll$ ,sub/ances ,act %all apply z su* section #cab7;a77#c7 0 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act4 7c7 ,regulations ,! ,attorney ,g5]al %all1 issue regulations specify+1 = purposes ( p>agraph 7#c7 ( section #cab7;a7 ( ! ,controll$ ,sub/ances ,act1 z add$ by subsection 7a71 ! indicators t give rise to a suspicion t fill+ an ord] or s]ies ( ord]s w\ld cause a violation ( title ,,iii ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hja et seq47 by a regi/rant or a prospective pur*as]4 ,f ,deb>m5t ,en=cem5t ( ,bad ,actor ,regi/rants #gjea4 ,deb>m5t ( c]ta9 regi/rants ,section #cjd ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbd7 is am5d$ by add+ at ! end ! foll[+3 7h7 ,! ,attorney ,g5]al may issue an ord] to prohibit1 conditionally or unconditionally1 & p]man5tly or = su* p]iod z ! ,attorney ,g5]al may det]m9e1 any p]son f be+ regi/]$ "u ?is title to manufacture1 di/ribute1 or disp5se a controll$ sub/ance or a li/ ,i *emical1 if ! ,attorney ,g5]al f9ds t-- 7#a7 su* p]son meets or has met any ( ! conditions = susp5sion or revocation ( regi/ration "u subsection 7a72 & 7#b7 su* p]son has a hi/ory ( prior susp5sions or revocations ( regi/ration4 4 ,g ,ensur+ ,compliance ,aga9/ ,opioid ,div]sion #gjfa4 ,modification1 transf]1 & t]m9ation ( regi/ration to manufacture1 di/ribute1 or disp5se controll$ sub/ances ,subsection 7a7 ( section #cjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbb7 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#c7 7,a7 ,except z provid$ 9 subp>agraph 7,c71 ! regi/ration ( any regi/rant "u ?is title to manufacture1 di/ribute1 or disp5se controll$ sub/ances or li/ ,i *emicals t]m9ates if & :5 su* regi/rant-- 7i7 dies2 7ii7 ceases legal exi/5ce2 7iii7 discont9ues bus9ess or pr(essional practice2 or 7iv7 surr5d]s su* regi/ration4 7,b7 ,9 ! case ( su* a regi/rant :o ceases legal exi/5ce or discont9ues bus9ess or pr(essional practice1 su* regi/rant %all promptly notify ! ,attorney ,g5]al 9 writ+ ( su* fact4 7,c7 ,no regi/ration "u ?is title to manufacture1 di/ribute1 or disp5se controll$ sub/ances or li/ ,i *emicals1 & no au?ority conf]r$ !reby1 may be assign$ or o!rwise transf]r$ except ^u su* conditions z ! ,attorney ,g5]al may specify & !n only pursuant to writt5 cons5t4 ,a regi/rant to :om a regi/ration is assign$ or transf]r$ pursuant to ! prec$+ s5t5ce may n manufacture1 di/ribute1 or disp5se controll$ sub/ances or li/ ,i *emicals pursuant to su* regi/ration until ! ,attorney ,g5]al receives su* writt5 cons5t4 7,d7 ,9 ! case ( a regi/rant "u ?is title to manufacture1 di/ribute1 or disp5se controll$ sub/ances or li/ ,i *emicals desir+ to discont9ue bus9ess or pr(essional practice altoge!r or ) respect to controll$ sub/ances & li/ ,i *emicals 7)\t assign+ or transf]r+ su* bus9ess or pr(essional practice to ano!r entity71 su* regi/rant %all return to ! ,attorney ,g5]al = cancellation-- 7i7 ! regi/rant's c]tificate ( regi/ration2 7ii7 any unexecut$ ord] =ms 9 ! regi/rant's possession2 & 7iii7 any o!r docum5tation t ! ,attorney ,g5]al may require4 4 ,h ,opioid ,prescription ,v]ification #gjga4 ,mat]ials = tra9+ ph>maci/s on c]ta9 circum/ances "u :i* a ph>maci/ may decl9e to fill a prescription 7a7 ,updates to mat]ials ,section #cbab7;a7 ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga7 is am5d$ by /rik+ ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 ,commission] ( ,food & ,drugs1 ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 & ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all develop & dissem9ate & ins]t+ ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 ,commission] ( ,food & ,drugs1 ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 & ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all develop & dissem9ate n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & update p]iodically !reaft]4 7b7 ,mat]ials includ$ ,section #cbab7;b7 ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga7 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#a7 & 7#b7 z p>agraphs 7#b7 & 7#c71 respectively2 & 7#b7 by ins]t+ be=e p>agraph 7#b71 z s r$esignat$1 ! foll[+ new p>agraph3 7#a7 ph>maci/s on h[ to v]ify ! id5tity ( individuals pick+ up prescriptions2 4 7c7 ,mat]ials = tra9+ on v]ification ( id5tity ,section #cbab ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7d7 ,mat]ials = tra9+ on v]ification ( id5tity ( individuals pick+ up prescrib$ m$ications ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is subsection1 ! ,secret>y ( ,heal? & ,human ,s]vices1 aft] seek+ /akehold] input 9 accordance ) subsection 7c71 %all-- 7#a7 update ! mat]ials develop$ "u subsection 7a7 to include in=mation = ph>maci/s on h[ to v]ify ! id5tity ( individuals pick+ up prescrib$ m$ications2 & 7#b7 dissem9ate1 z appropriate1 ! updat$ mat]ials4 4 #gjgb4 ,inc5tiviz+ ,/ates to facilitate responsible1 in=m$ disp5s+ ( controll$ sub/ances 7a7 ,9 g5]al ,section #cib;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a7 is am5d$-- 7#a7 by r$esignat+ subsections 7c7 & 7d7 z subsections 7d7 & 7e71 respectively2 & 7#b7 by ins]t+ aft] subsection 7b7 ! foll[+ new subsection3 7c7 ,pref]5ce ,9 det]m9+ ! am\nts ( grants aw>d$ to ,/ates "u subsections 7a7 & 7b71 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion may give pref]5ce to ,/ates 9 accordance ) su* crit]ia z ! ,director may specify & may *oose to give pref]5ce to ,/ates t-- 7#a7 ma9ta9 a prescription drug monitor+ program2 7#b7 require disp5s]s ( controll$ sub/ances 9 s*$ule ,,ii1 ,,iii1 or ,,iv to v]ify ! id5tity ( ! p]son :o picks up a prescrib$ m$ication by requir+ su* p]son to pres5t a photo id5tification c>d t is valid z det]m9$ by ! respective ,/ate2 & 7#c7 require disp5s]s ( su* controll$ sub/ances to ent] c]ta9 in=mation ab\t ! pur*ase ( su* controll$ sub/ances into ! respective ,/ate's prescription drug monitor+ program1 includ+-- 7,a7 ! ,national ,drug ,code or1 9 ! case ( comp\nd$ m$ications1 comp\nd id5tifi]2 7,b7 ! quantity disp5s$2 7,c7 ! "n ( ! pati5t2 7,d7 ! "n ( ! ultimate us]2 7,e7 ! "n ( ! p]son :o picks up ! controll$ sub/ance1 if diff]5t f ! pati5t & ultimate us]2 & 7,f7 ! date fill$4 4 7b7 ,def9itions ,subsection 7d7 ( section #cib;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a71 z r$esignat$ by subsection 7a77#a71 is am5d$ to read z foll[s3 7d7 ,def9itions ,9 ?is section3 7#a7 ,controll$ sub/ance ,! t]m controll$ sub/ance has ! mean+ giv5 t t]m 9 section #ajb ( ! ,controll$ ,sub/ances4 7#b7 ,disp5s] ,! t]m disp5s] means a physician1 ph>maci/1 or o!r p]son t disp5ses a controll$ sub/ance to an ultimate us]4 7#c7 ,indian tribe ,! t]m ,indian tribe has ! mean+ giv5 t t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#d7 ,/ate ,! t]m ,/ate means ea* ( ! #ej ,/ates1 ! ,di/rict ( ,columbia1 & any commonweal? or t]ritory ( ! ,unit$ ,/ates4 7#e7 ,ultimate us] ,! t]m ultimate us] means a p]son :o has obta9$ f a disp5s]1 & :o possesses1 a controll$ sub/ance = ! p]son's own use1 = ! use ( a memb] ( ! p]son's h\sehold1 or = ! use ( an animal4 4 ,i ,suspici\s ,ord] ,id5tification #gjha4 ,/r5g!n+ ,,arcos ,section #cjg7;d7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbg7;d77 is am5d$ to read z foll[s3 7#a7 7,a7 ,e regi/rant "u section #cjc %all & 9 su* =m z ! ,attorney ,g5]al may require1 make reports 9 electronic =mat to ! ,attorney ,g5]al ( e sale1 deliv]y1 or o!r disposal 7o!r ?an by disp5s+ by a practition]7 by ! regi/rant ( any controll$ sub/ance1 id5tify+ by ! regi/ration numb] assign$ "u ?is title ! p]son or e/abli%m5t 7unless exempt f regi/ration "u section #cjb7;d77 to :om su* sale1 deliv]y1 or o!r disposal 0 made4 7,b7 ,e regi/rant %all make ea* report requir$ "u subp>agraph 7,a7-- 7i7 n lat] ?an #cj days aft] ! sale1 deliv]y1 or o!r disposal2 or 7ii7 aft] ! date on :i* ! real-"t report+ sy/em is e/abli%$ "u section #gjhb7;e77#c7 ( ! ,commitm5t to ,defeat ! ,virus & ,keep ,am]ica ,heal?y ,act is implem5t$1 9 real "t4 4 #gjhb4 ,suspici\s ,ord]s ,task ,=ce 7a7 ,def9itions ,9 ?is section3 7#a7 ,adm9i/rator ,! t]m ,adm9i/rator means ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration4 7#b7 ,controll$ sub/ance2 di/ributor2 manufactur] ,! t]ms controll$ sub/ance1 di/ributor1 & manufactur] h ! mean+s giv5 ^? t]ms 9 section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb74 7#c7 ,real "t ,! t]m real "t means ) z little delay z te*nically & economically feasible1 z det]m9$ by ! ,attorney ,g5]al foll[+ ! program design$ "u subsection 7e77#a71 b n to exce$ #bd h\rs4 7#d7 ,regi/rant ,! t]m regi/rant-- 7,a7 means a p]son regi/]$ "u section #cjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc72 & 7,b7 does n include practition]4 7b7 ,e/abli%m5t ,! ,attorney ,g5]al1 9 consultation ) ! ,director ( ! ,(fice ( ,national ,drug ,control ,policy & ! ,secret>y ( ,heal? & ,human ,s]vices1 %all e/abli% a ,suspici\s ,ord] ,monitor+ ,task ,=ce 7ref]r$ to 9 ?is section z ! ,task ,=ce74 7c7 ,composition 7#a7 ,9 g5]al ,! ,task ,=ce %all be compos$ ( appropriate p]sonnel f-- 7,a7 ! ,dep>tm5t ( ,ju/ice2 7,b7 ! ,drug ,en=cem5t ,adm9i/ration2 7,c7 ! ,(fice ( ,national ,drug ,control ,policy2 7,d7 ! ,national ,in/itute ( ,/&>ds & ,te*nology2 & 7,e7 o!r appropriate ,f$]al1 ,/ate1 & local law en=cem5t & regulatory ag5cies ) exp]i5ce 9 inve/igat+ & prosecut+ illegal transactions ( controll$ sub/ances z det]m9$ by ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices4 7#b7 ,consultants ,! ,task ,=ce %all consult )-- 7,a7 indu/ry memb]s1 includ+-- 7i7 data analytic pr(essionals2 7ii7 community ph>macies t disp5se controll$ sub/ances2 7iii7 *a9 ph>macies t disp5se controll$ sub/ances2 7iv7 di/ributors ( controll$ sub/ances2 7v7 manufactur]s ( controll$ sub/ances2 7vi7 ,/ate & local public heal? (ficials2 & 7vii7 o!r relevant indu/ry pr(essionals2 & 7,b7 relevant indu/ry regulators & entities t utilize real-"t report+ ( transactions1 ord]s1 or o!r activities ) ! goal ( id5tify+ suspici\s activity1 su* z appropriate p]sonnel f ! ,f9ancial ,crimes ,en=cem5t ,network & money transf] indu/ry pr(essionals4 7d7 ,meet+s 7#a7 ,9 g5]al ,! ,task ,=ce %all meet n less frequ5tly ?an #d times p] ye> & at su* o!r times z may be det]m9$ necess>y by ! ,task ,=ce4 7#b7 ,initial meet+ ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,task ,=ce %all hold ! initial meet+ ( ! ,task ,=ce4 7e7 ,prelim9>y ord] evaluation program 7#a7 ,9 g5]al 7,a7 ,design ,n lat] ?an #fj days aft] ! date on :i* ! ,task ,=ce holds ! initial meet+ requir$ "u subsection 7d77#b71 ! ,task ,=ce %all beg9 to design a program 9 accordance ) p>agraph 7#b74 7,b7 ,purpose ,! program describ$ 9 subp>agraph 7,a7 %all be design$ to %>e necess>y data1 9 a limit$ capacity1 ) regi/rants 9 ord] to provide regi/rants ) in=mation to id5tify suspici\s ord]+ 9 real "t4 7,c7 ,deadl9e = completion ,n lat] ?an #h mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,task ,=ce %all complete ! design requir$ "u subp>agraph 7,a74 7#b7 ,requirem5ts 7,a7 ,9 g5]al ,! program requir$ "u p>agraph 7#a7 %all e/abli% a process =-- 7i7 transition+ to a requirem5t to report 9 real "t to ! ,attorney ,g5]al "u section #cjg7;d7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbg7;d77 e sale1 deliv]y1 or o!r disposal by a regi/rant ( any controll$ sub/ance2 7ii7 limit$ %>+ 9 real "t ( ,automation ( ,reports & ,consolidat$ ,ord]s ,sy/em 7commonly kn[n z ,,arcos7 data ) regi/rants to %>e necess>y data1 9 a limit$ capacity1 ) regi/rants 9 ord] to provide regi/rants ) in=mation to id5tify suspici\s ord]+ 9 real "t2 & 7iii7 ensur+ data privacy1 data de-id5tification1 protection ( trade secrets & pur*as+ hi/ory4 7,b7 ,o!r consid]ations ,9 design+ ! program "u p>agraph 7#a71 ! ,task ,=ce %all take into consid]ation-- 7i7 ! inclusion ( a waiv] process = ph>macies & o!r regi/rants unable to transmit ord]s electronically on ! date ( enactm5t ( ?is ,act2 7ii7 a me*anism to ensure t ! co/s ( runn+ ! program are n pass$ ?r\gh to cu/om]s ( regi/rants1 unless ! regi/rants are cu/om]s ( o!r regi/rants2 7iii7 te*nical requirem5ts = ensur+ t regi/rants may access all relevant de-id5tifi$ data1 ) output provid$ 9 a /&>d database file =mat2 & 7iv7 a me*anism to ensure t ! program requir$ to be design$ "u subp>agraph 7,a7 is updat$ bas$ on fe$back f indu/ry memb]s & o!r relevant entities4 7#c7 ,implem5tation ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all-- 7,a7 implem5t ! program design$ "u p>agraph 7#a7 to collect & %>e 9 real "t data = regi/rants to evaluate ! ord]s ( controll$ sub/ances f di/ributors to manufactur]s & f ph>macies to di/ributors2 or 7,b7 o!rwise implem5t a program to collect & %>e 9 real "t data = drug manufactur]s & di/ributors1 by provid+ access to anonymiz$ in=mation to help drug manufactur]s & di/ributors id5tify1 report1 & /op suspici\s ord]s ( controll$ sub/ances & r$uce div]sion rates4 7#d7 ,recomm5d$ /atutory & regulatory *anges ,9 design+ ! program requir$ "u p>agraph 7#a71 ! ,task ,=ce-- 7,a7 %all submit to ! ,attorney ,g5]al any recomm5dations = necess>y am5dm5ts to regulations ( ! ,dep>tm5t ( ,ju/ice relat+ to ! requirem5ts = ord]+ s*$ule ,,ii controll$ sub/ances1 s z to all[ uni=m electronic ord]+ ( controll$ sub/ances 9 s*$ules ,,ii1 ,,iii1 ,,iv1 & ,v electronically ?r\gh ! program2 & 7,b7 may submit to ,congress any recomm5dations = necess>y legislative *anges s t a real-"t data analytics solution c be us$ across ! ,unit$ ,/ates4 7#e7 ,responsibility ( regi/rants ,all regi/]$ drug manufactur]s & di/ributors %all be responsible = review+ any in=mation made available by ! ,attorney ,g5]al & comply+ ) any regulations reg>d+ ! program design$ "u p>agraph 7#a7 & implem5t$ "u p>agraph 7#c74 7f7 ,fund+ 7#a7 ,9 g5]al ,! ,attorney ,g5]al1 act+ ?r\gh ! ,adm9i/rator1 %all use am\nts collect$ z fees = di/ributors & regi/rants "u section #cjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7 & section #ajjg ( ! ,controll$ ,sub/ances ,import & ,export ,act 7#ba ,u4,s4,c4 #ieg7 to c>ry out ?is section4 7#b7 ,(fset 7,a7 ,9 g5]al ,! ,adm9i/rator may1 on an equal basis & 9 accordance ) subp>agraph 7,b71 increase ! fees describ$ 9 p>agraph 7#a7 = di/ributors & regi/rants to ! ext5t necess>y to defray ! co/s ( ?is section4 7,b7 ,ti]$ fee ,! ,adm9i/rator %all e/abli% a ti]$ us] fee = di/ributors & regi/rants 9 proportion to ! volume ( sales & pur*ases4 7g7 ,applicability ( ,,faca 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all apply to ! ,task ,=ce4 7#b7 ,t]m9ation ,! ,task ,=ce %all t]m9ate on ! date on :i* ! program is fully implem5t$ "u subsection 7e77#c74 7h7 ,rules ( con/ruction ,no?+ 9 ?is subtitle %all be con/ru$ z reliev+ any manufactur]1 di/ributor1 or o!r regi/rant f ! responsibilities ( ! manufactur]1 di/ributor1 or o!r regi/rant1 z ! case may be1 to-- 7#a7 id5tify1 /op1 & report suspici\s ord]s2 7#b7 ma9ta9 effective controls aga9/ div]sion 9 accordance ) section #cjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc72 & 7#c7 comply ) ! requirem5ts e/abli%$ 9 section #acja4gd7;b7 ( title #ba1 ,code ( ,f$]al ,regulations1 or any successor regulation !reto1 ) respect to suspici\s ord]s4 ,j ,/op ! ,importation & ,manufactur+ ( ,syn!tic ,analogues #gjia4 ,e/abli%m5t ( s*$ule ,a ,section #bjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hab7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ five s*$ules ( controll$ sub/ances1 to be kn[n z s*$ules ,i1 ,,ii1 ,,iii1 ,,iv1 & ,v & ins]t+ six s*$ules ( controll$ sub/ances1 to be kn[n z s*$ules ,i1 ,,ii1 ,,iii1 ,,iv1 ,v1 & ,a2 7#b7 9 subsection 7b71 by add+ at ! end ! foll[+3 7#f7 ,s*$ule ,a 7,a7 ,9 g5]al ,! drug or sub/ance-- 7i7 is or has be5 import$1 or is (f]$ = import1 into ! ,unit$ ,/ates2 7ii7 has-- 7,i7 a *emical /ructure t is sub/antially simil> to ! *emical /ructure ( a controll$ sub/ance 9 s*$ule ,i1 ,,ii1 ,,iii1 ,,iv1 or ,v2 & 7,,ii7 an actual or pr$ict$ /imulant1 depressant1 or halluc9og5ic effect on ! c5tral n]v\s sy/em t is sub/antially simil> to or great] ?an ! /imulant1 depressant1 or halluc9og5ic effect on ! c5tral n]v\s sy/em ( a controll$ sub/ance 9 s*$ule ,i1 ,,ii1 ,,iii1 ,,iv1 or ,v2 & 7iii7 is n-- 7,i7 li/$ or o!rwise includ$ 9 any o!r s*$ule 9 ?is section or by regulation ( ! ,attorney ,g5]al2 & 7,,ii7 ) respect to a p>ticul> p]son1 subject to an exemption t is 9 effect = inve/igational use1 = t p]son1 "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 to ! ext5t conduct ) respect to su* sub/ance is pursuant to su* exemption4 7,b7 ,pr$ict$ /imulant1 depressant1 or halluc9og5ic effect ,= purposes ( ?is p>agraph1 a pr$ict$ /imulant1 depressant1 or halluc9og5ic effect on ! c5tral n]v\s sy/em may be bas$ on-- 7i7 7,i7 ! *emical /ructure2 & 7,,ii7 7aa7 ! /ructure activity relation%ips2 or 7bb7 b9d+ receptor assays & o!r relevant sci5tific in=mation ab\t ! sub/ance2 7ii7 7,i7 ! curr5t or relative pot5tial = abuse ( ! sub/ance2 & 7,,ii7 ! cl&e/9e importation1 manufacture1 or di/ribution1 or div]sion f legitimate *annels1 ( ! sub/ance2 or 7iii7 ! capacity ( ! sub/ance to cause a /ate ( dep5d5ce1 includ+ physical or psy*ological dep5d5ce t is simil> to or great] ?an t ( a controll$ sub/ance 9 s*$ule ,i1 ,,ii1 ,,iii1 ,,iv1 or ,v4 2 & 7#c7 9 subsection 7c7-- 7,a7 9 ! matt] prec$+ s*$ule ,i1 by /rik+ ,,iv1 & ,v & ins]t+ ,,iv1 ,v1 & ,a2 & 7,b7 by add+ at ! end ! foll[+3 ,s*$ule ,a ,any sub/ance tempor>ily or p]man5tly s*$ul$ by ! ,attorney ,g5]al 9 accordance ) section #bja7k74 4 #gjib4 ,tempor>y & p]man5t s*$ul+ ( s*$ule ,a sub/ances ,section #bja ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #haa7 is am5d$ by add+ at ! end ! foll[+3 7k7 ,tempor>y & p]man5t s*$ul+ ( s*$ule ,a sub/ances 7#a7 ,9 g5]al ,! ,attorney ,g5]al may issue a tempor>y ord] add+ a drug or sub/ance to s*$ule ,a if ! ,attorney ,g5]al f9ds t-- 7,a7 ! drug or o!r sub/ance satisfies ! crit]ia = be+ consid]$ a s*$ule ,a sub/ance2 & 7,b7 add+ su* drug or sub/ance to s*$ule ,a w assi/ 9 prev5t+ abuse ( ! drug or o!r sub/ance4 7#b7 ,duration ( tempor>y s*$ul+ ord] ,a tempor>y s*$ul+ ord] issu$ "u p>agraph 7#a7 %all-- 7,a7 n take effect until #cj days aft] ! date ( ! publication by ! ,attorney ,g5]al ( a notice 9 ! ,f$]al ,regi/] ( ! int5tion to issue su* ord] & ! gr\nds ^u :i* su* ord] is to be issu$2 & 7,b7 expire n lat] ?an #e ye>s aft] ! date on :i* ! ord] becomes effective1 except t ! ,attorney ,g5]al may1 dur+ ! p5d5cy ( proce$+s "u p>agraph 7#e71 ext5d ! tempor>y s*$ul+ ord] = up to #ahj days4 7#c7 ,effect ( issuance ( p]man5t s*$ul+ ord] ,a tempor>y s*$ul+ ord] issu$ "u p>agraph 7#a7 %all be vacat$ ^u ! issuance ( a p]man5t ord] issu$ "u p>agraph 7#e7 ) reg>d to ! same sub/ance1 or ^u ! subsequ5t issuance ( any s*$ul+ ord] "u ?is section4 7#d7 ,limitation on judicial review ,a tempor>y s*$ul+ ord] issu$ "u p>agraph 7#a7 %all n be subject to judicial review4 7#e7 ,p]man5t s*$ul+ ord] 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 n e>li] ?an #c ye>s aft] ! date on :i* ! ,attorney ,g5]al issues an ord] tempor>ily s*$ul+ a drug or sub/ance "u ?is subsection1 ! ,attorney ,g5]al may1 by rule1 issue a p]man5t ord] add+ ! drug or o!r sub/ance to s*$ule ,a if su* drug or sub/ance satisfies ! crit]ia = be+ consid]$ a s*$ule ,a sub/ance4 7,b7 ,limitation ,if ! ,secret>y ( ,heal? & ,human ,s]vices has det]m9$1 bas$ on relevant sci5tific /udies & necess>y data reque/$ by ! ,secret>y ( ,heal? & ,human ,s]vices & ga!r$ by ! ,attorney ,g5]al1 t a drug or o!r sub/ance t has be5 tempor>ily plac$ 9 s*$ule ,a does n h suffici5t pot5tial = abuse to w>rant control 9 any s*$ule1 & provides writt5 notice ( su* det]m9ation to ! ,attorney ,g5]al1 ! ,attorney ,g5]al-- 7i7 may n issue a p]man5t s*$ul+ ord] "u subp>agraph 7,a72 & 7ii7 n lat] ?an #cj days aft] ! date on :i* ! ,attorney ,g5]al receives su* notice1 %all issue an ord] imm$iately t]m9at+ ! tempor>y s*$ul+ ord] = ! drug or o!r sub/ance4 7#f7 ,notice to ,,hhs ,be=e initiat+ proce$+s "u p>agraph 7#a71 ! ,attorney ,g5]al %all transmit notice ( a tempor>y ord] propos$ to be issu$ to ! ,secret>y ( ,heal? & ,human ,s]vices4 ,9 issu+ an ord] "u p>agraph 7#a71 ! ,attorney ,g5]al %all take into consid]ation any comm5ts submitt$ by ! ,secret>y ( ,heal? & ,human ,s]vices 9 response to a notice transmitt$ pursuant to ?is p>agraph4 4 #gjic4 ,p5alties ,section #ajaj ( ! ,controll$ ,sub/ances ,import & ,export ,act 7#ba ,u4,s4,c4 #ifj7 is am5d$-- 7#a7 9 subsection 7a71 by ins]t+ or a drug or sub/ance 9 s*$ule ,a aft] controll$ sub/ance ea* place x appe>s2 & 7#b7 9 subsection 7b71 by add+ at ! end ! foll[+3 7#h7 ,9 ! case ( a violation "u subsection 7a7 involv+ a controll$ sub/ance 9 s*$ule ,a1 ! p]son committ+ su* violation %all be s5t5c$ to a t]m ( imprisonm5t ( n m ?an #bj ye>s & if dea? or s]i\s bodily injury results f ! use ( su* sub/ance %all be s5t5c$ to a t]m ( imprisonm5t = any t]m ( ye>s or = life1 a f9e n to exce$ ! great] ( t au?oriz$ 9 accordance ) ! provisions ( title #ah1 ,unit$ ,/ates ,code1 or #a1jjj1jjj if ! def5dant is an individual or #e1jjj1jjj if ! def5dant is o!r ?an an individual1 or bo?4 ,if any p]son commits su* a violation aft] a prior conviction = a felony drug (f5se has become f9al1 su* p]son %all be s5t5c$ to a t]m ( imprisonm5t ( n m ?an #cj ye>s & if dea? or s]i\s bodily injury results f ! use ( su* sub/ance %all be s5t5c$ to a t]m ( imprisonm5t = any t]m ( ye>s or = life1 a f9e n to exce$ ! great] ( twice t au?oriz$ 9 accordance ) ! provisions ( title #ah1 ,unit$ ,/ates ,code1 or #b1jjj1jjj if ! def5dant is an individual or #aj1jjj1jjj if ! def5dant is o!r ?an an individual1 or bo?4 ,not)/&+ section #cehc ( title #ah1 ,unit$ ,/ates ,code1 any s5t5ce impos+ a t]m ( imprisonm5t "u ?is p>agraph %all1 9 ! abs5ce ( su* a prior conviction1 impose a t]m ( sup]vis$ release ( n less ?an #c ye>s 9 addition to su* t]m ( imprisonm5t & %all1 if !re 0 su* a prior conviction1 impose a t]m ( sup]vis$ release ( n less ?an #f ye>s 9 addition to su* t]m ( imprisonm5t4 ,not)/&+ ! prior s5t5ce1 & not)/&+ any o!r provision ( law1 ! c\rt %all n place on probation or susp5d ! s5t5ce ( any p]son s5t5c$ "u ! provisions ( ?is p>agraph :i* provide = a m&atory t]m ( imprisonm5t if dea? or s]i\s bodily injury results4 4 #gjid4 ,false label+ ( s*$ule ,a controll$ sub/ances 7a7 ,9 g5]al ,section #cje ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbe7 is am5d$ by add+ at ! end ! foll[+3 7f7 ,false label+ ( s*$ule ,a controll$ sub/ances 7#a7 ,x %all be unlawful to import or export1 ) int5t to manufacture1 di/ribute1 or disp5se1 a s*$ule ,a sub/ance or product conta9+ a s*$ule ,a sub/ance1 unless ! sub/ance or product be>s a label cle>ly id5tify+ a s*$ule ,a sub/ance or product conta9+ a s*$ule ,a sub/ance by ! nom5clature us$ by ! ,int]national ,union ( ,pure & ,appli$ ,*emi/ry 7,,iupac74 7#b7 7,a7 ,a product describ$ 9 subp>agraph 7,b7 is exempt f ! ,int]national ,union ( ,pure & ,appli$ ,*emi/ry nom5clature requirem5t ( ?is subsection if su* product is label$ 9 ! mann] requir$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act4 7,b7 ,a product is describ$ 9 ?is subp>agraph if ! product-- 7i7 is ! subject ( an approv$ application z describ$ 9 section #eje7;b7 or 7j7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act2 or 7ii7 is exempt f ! provisions ( section #eje ( su* ,act relat+ to new drugs because-- 7,i7 x is int5d$ solely = inve/igational use z describ$ 9 section #eje7;i7 ( su* ,act2 & 7,,ii7 su* product is be+ us$ exclusively = purposes ( a cl9ical trial t is ! subject ( an effective inve/igational new drug application4 4 7b7 ,p5alties ,section #djb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hdb7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#af71 by /rik+ or at ! end2 7,b7 by r$esignat+ p>agraph 7#ag7 z p>agraph 7#ah72 & 7,c7 by ins]t+ aft] p>agraph 7#af7 ! foll[+3 7#ag7 to violate section #cje7;f72 or 2 & 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,b77i71 by /rik+ 7#ag7 & ins]t+ 7#ah72 & 7ii7 9 subp>agraph 7,c71 by ins]t+ or 7#ag7 aft] p>agraph 7#af7 ea* place x appe>s2 & 7,b7 9 p>agraph 7#b77;,d71 by /rik+ 7#ag7 & ins]t+ 7#ah74 #gjie4 ,regi/ration requirem5ts = import]s & export]s ( s*$ule ,a sub/ances ,section #ajjh ( ! ,controll$ ,sub/ances ,import & ,export ,act 7#ba ,u4,s4,c4 #ieh7 is am5d$ by add+ at ! end ! foll[+3 7j7 7#a7 ,! ,attorney ,g5]al %all regi/] an applicant to import or export a s*$ule ,a sub/ance if-- 7,a7 ! applicant demon/rates t ! s*$ule ,a sub/ance w be us$ = rese>*1 analytical1 or indu/rial purposes approv$ by ! ,attorney ,g5]al2 & 7,b7 ! ,attorney ,g5]al det]m9es t su* regi/ration is consi/5t ) ! public int]e/ & ) ! ,unit$ ,/ates obligations "u int]national treaties1 conv5tions1 or protocols 9 effect on ! date ( enactm5t ( ?is subsection4 7#b7 ,9 det]m9+ ! public int]e/ "u p>agraph 7#a77;,b71 ! ,attorney ,g5]al %all consid]-- 7,a7 ma9t5ance ( effective controls aga9/ div]sion ( p>ticul> controll$ sub/ances & any controll$ sub/ance 9 s*$ule ,a comp\nd$ !refrom into o!r ?an legitimate m$ical1 sci5tific1 rese>*1 or indu/rial *annels1 by limit+ ! importation & bulk manufacture ( su* controll$ sub/ances to a numb] ( e/abli%m5ts :i* c produce an adequate & un9t]rupt$ supply ( ^! sub/ances "u adequately competitive conditions = legitimate m$ical1 sci5tific1 rese>*1 & indu/rial purposes2 7,b7 compliance ) applicable ,/ate & local law2 7,c7 promotion ( te*nical advances 9 ! art ( manufactur+ sub/ances describ$ 9 subp>agraph 7,a7 & ! developm5t ( new sub/ances2 7,d7 prior conviction record ( applicant "u ,f$]al & ,/ate laws relat+ to ! importation1 manufacture1 di/ribution1 or disp5s+ ( sub/ances describ$ 9 subp>agraph 7,a72 7,e7 pa/ exp]i5ce 9 ! importation & manufacture ( controll$ sub/ances1 & ! exi/5ce 9 ! e/abli%m5t ( effective control aga9/ div]sion2 & 7,f7 su* o!r factors z may be relevant to & consi/5t ) ! public heal? & safety4 7#c7 ,if an applicant is regi/]$ to import or export a controll$ sub/ance 9 s*$ule ,i or ,,ii "u subsection 7a71 ! applicant %all n be requir$ to apply = a sep>ate regi/ration "u ?is subsection4 4 #gjif4 ,additional con=m+ am5dm5ts ,! ,controll$ ,sub/ances ,import & ,export ,act 7#ba ,u4,s4,c4 #iea et seq47 is am5d$-- 7#a7 9 section #ajjb7;a7 7#ba ,u4,s4,c4 #ieb7;a77-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by ins]t+ or drug or sub/ance 9 s*$ule ,a aft] s*$ule ,i or ,,ii2 & 7,b7 9 p>agraph 7#b71 by ins]t+ or drug or sub/ances 9 s*$ule ,a aft] s*$ule ,i or ,,ii2 7#b7 9 section #ajjc 7#ba ,u4,s4,c4 #iec7-- 7,a7 9 subsection 7c71 9 ! matt] prec$+ p>agraph 7#a71 by ins]t+ or drug or sub/ance 9 s*$ule ,a aft] s*$ule ,i or ,,ii2 & 7,b7 9 subsection 7d71 by ins]t+ or drug or sub/ance 9 s*$ule ,a aft] s*$ule ,i or ,,ii2 7#c7 9 section #ajjd7a7 7#ba ,u4,s4,c4 #ied7a771 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ or drug or sub/ance 9 s*$ule ,a aft] s*$ule ,i2 7#d7 9 section #ajje 7#ba ,u4,s4,c4 #iee71 by ins]t+ or drug or sub/ance 9 s*$ule ,a aft] s*$ule ,i or ,,ii2 & 7#e7 9 section #ajji7;a7 7#ba ,u4,s4,c4 #iei7;a771 by ins]t+ or drug or sub/ance 9 s*$ule ,a aft] s*$ule ,i or ,,ii4 #gjig4 ,s5t5c+ review 7a7 ,cov]$ (f5se def9$ ,9 ?is section1 ! t]m cov]$ (f5se means an (f5se involv+ a s*$ule ,a sub/ance = :i* ! p5alty 0 e/abli%$ "u section #gjic or #gjid ( ?is subtitle4 7b7 ,s5t5c+ review 7#a7 ,petition = review ,if a s*$ule ,a sub/ance t is tempor>ily or p]man5tly s*$ul$ "u section #bja7k7 ( ! ,controll$ ,sub/ances ,act1 z add$ by ?is subtitle1 is subsequ5tly des*$ul$ or res*$ul$ on a s*$ule ) l[] p5alties1 any individual convict$ ( a cov]$ (f5se involv+ su* s*$ule ,a sub/ance :o is await+ s5t5c+ or is /ill s]v+ a t]m ( imprisonm5t = su* cov]$ (f5se on ! date ( ! des*$ul+ or res*$ul+ may petition ! c\rt t impos$ ! s5t5ce = a s5t5c+ r$uction he>+ = su* cov]$ (f5se4 7#b7 ,s5t5c+ review ,n lat] ?an #cj days aft] ! date on :i* a petition is fil$ "u p>agraph 7#a71 ! c\rt %all conduct a s5t5c+ r$uction he>+ & may modify ! s5t5ce ( ! petition] z if ! des*$ul+ or res*$ul+ describ$ 9 p>agraph 7#a7 _h be5 9 effect on ! date ! cov]$ (f5se 0 committ$4 #gjih4 ,rules ( con/ruction ,no?+ 9 ?is subtitle1 or ! am5dm5ts made by ?is subtitle1 may be con/ru$ to limit-- 7#a7 ! prosecution ( (f5ses involv+ controll$ sub/ance analogues "u ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hja et seq472 or 7#b7 ! au?ority ( ! ,attorney ,g5]al to tempor>ily or p]man5tly s*$ule1 res*$ule1 or decontrol controll$ sub/ances "u provisions ( section #bja ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #haa7 t are 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act4 #gjii4 ,cl>ification ( c]ta9 regi/ration requirem5ts relat$ to rese>* 7a7 ,exception = ag5ts or employees ( regi/]$ rese>*]s ,section #cjb7;c7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbb7;c77 is am5d$ 9 p>agraph 7#a7 by /rik+ or disp5s] & ins]t+ disp5s]1 or rese>*]4 7b7 ,con=m+ am5dm5t ,section #ajb7c7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb7c77 is am5d$ by /rik+ or disp5s] & ins]t+ disp5s]1 or rese>*]4 7c7 ,s+le regi/ration = contigu\s rese>* sites ,section #cjb7;e7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbb7;e77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,not)/&+ p>agraph 7#a71 a p]son regi/]$ to conduct rese>* ) a controll$ sub/ance "u section #cjc7;f7 may conduct su* rese>* "u a s+le regi/ration if su* rese>* occurs exclusively on a s+le1 contigu\s campus & ! regi/rant notifies ! ,attorney ,g5]al 9 writ+ ( all sites on ! campus :]e ! rese>* w be conduct$ or :]e ! controll$ sub/ance w be /or$ or adm9i/]$4 ,! regi/rant mu/ s notify ! ,attorney ,g5]al prior to conduct+ rese>* at su* additional sites4 4 7d7 ,new inspection n requir$ 9 c]ta9 situations ,section #cjc7;f7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;f77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#e7 z subp>agraphs 7,a7 ?r\gh 7,e71 respectively1 & by mov+ ! m>g9s ( su* subp>agraphs two ems to ! "r2 7#b7 by /rik+ 7f7 ,! & ins]t+ 7f77#a7 ,!2 & 7#c7 by add+ at ! end1 aft] ! matt] foll[+ subp>agraph 7,e71 z s r$esignat$1 ! foll[+ new p>agraph3 7#b7 7,a7 ,if a p]son is regi/]$ to conduct rese>* ) a controll$ sub/ance & applies = a regi/ration1 or a modification ( a regi/ration to conduct rese>* ) a second controll$ sub/ance t is 9 ! same s*$ule or 9 a s*$ule ) a high] num]ical designation1 a new inspection by ! ,attorney ,g5]al ( ! regi/]$ location is n requir$4 7,b7 ,no?+ 9 ?is p>agraph %all prohibit ! ,attorney ,g5]al f conduct+ any inspection if ! ,attorney ,g5]al deems x necess>y4 4 7e7 ,cont9uation ( rese>* on sub/ances newly add$ to s*$ule ,i2 au?ority ,to conduct rese>* ) o!r sub/ances 9 s*$ule ,i ,section #cjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbb7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7h7 ,cont9uation ( rese>* on sub/ances newly add$ to s*$ule ,i2 au?ority ,to conduct rese>* ) o!r sub/ances 9 s*$ule ,i 7#a7 ,if a p]son is conduct+ rese>* on a sub/ance at ! "t ! sub/ance is add$ to s*$ule ,i1 & su* p]son is already regi/]$ to conduct rese>* ) a controll$ sub/ance 9 s*$ule ,i or ,,ii !n-- 7,a7 ! p]son %all1 )9 #cj days ( ! s*$ul+ ( ! newly s*$ul$ sub/ance1 submit a complet$ application = regi/ration or modification ( exi/+ regi/ration1 to conduct rese>* on su* sub/ance1 9 accordance ) ! regulations issu$ by ! ,attorney ,g5]al2 7,b7 ! p]son may1 not)/&+ subsections 7a7 & 7b71 cont9ue to conduct ! rese>* on su* sub/ance until ! application ref]r$ to 9 subp>agraph 7,a7 is )drawn by ! applicant or until ! ,attorney ,g5]al s]ves on ! applicant an ord] to %[ cause propos+ ! d5ial ( ! application pursuant to section #cjd7;c72 & 7,c7 if ! ,attorney ,g5]al s]ves su* an ord] to %[ cause & ! applicant reque/s a he>+1 su* he>+ %all be held on an exp$it$ basis & n lat] ?an #de days aft] ! reque/ is made1 except t ! he>+ may be held at a lat] "t if s reque/$ by ! applicant4 7#b7 7,a7 ,a p]son :o is regi/]$ to conduct rese>* ) a controll$ sub/ance 9 s*$ule ,i may1 not)/&+ subsections 7a7 & 7b71 conduct rese>* ) ano!r controll$ sub/ance 9 s*$ule ,i1 provid$ ! foll[+ conditions are met3 7i7 ,! p]son has appli$ = a modification ( ! p]son's regi/ration to au?orize rese>* ) su* o!r controll$ sub/ance 9 accordance ) ! regulations issu$ by ! ,attorney ,g5]al4 7ii7 ,! ,attorney ,g5]al has obta9$ v]ification f ! ,secret>y t ! rese>* protocol submitt$ ) ! application is m]itori\s4 7iii7 ,! ,attorney ,g5]al has det]m9$ t su* activity is consi/5t ) ,unit$ ,/ates obligations "u ! ,s+le ,conv5tion on ,n>cotic ,drugs1 #aifa4 ,! ,attorney ,g5]al %all make su* det]m9ation n lat] ?an #cj days aft] receiv+ ! application ref]r$ to 9 clause 7i74 7,b7 ,no?+ 9 ?is section %all be con/ru$ to alt] ! au?ority ( ! ,attorney ,g5]al to initiate proce$+s to d5y1 susp5d1 or revoke any regi/ration 9 accordance ) sections #cjc & #cjd4 4 7f7 ,treatm5t ( c]ta9 activities z co9cid5t to rese>* ,section #cjb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbb71 z am5d$ by subsection 7d71 is fur!r am5d$ by add+ at ! end ! foll[+ new subsection3 7i7 ,treatm5t ( c]ta9 activities z co9cid5t to rese>* 7#a7 ,9 g5]al ,except z specifi$ 9 p>agraph 7#b71 a p]son :o is regi/]$ to p]=m rese>* ) a controll$ sub/ance may p]=m ! foll[+ activities ) small quantities ( t sub/ance1 z set =? 9 ! relevant /atem5t or protocol fil$ ) ! application = regi/ration approv$ by ! ,attorney ,g5]al )\t be+ requir$ to obta9 a manufactur+ regi/ration3 7,a7 ,process+ ! sub/ance to create extracts1 t9ctures1 oils1 solutions1 d]ivatives1 or o!r =ms ( ! sub/ance consi/5t ) ! approv$ rese>* protocol4 7,b7 ,dosage =m developm5t = ! purpose ( satisfy+ regulatory requirem5ts implem5t$ by ! ,food & ,drug ,adm9i/ration = submitt+ an inve/igational new drug application4 7#b7 ,exception reg>d+ m>ihuana ,! au?ority "u p>agraph 7#a7 does n include au?ority to gr[ m>ihuana4 4 #gajj4 ,review ( rese>* regi/ration process 7a7 ,review ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is section1 ! ,attorney ,g5]al & ! ,secret>y ( ,heal? & ,human ,s]vices %all conduct a review ( ! processes us$ to obta9 or modify ,f$]al au?orization to conduct rese>* ) controll$ sub/ances1 includ+-- 7#a7 an evaluation ( ! impacts ( ! am5dm5ts made by section #gjii on ! risk ( ! div]sion ( controll$ sub/ances us$ 9 rese>* & relat$ public safety consid]ations2 & 7#b7 id5tification ( opportunities to r$uce any unnecess>y burd5 on p]sons seek+ regi/ration1 pot5tial r$undancies1 & ineffici5cies 9 ! process to obta9 or modify ,f$]al au?orization to conduct rese>* ) controll$ sub/ances1 includ+ ! process = obta9+ a regi/ration "u section #cjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7 & ! process by :i* ! ,secret>y ( ,heal? & ,human ,s]vices reviews rese>* protocols4 7b7 ,guidance ,foll[+ ! review describ$ 9 subsection 7a71 ! ,attorney ,g5]al & ! ,secret>y ( ,heal? & ,human ,s]vices %all1 z appropriate1 jo9tly issue guidance to regi/rants & pot5tial regi/rants cl>ify+ ! process = regi/ration "u section #cjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc74 ,,viii ,tax ,inc5tives to ,improve ,heal? ,c>e #hjja4 ,dome/ic m$ical & drug manufactur+ cr$it 7a7 ,9 g5]al ,subp>t ,d ( "p ,,iv ( sub*apt] ,a ( *apt] #a ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new section3 #de,u4 ,dome/ic m$ical & drug manufactur+ cr$it 7a7 ,9 g5]al ,= purposes ( section #ch1 ! dome/ic m$ical & drug manufactur+ cr$it det]m9$ "u ?is section = any taxable ye> is an am\nt equal to #aj4e p]c5t ( ! less] (-- 7#a7 ! qualifi$ m$ical & drug manufactur+ income ( ! taxpay] = ! taxable ye>1 or 7#b7 taxable income ( ! taxpay] = ! taxable ye>4 7b7 ,cr$it limit$ to wages paid 7#a7 ,9 g5]al ,! am\nt ( ! cr$it all[able "u subsection 7a7 = any taxable ye> %all n exce$ #ej p]c5t ( ! ,w-#b wages ( ! taxpay] = ! taxable ye>4 7#b7 ,w-#b wages ,= purposes ( ?is section-- 7,a7 ,9 g5]al ,! t]m ,w-#b wages means1 ) respect to any p]son = any taxable ye> ( su* p]son1 ! sum ( ! am\nts describ$ 9 p>agraphs 7#c7 & 7#h7 ( section #fjea7;a7 paid by su* p]son ) respect to employm5t ( employees by su* p]son dur+ ! cal5d> ye> end+ dur+ su* taxable ye>4 7,b7 ,limitation to wages attributable to dome/ic production ,su* t]m %all n include any am\nt :i* is n prop]ly allocable to dome/ic m$ical & drug manufactur+ gross receipts = purposes ( subsection 7c77#a74 7,c7 ,return requirem5t ,su* t]m %all n include any am\nt :i* is n prop]ly includ$ 9 a return fil$ ) ! ,social ,security ,adm9i/ration on or be=e ! #fj? day aft] ! due date 7includ+ ext5sions7 = su* return4 7#c7 ,acquisitions1 dispositions1 & %ort taxable ye>s ,! ,secret>y %all provide = ! application ( ?is subsection 9 cases ( a %ort taxable ye> or :]e ! taxpay] acquires1 or disposes (1 ! major portion ( a trade or bus9ess or ! major portion ( a sep>ate unit ( a trade or bus9ess dur+ ! taxable ye>4 7c7 ,qualifi$ m$ical & drug manufactur+ income ,= purposes ( ?is section-- 7#a7 ,9 g5]al ,! t]m qualifi$ m$ical & drug manufactur+ income = any taxable ye> means an am\nt equal to ! excess 7if any7 (-- 7,a7 ! taxpay]'s dome/ic m$ical & drug manufactur+ gross receipts = ! taxable ye>1 ov] 7,b7 ! sum (-- 7i7 ! co/ ( goods sold t are allocable to su* receipts1 & 7ii7 o!r exp5ses1 losses1 or d$uctions :i* are prop]ly allocable to su* receipts4 7#b7 ,allocation me?od ,! ,secret>y %all prescribe rules = ! prop] allocation ( items describ$ 9 p>agraph 7#a77;,b7 = purposes ( det]m9+ qualifi$ m$ical & drug manufactur+ income4 ,su* rules %all provide = ! prop] allocation ( items :e!r or n su* items are directly allocable to dome/ic m$ical & drug manufactur+ gross receipts4 7#c7 ,special rules = det]m9+ co/s 7,a7 ,9 g5]al ,= purposes ( det]m9+ co/s "u clause 7i7 ( p>agraph 7#a77;,b71 any item or s]vice br\ght into ! ,unit$ ,/ates %all be treat$ z acquir$ by pur*ase1 & its co/ %all be treat$ z n less ?an its value imm$iately aft] x ent]$ ! ,unit$ ,/ates4 7,b7 ,exports = fur!r manufacture ,9 ! case ( any prop]ty describ$ 9 subp>agraph 7,a7 t _h be5 export$ by ! taxpay] = fur!r manufacture1 ! increase 9 co/ or adju/$ basis "u subp>agraph 7,a7 %all n exce$ ! diff]5ce betwe5 ! value ( ! prop]ty :5 export$ & ! value ( ! prop]ty :5 br\ght back into ! ,unit$ ,/ates aft] ! fur!r manufacture4 7#d7 ,dome/ic m$ical & drug manufactur+ gross receipts 7,a7 ,9 g5]al ,! t]m dome/ic m$ical & drug manufactur+ gross receipts means ! gross receipts ( ! taxpay] :i* are d]iv$ f any sale1 ex*ange1 or o!r disposition (-- 7i7 any active ph>maceutical +r$i5t1 or 7ii7 any qualifi$ c\nt]measure1 :i* 0 manufactur$ or produc$ by ! taxpay] 9 :ole or 9 significant "p )9 ! ,unit$ ,/ates4 7,b7 ,active ph>maceutical +r$i5t ,! t]m active ph>maceutical +r$i5t means any sub/ance or mixture ( sub/ances int5d$ to be us$ 9 ! manufacture ( a drug product & 7:5 s us$7 becomes an active +r$i5t 9 ! drug product4 7,c7 ,qualifi$ c\nt]measure ,! t]m qualifi$ c\nt]measure has ! mean+ giv5 su* t]m 9 section #cai;,f-#a7;a77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;a7a77#b7740 7,d7 ,p>tn]%ips own$ by exp&$ affiliat$ gr\ps ,= purposes ( ?is p>agraph1 if all ( ! int]e/s 9 ! capital & pr(its ( a p>tn]%ip are own$ by memb]s ( a s+le exp&$ affiliat$ gr\p at all times dur+ ! taxable ye> ( su* p>tn]%ip1 ! p>tn]%ip & all memb]s ( su* gr\p %all be treat$ z a s+le taxpay] dur+ su* p]iod4 7d7 ,def9itions & ,special ,rules ,= purposes ( ?is section-- 7#a7 ,application ( section to pass-?ru entities 7,a7 ,p>tn]%ips & s corporations ,9 ! case ( a p>tn]%ip or ,s corporation-- 7i7 ?is section %all be appli$ at ! p>tn] or %>ehold] level1 7ii7 ea* p>tn] or %>ehold] %all take into acc\nt su* p]son's allocable %>e ( ea* item describ$ 9 subp>agraph 7,a7 or 7,b7 ( subsection 7c77#a7 7det]m9$ )\t reg>d to :e!r ! items describ$ 9 su* subp>agraph 7,a7 exce$ ! items describ$ 9 su* subp>agraph 7,b771 & 7iii7 ea* p>tn] or %>ehold] %all be treat$ = purposes ( subsection 7b7 z hav+ ,w-#b wages = ! taxable ye> 9 an am\nt equal to su* p]son's allocable %>e ( ! ,w-#b wages ( ! p>tn]%ip or ,s corporation = ! taxable ye> 7z det]m9$ "u regulations prescrib$ by ! ,secret>y74 7,b7 ,tru/s & e/ates ,9 ! case ( a tru/ or e/ate-- 7i7 ! items ref]r$ to 9 subp>agraph 7,a77ii7 7z det]m9$ !re97 & ! ,w-#b wages ( ! tru/ or e/ate = ! taxable ye>1 %all be apportion$ betwe5 ! b5efici>ies & ! fiduci>y 7& among ! b5efici>ies7 "u regulations prescrib$ by ! ,secret>y1 & 7ii7 = purposes ( p>agraph 7#b71 adju/$ gross income ( ! tru/ or e/ate %all be det]m9$ z provid$ 9 section #fg7;e7 ) ! adju/m5ts describ$ 9 su* p>agraph4 7,c7 ,regulations ,! ,secret>y may prescribe rules requir+ or re/rict+ ! allocation ( items & wages "u ?is p>agraph & may prescribe su* report+ requirem5ts z ! ,secret>y det]m9es appropriate4 7#b7 ,application to individuals ,9 ! case ( an individual1 subsection 7a77#b7 %all be appli$ by sub/itut+ adju/$ gross income = taxable income4 ,= purposes ( ! prec$+ s5t5ce1 adju/$ gross income %all be det]m9$ aft] application ( sections #hf1 #ace1 #acg1 #bai1 #bba1 #bbb1 & #dfi4 7#c7 ,special rule = affiliat$ gr\ps 7,a7 ,9 g5]al ,all memb]s ( an exp&$ affiliat$ gr\p %all be treat$ z a s+le corporation = purposes ( ?is section4 7,b7 ,exp&$ affiliat$ gr\p ,= purposes ( ?is section1 ! t]m exp&$ affiliat$ gr\p means an affiliat$ gr\p z def9$ 9 section #aejd7;a71 det]m9$-- 7i7 by sub/itut+ m ?an #ej p]c5t = at lea/ #hj p]c5t ea* place x appe>s1 & 7ii7 )\t reg>d to p>agraphs 7#b7 & 7#d7 ( section #aejd7;b74 7,c7 ,allocation ( cr$it ,except z provid$ 9 regulations1 ! cr$it "u subsection 7a7 %all be allocat$ among ! memb]s ( ! exp&$ affiliat$ gr\p 9 proportion to ea* memb]'s respective am\nt 7if any7 ( qualifi$ m$ical & drug manufactur+ income4 7#d7 ,trade or bus9ess requirem5t ,?is section %all be appli$ by only tak+ into acc\nt items :i* are attributable to ! actual conduct ( a trade or bus9ess4 7#e7 ,coord9ation ) m9imum tax ,= purposes ( det]m9+ alt]native m9imum taxable income "u section #ee1 qualifi$ m$ical & drug manufactur+ income %all be det]m9$ )\t reg>d to any adju/m5ts "u sections #ef ?r\gh #ei4 7#f7 ,unrelat$ bus9ess taxable income ,= purposes ( det]m9+ ! tax impos$ by section #eaa1 subsection 7a77#a77;,b7 %all be appli$ by sub/itut+ unrelat$ bus9ess taxable income = taxable income4 7#g7 ,regulations ,! ,secret>y %all prescribe su* regulations z are necess>y to c>ry out ! purposes ( ?is section1 includ+ regulations :i* prev5t m ?an #a taxpay] f be+ all[$ a cr$it "u ?is section ) respect to any activity describ$ 9 subsection 7c77#d77;,a74 4 7b7 ,treatm5t "u base erosion tax ,section #ei;,a7b77#a77;,b77ii7 ( su* ,code is am5d$ by /rik+ plus at ! end ( subclause 7,i71 by r$esignat+ subclause 7,,ii7 z subclause 7,,iii71 & by ins]t+ aft] subclause 7,i7 ! foll[+ new subclause3 7,,ii7 ! cr$it all[$ "u section #ch = ! taxable ye> :i* is prop]ly allocable to ! dome/ic m$ical & drug manufactur+ cr$it det]m9$ "u section #de,u7a71 plus 4 7c7 ,"p ( g5]al bus9ess cr$it ,section #ch7;b7 ( su* ,code is am5d$ by /rik+ plus at ! end ( p>agraph 7#cb71 by /rik+ ! p]iod at ! end ( p>agraph 7#cc7 & ins]t+ 1 plus1 & by add+ at ! end ! foll[+ new p>agraph3 7#cd7 ! dome/ic m$ical & drug manufactur+ cr$it det]m9$ "u section #de,u7a74 4 7d7 ,cr$it all[$ aga9/ alt]native m9imum tax ,section #ch7;c77#d77;,b7 ( su* ,code is am5d$ by r$esignat+ clauses 7x7 ?r\gh 7xii7 z clauses 7xi7 ?r\gh 7xiii71 respectively1 & by ins]t+ aft] clause 7ix7 ! foll[+ new clause3 7x7 ! cr$it det]m9$ "u section #de,u1 4 7e7 ,cl]ical am5dm5t ,! table ( sections = subp>t ,d ( "p ,,iv ( sub*apt] ,a ( *apt] #a ( su* ,code is am5d$ by add+ at ! end ! foll[+ new item3 ,sec4 #de,u4 ,dome/ic m$ical & drug manufactur+ cr$it4 4 7f7 ,effective date ,! am5dm5ts made by ?is section %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjbj4 #hjjb4 ,qualify+ advanc$ m$ical manufactur+ equipm5t cr$it 7a7 ,9 g5]al ,subp>t ,e ( "p ,,iv ( sub*apt] ,a ( *apt] #a ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new section3 #dh;,d4 ,qualify+ advanc$ m$ical manufactur+ equipm5t cr$it 7a7 ,9 g5]al ,= purposes ( section #df1 ! qualify+ advanc$ m$ical manufactur+ equipm5t cr$it det]m9$ "u ?is section = any taxable ye> is ! applicable p]c5tage ( ! basis ( any qualify+ advanc$ m$ical manufactur+ equipm5t plac$ 9 s]vice dur+ su* taxable ye>4 7b7 ,applicable p]c5tage ,= purposes ( subsection 7a71 ! applicable p]c5tage is-- 7#a7 #cj p]c5t 9 ! case ( equipm5t :i* is plac$ 9 s]vice be=e ,janu>y #a1 #bjbh1 7#b7 #bj p]c5t 9 ! case ( equipm5t :i* is plac$ 9 s]vice dur+ cal5d> ye> #bjbh1 7#c7 #aj p]c5t 9 ! case ( equipm5t :i* is plac$ 9 s]vice dur+ cal5d> ye> #bjbi1 & 7#d7 #j p]c5t 9 ! case ( equipm5t :i* is plac$ 9 s]vice aft] ,decemb] #ca1 #bjbi4 7c7 ,qualify+ advanc$ m$ical manufactur+ equipm5t ,= purposes ( ?is section1 ! t]m qualify+ advanc$ m$ical manufactur+ equipm5t means prop]ty ( a "* subject to ! all[ance = depreciation-- 7#a7 :i* is ma*9]y or equipm5t t is design$ & us$ to manufacture a-- 7,a7 drug 7z su* t]m is def9$ 9 section #bja7;g77#a7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act71 7,b7 device 7z su* t]m is def9$ 9 section #bja7;h7 ( su* ,act71 or 7,c7 biological product 7z su* t]m is def9$ 9 section #cea7;i7 ( ! ,public ,heal? ,s]vice ,act71 7#b7 :i* has be5 id5tifi$ by ! ,secret>y 7aft] consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices7 z ma*9]y or equipm5t t-- 7,a7 incorporates novel te*nology or uses an e/abli%$ te*nique or te*nology 9 a new or innovative way1 or 7,b7 t c improve m$ical product quality1 address %ortages ( m$ic9es1 & spe$ "t-to-m>ket1 7#c7 :i* is plac$ 9 s]vice 9 ! ,unit$ ,/ates by ! taxpay]1 & 7#d7 ) respect to :i* depreciation is all[able4 7d7 ,c]ta9 qualifi$ progress exp5ditures rules made applicable ,rules simil> to ! rules ( subsections 7c77#d7 & 7d7 ( section #df 7z 9 effect on ! day be=e ! enactm5t ( ! ,rev5ue ,reconciliation ,act ( #aiij7 %all apply = purposes ( ?is section4 7e7 ,regulations ,! ,secret>y %all prescribe su* regulations or o!r guidance z may be necess>y to c>ry out ! purposes ( ?is section1 includ+ regulations :i* prev5t abuse or fraud4 4 7b7 ,treatm5t "u base erosion tax ,section #ei;,a7b77#a77;,b77ii7 ( su* ,code1 z am5d$ by section #hjja ( ?is ,act1 is fur!r am5d$ by /rik+ plus at ! end ( subclause 7,,ii71 by r$esignat+ subclause 7,,iii7 z subclause 7,,iv71 & by ins]t+ aft] subclause 7,,ii7 ! foll[+ new subclause3 7,,iii7 ! cr$it all[$ "u section #df = ! taxable ye> :i* is prop]ly allocable to ! qualify+ advanc$ m$ical manufactur+ equipm5t cr$it det]m9$ "u section #dh;,d7a71 plus 4 7c7 ,"p ( inve/m5t cr$it ,section #df ( su* ,code is am5d$ by /rik+ & at ! end ( p>agraph 7#e71 by /rik+ ! p]iod at ! end ( p>agraph 7#f7 & ins]t+ 1 &1 & by add+ at ! end ! foll[+ new p>agraph3 7#g7 ! qualify+ advanc$ m$ical manufactur+ equipm5t cr$it4 4 7d7 ,cl]ical am5dm5t ,! table ( sections = subp>t ,d ( "p ,,iv ( sub*apt] ,a ( *apt] #a ( su* ,code is am5d$ by add+ at ! end ! foll[+ new item3 ,sec4 #dh;,d4 ,qualify+ advanc$ m$ical manufactur+ equipm5t cr$it4 4 7e7 ,effective date ,! am5dm5ts made by ?is section %all apply to p]iods aft] ! date ( ! enactm5t ( ?is section "u rules simil> to ! rules ( section #dh7m7 ( ! ,int]nal ,rev5ue ,code ( #aihf 7z 9 effect on ! date ( ! enactm5t fo ! ,rev5ue ,reconciliation ,act ( #aiij74 #hjjc4 ,new m$ical rese>* exp5diture compon5t ( cr$it = increas+ rese>* activities 7a7 ,9 g5]al ,section #da7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ & at ! end ( p>agraph 7#b71 by /rik+ ! p]iod at ! end ( p>agraph 7#c7 & ins]t+ 1 &1 & by add+ at ! end ! foll[+ new p>agraph3 7#d7 #ad p]c5t ( specifi$ m$ical rese>* exp5ditures4 4 7b7 ,specifi$ m$ical rese>* exp5ditures ,section #da7;f7 ( su* ,code is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,specifi$ m$ical rese>* exp5ditures 7,a7 ,9 g5]al ,! t]m specifi$ m$ical rese>* exp5ditures means am\nts paid or incurr$ = qualifi$ rese>* ) respect to any qualifi$ c\nt]measure4 7,b7 ,qualifi$ c\nt]measure ,! t]m qualifi$ c\nt]measure has ! mean+ giv5 to su* t]m 9 section #cai;,f-#a7;a77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;a7a77#b774 4 7c7 ,d5ial ( d\ble b5efit 7#a7 ,taxable ye>s beg9n+ be=e ,janu>y #a1 #bjba ,9 ! case ( specifi$ m$ical rese>* exp5ditures 7z def9$ 9 section #da7;f77#g7 ( su* ,code 7z add$ by ?is section77 paid or incurr$ 9 taxable ye>s beg9n+ be=e ,janu>y #a1 #bjba-- 7,a7 su* exp5ditures %all be treat$ 9 ! same mann] z qualifi$ rese>* exp5ses & basic rese>* exp5ses "u section #bhj;,c7c77#a7 ( su* ,code 7z 9 effect on ! day be=e ! enactm5t ( ! ,tax ,cuts & ,jobs ,act71 & 7,b7 ! am\nt det]m9$ "u section #bhj;,c7c77#b77;,a7 7z 9 effect on su* day7 = ! taxable ye> %all be increas$ by ! am\nt ( cr$it det]m9$ = ! taxable ye> "u section #da7;a77#d7 7z add$ by ?is section74 7#b7 ,taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjbj ,section #bhj;,c7c77#a7 ( su* ,code is am5d$ by /rik+ section #da7;a77#a7 & ins]t+ p>agraphs 7#a7 & 7#d7 ( section #da7;a74 7d7 ,con=m+ am5dm5t ,section #da7;f77#a7 ( su* ,code is am5d$ by /rik+ & am\nts paid or incurr$ to en]gy rese>* consortiums ea* place x appe>s & ins]t+ 1 am\nts paid or incurr$ to en]gy rese>* consortiums1 & specifi$ m$ical rese>* exp5ditures4 7e7 ,effective date ,! am5dm5ts made by ?is section %all apply to am\nts paid or incurr$ aft] ! date ( ! enactm5t ( ?is ,act1 9 taxable ye>s end+ aft] su* date4 #hjjd4 ,refundable portion ( rese>* cr$it = small bus9esses engag+ 9 specifi$ m$ical rese>* 7a7 ,9 g5]al ,section #da ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subsection3 7i7 ,refundable portion = small bus9esses engag+ 9 specifi$ m$ical rese>* 7#a7 ,9 g5]al ,at ! election ( a m$ical rese>* small bus9ess1 ! portion ( ! cr$it det]m9$ "u ?is section = ! taxable ye> :i* is prop]ly allocable to specifi$ m$ical rese>* %all be treat$ 7o!r ?an = purposes ( section #bhj;,c7 z a cr$it all[$ "u subp>t ,c 7& n ?is subp>t74 7#b7 ,m$ical rese>* small bus9ess ,= purposes ( ?is subsection1 ! t]m m$ical rese>* small bus9ess means any dome/ic ,c corporation-- 7,a7 :i* conducts any specifi$ m$ical rese>* dur+ ! taxable ye>1 & 7,b7 ! gross receipts ( :i* 7det]m9$ "u ! rules ( subsection 7c77 = ! taxable ye> d n exce$ #a1jjj1jjj4 7#c7 ,specifi$ m$ical rese>* ,= purposes ( ?is subsection1 ! t]m specifi$ m$ical rese>* means any qualifi$ rese>* ) respect to qualifi$ c\nt]measures 7z def9$ 9 section #cai;,f-#a7;a77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;a7a77#b7774 7#d7 ,election ,any election "u ?is subsection = any taxable ye>-- 7,a7 %all specify ! am\nt ( ! cr$it to :i* su* election applies1 7,b7 %all be made on or be=e ! due date 7includ+ ext5sions7 ( ! return ( tax = ! taxable ye>1 7,c7 may n be made = any taxable ye> ) respect to any portion ( ! cr$it det]m9$ "u ?is section ) respect to :i* an election is made "u subsection 7h71 & 7,d7 may be revok$ only ) ! cons5t ( ! ,secret>y4 7#e7 ,regulations ,! ,secret>y %all prescribe su* regulations = purposes ( ?is subsection z may be necess>y or appropriate = det]m9+ prop] allocation to specifi$ m$ical rese>* ( ! portion ( any cr$it all[$ to a taxpay] = a taxable ye> "u ?is section4 4 7b7 ,con=m+ am5dm5t ,section #acbd7;b7 ( title #ca1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ #da7;i71 aft] #fdbh14 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjbj4 #hjje4 ,exception f passive loss rules = inve/m5ts 9 specifi$ m$ical rese>* small bus9ess pass-?ru entities 7a7 ,9 g5]al ,subsection 7c7 ( section #dfi ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by r$esignat+ p>agraphs 7#d7 ?r\gh 7#g7 z p>agraphs 7#e7 ?r\gh 7#h71 respectively1 & by ins]t+ aft] p>agraph 7#c7 ! foll[+ new p>agraph3 7#d7 ,specifi$ m$ical rese>* activities 7,a7 ,9 g5]al ,! t]m passive activity %all n include any qualifi$ m$ical rese>* activity ( ! taxpay] c>ri$ on by a specifi$ m$ical rese>* small bus9ess pass-?ru entity4 7,b7 ,treatm5t ( losses & d$uctions 7i7 ,9 g5]al ,losses or d$uctions ( a taxpay] 9 connection ) qualifi$ m$ical rese>* activities c>ri$ on by a specifi$ m$ical rese>* small bus9ess pass-?ru entity %all n be treat$ z losses or d$uctions1 respectively1 f a passive activity except z provid$ 9 clause 7ii7 & subp>agraph 7,c74 7ii7 ,limitation ,clause 7i7 %all apply to losses & d$uctions ( a taxpay] 9 connection ) a specifi$ m$ical small bus9ess pass-?ru entity = a taxable ye> only to ! ext5t t ! aggregate losses & d$uctions ( ! taxpay] 9 connection ) qualifi$ m$ical rese>* activities ( su* entity = su* taxable ye> d n exce$ ! portion ( ! taxpay]'s adju/$ basis 9 ! taxpay]'s own]%ip int]e/ 9 su* entity t is attributable to money or o!r prop]ty contribut$-- 7,i7 9 ex*ange = su* own]%ip int]e/1 & 7,,ii7 specifically = use 9 connection ) qualifi$ m$ical rese>* activities4 ,= purposes ( ! prec$+ s5t5ce1 ! taxpay]'s basis %all n include any portion ( su* basis :i* is attributable to an increase 9 a p>tn]'s %>e ( ! liabilities ( a p>tn]%ip t is consid]$ "u section #geb7;a7 z a contribution ( money4 7,c7 ,treatm5t ( c>ryov]s ,subp>agraph 7,b77i7 %all n apply to ! portion ( any loss or d$uction t is c>ri$ ov] "u subsection 7b7 into a taxable ye> o!r ?an ! taxable ye> 9 :i* su* loss or d$uction arose4 7,d7 ,qualifi$ m$ical rese>* activity ,= purposes ( ?is p>agraph1 ! t]m qualifi$ m$ical rese>* activity means any qualifi$ rese>* 7)9 ! mean+ ( section #da7;d77 ) respect to qualifi$ c\nt]measures 7z def9$ 9 section #cai;,f-#a7;a77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;a7a77#b7774 7,e7 ,specifi$ m$ical rese>* small bus9ess pass-?ru entity ,= purposes ( ?is p>agraph1 ! t]m specifi$ m$ical rese>* small bus9ess pass-?ru entity means any dome/ic pass-?ru entity = any taxable ye> if-- 7i7 m ?an #hj p]c5t ( su* entity's exp5ditures on qualifi$ rese>* = su* taxable ye> are paid or incurr$ 9 connection ) qualifi$ m$ical rese>* activities1 & 7ii7 ! gross receipts 7z det]m9$ "u ! rules ( section #da7;h77#c77 ( su* entity = ! taxable ye> 7& ea* prec$+ taxable ye>7 is less ?an #a1jjj1jjj4 7,f7 ,capital exp5ditures tak5 into acc\nt = exp5ditures te/ ,an exp5diture %all n fail to be tak5 into acc\nt "u subp>agraph 7,e77i7 m]ely because su* exp5diture is *>geable to capital acc\nt4 7,g7 ,pass-?ru entity ,= purposes ( ?is p>agraph1 ! t]m pass-?ru entity means any p>tn]%ip1 ,s corporation1 or o!r entity id5tifi$ by ! ,secret>y z a pass-?ru entity = purposes ( ?is p>agraph4 7,h7 ,aggregation rules 7i7 ,9 g5]al ,all p]sons treat$ z a s+le employ] "u subsection 7a7 or 7b7 ( section #eb1 or subsection 7m7 or 7o7 ( section #dad1 %all be treat$ z a s+le entity = purposes ( subp>agraphs 7,e7 & 7,f77iii74 7ii7 ,limitation :]e entity w\ld n qualify ,no entity %all be treat$ z a specifi$ m$ical rese>* small bus9ess pass-?ru entity unless su* entity qualifies z su* bo? ) & )\t ! application ( clause 7i74 4 7b7 ,mat]ial p>ticipation n requir$ ,p>agraph 7#e7 ( section #dfi7;c7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 z r$esignat$ by subsection 7a71 is am5d$ by /rik+ & 7#c7 9 ! head+ & text & ins]t+ 1 7#c71 & 7#d74 7c7 ,c]ta9 rese>*-,relat$ d$uctions & cr$its ( specifi$ m$ical rese>* small bus9ess pass-,?ru entities all[$ = purposes ( det]m9+ alt]native m9imum tax 7#a7 ,d$uction = rese>* & exp]im5tal exp5ditures ,p>agraph 7#b7 ( section #ef7;b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,e7 ,exception = specifi$ m$ical rese>* small bus9ess pass-?ru entities ,9 ! case ( a specifi$ m$ical rese>* small bus9ess pass-?ru entity 7z def9$ 9 section #dfi7;c77#d771 ?is p>agraph %all n apply to any am\nt all[able z a d$uction "u section #agd7;a74 4 7#b7 ,all[ance ( c]ta9 rese>*-relat$ cr$its ,subp>agraph 7,b7 ( section #ch7;c77#d7 ( su* ,code is am5d$ by r$esignat+ clauses 7ii7 ?r\gh 7ix7 z clauses 7iii7 ?r\gh 7x71 respectively1 & by ins]t+ aft] clause 7i7 ! foll[+ new clause3 7ii7 ! cr$it ( an individual taxpay] det]m9$ "u section #da to ! ext5t attributable to a specifi$ m$ical rese>* small bus9ess pass-?ru entity 7z def9$ 9 section #dfi7;c77#d771 4 7d7 ,exception to limitation on pass-,?ru ( rese>* cr$it ,subsection 7g7 ( section #da ( su* ,code is am5d$ by add+ at ! end ! foll[+3 ,p>agraphs 7#b7 & 7#d7 %all n apply ) respect to any specifi$ m$ical rese>* small bus9ess pass-?ru entity 7z def9$ 9 section #dfi7;c77#d7744 7e7 ,effective date ,! am5dm5ts made by ?is section %all apply to losses & cr$its aris+ 9 taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjbj4 #hjjf4 ,tempor>y c>ryov] = heal? & dep5d5t c>e flexible sp5d+ arrangem5ts 7a7 ,9 g5]al ,) respect to ! #bjbj plan ye> = any heal? flexible sp5d+ arrangem5t or any dep5d5t c>e flexible sp5d+ arrangem5t1 an employ] may elect to am5d its cafet]ia plan to p]mit any unus$ am\nts rema9+ 9 su* flexible sp5d+ arrangem5t at ! end ( su* plan ye> to be c>ri$ ov] to ! #bjba plan ye>1 pursuant to rules simil> to ! rules e/abli%$ = heal? flexible sp5d+ arrangem5ts "u ,int]nal ,rev5ue ,s]vice ,notice #bjac-ga4 7b7 ,retroactive application ,an employ] %all be p]mitt$ to am5d its cafet]ia plan to effectuate ! rule describ$ 9 subsection 7a71 provid$ t su* am5dm5t-- 7#a7 is adopt$ be=e ,janu>y #a1 #bjba2 & 7#b7 provides t ! rule describ$ 9 su* subsection %all be 9 effect z ( ! fir/ day ( ! #bjbj plan ye>4 7c7 ,def9itions ,any t]m us$ 9 ?is section :i* is also us$ 9 section #abe ( ! ,int]nal ,rev5ue ,code ( #aihf or ! regulations !reund] %all h ! same mean+ z :5 us$ 9 su* section or regulations4 #hjjg4 ,increase 9 exclusion = employ]-provid$ dep5d5t c>e assi/ance 7a7 ,9 g5]al ,section #abi7;a77#b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,special rule = #bjbj & #bjba ,9 ! case ( any taxable ye> beg9n+ dur+ #bjbj or #bjba1 subp>agraph 7,a7 %all be appli$ by sub/itut+ #aj1ejj 7#e1bej = #e1jjj 7#b1ejj4 4 7b7 ,effective date ,! am5dm5t made by ?is section %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjai4 7c7 ,retroactive plan am5dm5ts ,a plan or o!r arrangem5t t o!rwise satisfies all applicable requirem5ts ( sections #ajf1 #abe1 & #abi ( ! ,int]nal ,rev5ue ,code ( #aihf 7includ+ any rules or regulations !reund]7 %all n fail to be treat$ z a cafet]ia plan or dep5d5t c>e flexible sp5d+ arrangem5t m]ely because su* plan or arrangem5t is am5d$ pursuant to a provision "u ?is section & su* am5dm5t is retroactive1 if-- 7#a7 su* am5dm5t is adopt$ no lat] ?an ! la/ day ( ! plan ye> 9 :i* ! am5dm5t is effective1 & 7#b7 ! plan or arrangem5t is op]at$ consi/5t ) ! t]ms ( su* am5dm5t dur+ ! p]iod beg9n+ on ! effective date ( ! am5dm5t & end+ on ! date ! am5dm5t is adopt$4 #hjjh4 ,tempor>y increase 9 contribution limits = heal? sav+s acc\nts 7a7 ,9 g5]al ,section #bbc7;b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,increase 9 mon?ly limitations = taxable ye>s #bjbj & #bjba ,9 ! case ( any mon? dur+ a taxable ye> :i* beg9s aft] ,decemb] #ca1 #bjai1 & be=e ,janu>y #a1 #bjbb1 ! doll> am\nt 9 effect "u subp>agraph 7,a7 or 7,b7 ( p>agraph 7#b7 = su* mon? %all be twice ! am\nt o!rwise applicable "u su* subp>agraph1 z det]m9$-- 7,a7 be=e application ( p>agraph 7#c71 7,b7 aft] application ( subsection 7g71 & 7,c7 )\t reg>d to ?is p>agraph4 4 7b7 ,effective date ,! am5dm5t made by ?is section %all apply ) respect to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjai4 #hjji4 ,tempor>y all[ance ( paym5ts = employm5t-relat$ exp5ses "u heal? sav+s acc\nts 7a7 ,9 g5]al ,section #bbc7;d77#b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,e7 ,inclusion ( employm5t-relat$ exp5ses = taxable ye>s #bjbj & #bjba ,9 ! case ( any taxable ye> :i* beg9s aft] ,decemb] #ca1 #bjai1 & be=e ,janu>y #a1 #bjbb1 ! t]m qualifi$ m$ical exp5ses includes1 ) respect to an acc\nt b5efici>y1 any am\nts paid by su* b5efici>y = employm5t-relat$ exp5ses 7z def9$ 9 section #ba7;b77#b77 :i* are incurr$ dur+ su* taxable ye>4 4 7b7 ,con=m+ am5dm5t ,section #ba7;c7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ & any am\nts paid or di/ribut$ out ( a heal? sav+s acc\nt :i* are us$ exclusively to pay exp5ses describ$ 9 section #bbc7;d77#b77;,e7 :i* are incurr$ by ! taxpay] dur+ su* taxable ye> be=e ! p]iod at ! end ( ! second s5t5ce4 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply ) respect to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjai4 #hjaj4 ,treatm5t ( direct prim>y c>e s]vice arrangem5ts 7a7 ,9 g5]al ,section #bbc7;c77#a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,treatm5t ( direct prim>y c>e s]vice arrangem5ts 7i7 ,9 g5]al ,a direct prim>y c>e s]vice arrangem5t %all n be treat$ z a heal? plan = purposes ( subp>agraph 7,a77ii74 7ii7 ,direct prim>y c>e s]vice arrangem5t ,= purposes ( ?is p>agraph-- 7,i7 ,9 g5]al ,! t]m direct prim>y c>e s]vice arrangem5t means1 ) respect to any individual1 an arrangem5t "u :i* su* individual is provid$ m$ical c>e 7z def9$ 9 section #bac7;d77 consi/+ solely ( prim>y c>e s]vices provid$ by prim>y c>e practition]s 7z def9$ 9 section #ahcc7x77#b77;,a7 ( ! ,social ,security ,act1 det]m9$ )\t reg>d to clause 7ii7 !re(71 if ! sole comp5sation = su* c>e is a fix$ p]iodic fee4 7,,ii7 ,limitation ,) respect to any individual = any mon?1 su* t]m %all n include any arrangem5t if ! aggregate fees = all direct prim>y c>e s]vice arrangem5ts 7det]m9$ )\t reg>d to ?is subclause7 ) respect to su* individual = su* mon? exce$ #aej 7twice su* doll> am\nt 9 ! case ( an individual ) any direct prim>y c>e s]vice arrangem5t 7z s det]m9$7 t cov]s m ?an "o individual74 7iii7 ,c]ta9 s]vices specifically exclud$ f treatm5t z prim>y c>e s]vices ,= purposes ( ?is subp>agraph1 ! t]m prim>y c>e s]vices %all n include-- 7,i7 proc$ures t require ! use ( g5]al ane/hesia1 & 7,,ii7 laboratory s]vices n typically adm9i/]$ 9 an ambulatory prim>y c>e sett+4 ,! ,secret>y1 aft] consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all issue regulations or o!r guidance reg>d+ ! application ( ?is clause4 4 7b7 ,direct prim>y c>e s]vice arrangem5t fees treat$ z m$ical exp5ses ,section #bbc7;d77#b77;,c7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ or at ! end ( clause 7iii71 by /rik+ ! p]iod at ! end ( clause 7iv7 & ins]t+ 1 or1 & by add+ at ! end ! foll[+ new clause3 7v7 any direct prim>y c>e s]vice arrangem5t4 4 7c7 ,inflation adju/m5t ,section #bbc7;g77#a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$-- 7#a7 by ins]t+ 1 7c77#a77;,d77ii77,,ii71 aft] 7b77#b71 ea* place su* t]m appe>s1 & 7#b7 9 subp>agraph 7,b71 by ins]t+ & 7iii7 aft] clause 7ii7 9 clause 7i71 by /rik+ & at ! end ( clause 7i71 by /rik+ ! p]iod at ! end ( clause 7ii7 & ins]t+ 1 &1 & by ins]t+ aft] clause 7ii7 ! foll[+ new clause3 7iii7 9 ! case ( ! doll> am\nt 9 subsection 7c77#a77;,d77ii77,,ii7 = taxable ye>s beg9n+ 9 cal5d> ye>s aft] #bjbj1 cal5d> ye> #bjai4 4 7d7 ,report+ ( direct prim>y c>e s]vice arrangem5t fees on ,w-#b ,section #fjea7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ & at ! end ( p>agraph 7#af71 by /rik+ ! p]iod at ! end ( p>agraph 7#ag7 & ins]t+ 1 &1 & by ins]t+ aft] p>agraph 7#ag7 ! foll[+ new p>agraph3 7#ah7 9 ! case ( a direct prim>y c>e s]vice arrangem5t 7z def9$ 9 section #bbc7;c77#a77;,d77ii77 :i* is provid$ 9 connection ) employm5t1 ! aggregate fees = su* arrangem5t = su* employee4 4 7e7 ,effective date 7#a7 ,9 g5]al ,except z provid$ "u p>agraph 7#b71 ! am5dm5ts made by ?is section %all apply to mon?s beg9n+ aft] ,decemb] #ca1 #bjai1 9 taxable ye>s end+ aft] su* date4 7#b7 ,inflation adju/m5t ,! am5dm5ts made by subsection 7c7 %all apply to taxable ye>s beg9n+ 9 cal5d> ye>s beg9n+ aft] ,decemb] #ca1 #bjbj4 #hjaa4 ,all[ bo? sp\ses to make cat*-up contributions to ! same ,,hsa acc\nt 7a7 ,9 g5]al ,p>agraph 7#e7 ( section #bbc7;b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ to read z foll[s3 7#e7 ,special rule = m>ri$ individuals ) family cov]age 7,a7 ,9 g5]al ,9 ! case ( individuals :o are m>ri$ to ea* o!r1 if bo? sp\ses are eligible individuals & ei!r sp\se has family cov]age "u a high d$uctible heal? plan z ( ! fir/ day ( any mon?-- 7i7 ! limitation "u p>agraph 7#a7 %all be appli$ by n tak+ into acc\nt any o!r high d$uctible heal? plan cov]age ( ei!r sp\se 7& if su* sp\ses bo? h family cov]age "u sep>ate high d$uctible heal? plans1 only "o su* cov]age %all be tak5 into acc\nt71 7ii7 su* limitation 7aft] application ( clause 7i77 %all be r$uc$ by ! aggregate am\nt paid to ,ar*] ,m,s,as ( su* sp\ses = ! taxable ye>1 & 7iii7 su* limitation 7aft] application ( clauses 7i7 & 7ii77 %all be divid$ equally betwe5 su* sp\ses unless !y agree on a diff]5t division4 7,b7 ,treatm5t ( additional contribution am\nts ,if bo? sp\ses ref]r$ to 9 subp>agraph 7,a7 h atta9$ age #ee be=e ! close ( ! taxable ye>1 ! limitation ref]r$ to 9 subp>agraph 7,a77iii7 :i* is subject to division betwe5 ! sp\ses %all include ! additional contribution am\nts det]m9$ "u p>agraph 7#c7 = bo? sp\ses4 ,9 any o!r case1 any additional contribution am\nt det]m9$ "u p>agraph 7#c7 %all n be tak5 into acc\nt "u subp>agraph 7,a77iii7 & %all n be subject to division betwe5 ! sp\ses4 4 7b7 ,effective date ,! am5dm5t made by ?is section %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjai4 #hjab4 ,repeal ( ceil+ on d$uctible & out-(-pocket exp5ses "u a high d$uctible heal? plan 7a7 ,9 g5]al ,subp>agraph 7,a7 ( section #bbc7;c77#b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ to read z foll[s3 7,a7 ,high d$uctible heal? plan ,! t]m high d$uctible heal? plan means a heal? plan :i* has an annual d$uctible :i* is n less ?an-- 7i7 #a1jjj = self-only cov]age1 & 7ii7 twice ! doll> am\nt 9 clause 7i7 = family cov]age4 4 7b7 ,con=m+ am5dm5ts 7#a7 ,subp>agraph 7,d7 ( section #bbc7;c77#b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ to read z foll[s3 7,d7 ,special rule = network plans ,9 ! case ( a plan us+ a network ( provid]s1 su* plan's annual d$uctible = s]vices provid$ outside ( su* network %all n be tak5 into acc\nt = purposes ( subsection 7b77#b74 4 7#b7 ,clause 7ii7 ( section #bbc7;g77#a77;,b7 ( su* ,code is am5d$ by /rik+ ea* doll> am\nt 9 subsection 7c77#b77;,a7 & ins]t+ ! doll> am\nt 9 subsection 7c77#b77;,a77i74 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply ) respect to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjai4 #hjac4 ,on-site employee cl9ics 7a7 ,9 g5]al ,p>agraph 7#a7 ( section #bbc7;c7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 z am5d$ by section #hjaj ( ?is ,act1 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,e7 ,special rule = qualifi$ items & s]vices 7i7 ,9 g5]al ,= purposes ( subp>agraph 7,a77ii71 an individual %all n be treat$ z cov]$ "u a heal? plan describ$ 9 subclauses 7,i7 & 7,,ii7 ( su* subp>agraph m]ely because ! individual is eligible to receive1 or receives1 qualifi$ items & s]vices-- 7,i7 at a heal?c>e facility locat$ at a facility own$ or leas$ by ! employ] ( ! individual 7or ( ! individual's sp\se71 or 7,,ii7 at a heal?c>e facility op]at$ prim>ily = ! b5efit ( employees ( ! employ] ( ! individual 7or ( ! individual's sp\se74 7ii7 ,qualifi$ items & s]vices def9$ ,= purposes ( ?is subp>agraph1 ! t]m qualifi$ items & s]vices means ! foll[+3 7,i7 ,physical exam9ation4 7,,ii7 ,immunizations1 includ+ injections ( antig5s provid$ by employees4 7,,iii7 ,drugs or biologicals o!r ?an a prescrib$ drug 7z su* t]m is def9$ 9 section #bac7;d77#c774 7,,iv7 ,treatm5t = injuries occurr+ 9 ! c\rse ( employm5t4 7,v7 ,prev5tive c>e = *ronic conditions 7z def9$ 9 clause 7iv774 7,,vi7 ,drug te/+4 7,,vii7 ,he>+ or vision scre5+s & relat$ s]vices4 7iii7 ,aggregation ,= purposes ( clause 7i71 all p]sons treat$ z a s+le employ] "u subsection 7b71 7c71 7m71 or 7o7 ( section #dad %all be treat$ z a s+le employ]4 7iv7 ,prev5tive c>e = *ronic conditions ,= purposes ( ?is subp>agraph1 ! t]m prev5tive c>e = *ronic conditions means any item or s]vice specifi$ 9 ! ,app5dix ( ,int]nal ,rev5ue ,s]vice ,notice #bjai-de :i* is prescrib$ to treat an individual diagnos$ ) ! associat$ *ronic condition specifi$ 9 su* ,app5dix = ! purpose ( prev5t+ ! exac]bation ( su* *ronic condition or ! developm5t ( a second>y condition1 includ+ any am5dm5t1 addition1 removal1 or o!r modification made by ! ,secret>y 7pursuant to ! au?ority grant$ to ! ,secret>y "u p>agraph 7#b77;,c77 to ! items or s]vices specifi$ 9 su* ,app5dix subsequ5t to ! date ( enactm5t ( ?is subp>agraph4 4 7b7 ,effective date ,! am5dm5ts made by ?is section %all apply to mon?s 9 taxable ye>s beg9n+ aft] ! date ( enactm5t ( ?is ,act4 #hjad4 ,adju/m5t ( m$ical exp5se d$uction 7a7 ,9 g5]al ,section #bac ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$-- 7#a7 9 subsection 7a71 by /rik+ #aj p]c5t & ins]t+ #g4e p]c5t1 & 7#b7 by /rik+ subsection 7f7 & ins]t+ ! foll[+3 7f7 ,tempor>y special rule ,9 ! case ( any taxable ye> beg9n+ aft] ,decemb] #ca1 #bjai1 & end+ be=e ,janu>y #a1 #bjbb1 subsection 7a7 %all be appli$ ) respect to a taxpay] by sub/itut+ #e p]c5t = #g4e p]c5t4 4 7b7 ,effective date ,! am5dm5ts made by ?is section %all apply to taxable ye>s beg9n+ aft] ,decemb] #ca1 #bjai4 #hjae4 ,heal?y workplace tax cr$it 7a7 ,9 g5]al ,9 ! case ( an employ]1 !re %all be all[$ z a cr$it aga9/ applicable employm5t taxes = ea* cal5d> qu>t] an am\nt equal to #ej p]c5t ( ! sum (-- 7#a7 ! qualifi$ employee protection exp5ses paid or incurr$ by ! employ] dur+ su* cal5d> qu>t]1 7#b7 ! qualifi$ workplace reconfiguration exp5ses paid or incurr$ by ! employ] dur+ su* cal5d> qu>t]1 7#c7 ! qualifi$ workplace te*nology exp5ses paid or incurr$ by ! employ] dur+ su* cal5d> qu>t]1 & 7#d7 ! qualifi$ workplace tra9+ exp5ses paid or incurr$ by ! employ] dur+ su* cal5d> qu>t]4 7b7 ,limitations & refundability 7#a7 ,ov]all doll> limitation on cr$it 7,a7 ,9 g5]al ,! am\nt ( ! cr$it all[$ "u subsection 7a7 ) respect to any employ] = any cal5d> qu>t] %all n exce$ ! excess 7if any7 (-- 7i7 ! applicable doll> limit ) respect to su* employ] = su* cal5d> qu>t]1 ov] 7ii7 ! aggregate cr$its all[$ "u subsection 7a7 ) respect to su* employ] = all prec$+ cal5d> qu>t]s4 7,b7 ,applicable doll> limit ,! t]m applicable doll> limit means1 ) respect to any employ] = any cal5d> qu>t]1 ! sum (-- 7i7 #a1jjj1 multipli$ s mu* ( ! av]age numb] ( employees employ$ by su* employ] dur+ su* cal5d> qu>t] z does n exce$ #ejj1 plus 7ii7 #gej1 multipli$ by s mu* ( su* av]age numb] ( employees z exce$s #ejj b does n exce$ #a1jjj1 plus 7iii7 #ejj1 multipli$ by s mu* ( su* av]age numb] ( employees z exce$s #a1jjj4 7#b7 ,cr$it limit$ to employm5t taxes ,! cr$it all[$ by subsection 7a7 ) respect to any cal5d> qu>t] %all n exce$ ! applicable employm5t taxes 7r$uc$ by any cr$its all[$ "u subsections 7e7 & 7f7 ( section #caaa ( ! ,int]nal ,rev5ue ,code ( #aihf1 sections #gjja & #gjjc ( ! ,families ,fir/ ,coronavirus ,response ,act1 & section #bcja ( ! ,,c>es ,act7 on ! wages paid ) respect to ! employm5t ( all ! employees ( ! eligible employ] = su* cal5d> qu>t]4 7#c7 ,refundability ( excess cr$it 7,a7 ,9 g5]al ,if ! am\nt ( ! cr$it "u subsection 7a7 exce$s ! limitation ( p>agraph 7#b7 = any cal5d> qu>t]1 su* excess %all be treat$ z an ov]paym5t t %all be refund$ "u sections #fdjb7;a7 & #fdac7;b7 ( ! ,int]nal ,rev5ue ,code ( #aihf4 7,b7 ,treatm5t ( paym5ts ,= purposes ( section #acbd ( title #ca1 ,unit$ ,/ates ,code1 any am\nts due to ! employ] "u ?is p>agraph %all be treat$ 9 ! same mann] z a refund due f a cr$it provision ref]r$ to 9 subsection 7b77#b7 ( su* section4 7c7 ,qualifi$ employee protection exp5ses ,= purposes ( ?is section1 ! t]m qualifi$ employee protection exp5ses means am\nts paid or incurr$ by ! employ] =-- 7#a7 te/+ employees ( ! employ] = ,,covid-#ai 7includ+ on a p]iodic basis71 7#b7 equipm5t to protect employees ( ! employ] f contract+ ,,covid-#ai1 includ+ masks1 gloves1 & dis9fectants1 & 7#c7 clean+ products or s]vices 7:e!r provid$ by an employee ( ! taxpay] or a clean+ s]vice provid]7 relat$ to prev5t+ ! spread ( ,,covid-#ai4 7d7 ,qualifi$ workplace reconfiguration exp5ses ,= purposes ( ?is section-- 7#a7 ,9 g5]al ,! t]m qualifi$ workplace reconfiguration exp5ses means am\nts paid or incurr$ by ! employ] to design & reconfigure retail space1 "w areas1 break areas1 or o!r areas t employees or cu/om]s regul>ly use 9 ! ord9>y c\rse ( ! employ]'s trade or bus9ess if su* design & reconfiguration-- 7,a7 has a prim>y purpose ( prev5t+ ! spread ( ,,covid-#ai1 7,b7 is ) respect to an area t is locat$ 9 ! ,unit$ ,/ates & t is leas$ or own$ by ! employ]1 7,c7 is consi/5t ) ! purpose ( ! prop]ty imm$iately be=e ! reconfiguration1 7,d7 is comm5surate ) ! risks fac$ by ! employees or cu/om]s or is consi/5t ) recomm5dations made by ! ,c5t]s = ,disease ,control & ,prev5tion or ! ,occupational ,safety & ,heal? ,adm9i/ration1 7,e7 is complet$ pursuant to a reconfiguration plan & no comp>able reconfiguration plan 0 9 place be=e ,m>* #ac1 #bjbj1 & 7,f7 is complet$ be=e ,janu>y #a1 #bjba4 7#b7 ,regulations ,! ,secret>y %all prescribe su* regulations & o!r guidance z may be necess>y or appropriate to c>ry out ! purposes ( ?is subsection1 includ+ guidance def9+ prim>y purpose & reconfiguration plan4 7e7 ,qualifi$ workplace te*nology exp5ses ,= purposes ( ?is section-- 7#a7 ,9 g5]al ,! t]m qualifi$ workplace te*nology exp5ses means am\nts paid or incurr$ by ! employ] = te*nology sy/ems t employees or cu/om]s use 9 ! ord9>y c\rse ( ! employ]'s trade or bus9ess if su* te*nology sy/em-- 7,a7 has a prim>y purpose ( prev5t+ ! spread ( ,,covid-#ai1 7,b7 is us$ = limit+ physical contact betwe5 cu/om]s & employees 9 ! ,unit$ ,/ates1 7,c7 is comm5surate ) ! risks fac$ by ! employees or cu/om]s or is consi/5t ) recomm5dations made by ! ,c5t]s = ,disease ,control & ,prev5tion or ! ,occupational ,safety & ,heal? ,adm9i/ration1 7,d7 is acquir$ by ! taxpay] aft] ,m>* #ab1 #bjbj1 & is n acquir$ pursuant to a writt5 b9d+ contract ent]$ into be=e su* date1 & 7,e7 is plac$ 9 s]vice by ! taxpay] be=e ,janu>y #a1 #bjba4 7#b7 ,te*nology sy/ems ,! t]m te*nology sy/ems means comput] s(tw>e 7z def9$ 9 section #afg7;f77#a77 & qualifi$ te*nological equipm5t 7z def9$ 9 section #afh7;i77#b774 7#c7 ,regulations ,! ,secret>y %all prescribe su* regulations & o!r guidance z may be necess>y or appropriate to c>ry out ! purposes ( ?is subsection1 includ+ guidance def9+ prim>y purpose4 7f7 ,qualifi$ workplace tra9+ exp5ses ,= purposes ( ?is section1 ! t]m qualifi$ workplace tra9+ exp5ses means am\nts paid or incurr$ by ! employ] = education & tra9+ ) respect to indu/ry be/ practices t ensure-- 7#a7 ! heal? & safety ( employees 9 ! workplace ) respect to ,,covid-#ai1 & 7#b7 ! prev5tion ( ! spread ( ,,covid-#ai 9 ! workplace4 7g7 ,o!r def9itions ,= purposes ( ?is section-- 7#a7 ,applicable employm5t taxes ,! t]m applicable employm5t taxes means ! foll[+3 7,a7 ,! taxes impos$ "u section #caaa7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf4 7,b7 ,s mu* ( ! taxes impos$ "u section #cbba7;a7 ( su* ,code z are attributable to ! rate 9 effect "u section #caaa7;a7 ( su* ,code4 7#b7 ,,covid-#ai ,except :]e ! context cle>ly indicates o!rwise1 any ref]5ce 9 ?is section to ,,covid-#ai %all be treat$ z includ+ a ref]5ce to ! virus :i* causes ,,covid-#ai4 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ! ,treasury or ! ,secret>y's delegate4 7#d7 ,o!r t]ms ,any t]m us$ 9 ?is section 7o!r ?an subsection 7b77#a77;,b77 :i* is also us$ 9 *apt] #ba or #bb ( ! ,int]nal ,rev5ue ,code ( #aihf %all h ! same mean+ z :5 us$ 9 su* *apt]4 7h7 ,c]ta9 gov]nm5tal employ]s ,?is cr$it %all n apply to ! ,gov]nm5t ( ! ,unit$ ,/ates1 ! gov]nm5t ( any ,/ate or political subdivision !re(1 or any ag5cy or in/rum5tality ( any ( ! =ego+4 7i7 ,special rules 7#a7 ,aggregation rule ,all p]sons treat$ z a s+le employ] "u subsection 7a7 or 7b7 ( section #eb ( ! ,int]nal ,rev5ue ,code ( #aihf1 or subsection 7m7 or 7o7 ( section #dad ( su* ,code1 %all be treat$ z "o employ] = purposes ( ?is section4 7#b7 ,d5ial ( d\ble b5efit 7,a7 ,9 g5]al ,rules simil> to ! rules ( p>agraphs 7#a7 & 7#b7 ( section #bhj;,c7b7 %all apply = purposes ( ?is section4 7,b7 ,exp5ses n tak5 into acc\nt m ?an once ,any qualifi$ workplace reconfiguration exp5se or qualifi$ workplace te*nology exp5se %all n be treat$ z a qualifi$ employee protection exp5se & any qualifi$ workplace te*nology exp5se %all n be treat$ z a qualifi$ workplace reconfiguration exp5se4 7#c7 ,?ird-p>ty payors ,any cr$it all[$ "u ?is section %all be treat$ z a cr$it describ$ 9 section #ceaa7;d77#b7 ( su* ,code4 7#d7 ,election n to h section apply ,?is section %all n apply ) respect to any eligible employ] = any cal5d> qu>t] if su* employ] elects 7at su* "t & 9 su* mann] z ! ,secret>y may prescribe7 n to h ?is section apply4 7j7 ,transf]s to c]ta9 tru/ funds ,!re are h]eby appropriat$ to ! ,f$]al ,old-,age & ,survivors ,insurance ,tru/ ,fund & ! ,f$]al ,disability ,insurance ,tru/ ,fund e/abli%$ "u section #bja ( ! ,social ,security ,act 7#db ,u4,s4,c4 #dja7 & ! ,social ,security ,equival5t ,b5efit ,acc\nt e/abli%$ "u section #ae;,a7a7 ( ! ,railroad ,retirem5t ,act ( #aigd 7#de ,u4,s4,c4 #bcan-#a7;a77 am\nts equal to ! r$uction 9 rev5ues to ! ,treasury by reason ( ?is section 7)\t reg>d to ?is subsection74 ,am\nts appropriat$ by ! prec$+ s5t5ce %all be transf]r$ f ! g5]al fund at su* times & 9 su* mann] z to replicate to ! ext5t possible ! transf]s :i* w\ld h occurr$ to su* ,tru/ ,fund or ,acc\nt _h ?is section n be5 enact$4 7k7 ,treatm5t ( deposits ,! ,secret>y %all waive any p5alty "u section #ffef ( ! ,int]nal ,rev5ue ,code ( #aihf = any failure to make a deposit ( any applicable employm5t taxes if ! ,secret>y det]m9es t su* failure 0 due to ! reasonable anticipation ( ! cr$it all[$ "u ?is section4 7l7 ,regulations & guidance ,! ,secret>y %all prescribe su* regulations & o!r guidance z may be necess>y or appropriate to c>ry out ! purposes ( ?is section1 includ+-- 7#a7 ) respect to ! application ( ! cr$it "u subsection 7a7 to ?ird-p>ty payors 7includ+ pr(essional employ] organizations1 c]tifi$ pr(essional employ] organizations1 or ag5ts "u section #cejd ( ! ,int]nal ,rev5ue ,code ( #aihf71 regulations or o!r guidance all[+ su* payors to submit docum5tation necess>y to sub/antiate ! am\nt ( ! cr$it all[$ "u subsection 7a71 & 7#b7 regulations or o!r guidance to prev5t abusive transactions4 7m7 ,application ,?is section %all only apply to am\nts paid or incurr$ aft] ,m>* #ab1 #bjbj1 & be=e ,janu>y #a1 #bjba4 ,,ix ,m$ic>e ,provisions ,a ,teleheal? #ijja4 ,remov+ c]ta9 geographic & orig9at+ site re/rictions on ! furni%+ ( teleheal? s]vices "u ! ,m$ic>e program ,section #ahcd7m77#d77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77#d77;,c77 is am5d$-- 7#a7 9 clause 7i71 by ins]t+ 1 ) respect to s]vices furni%$ on or aft] ,janu>y #a1 #bjbd1 aft] telecommunications sy/em &2 & 7#b7 9 clause 7ii77,x71 by ins]t+ 1 ) respect to s]vices furni%$ on or aft] ,janu>y #a1 #bjbd1 aft] b4 #ijjb4 ,mak+ p]man5t ,,fqhc & ,,rhc teleheal? paym5ts ,section #ahcd7m77#f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77#h771 z s r$esignat$ by section #b7g71 is am5d$-- 7#a7 9 ! head]1 by /rik+ dur+ em]g5cy p]iod2 7#b7 9 subp>agraph 7,a71 9 ! matt] prec$+ clause 7i71 by /rik+ ,dur+ & ins]t+ ,) respect to s]vices furni%$ on or aft] ! fir/ day (2 & 7#c7 9 subp>agraph 7,b77i71 by /rik+ dur+ su* em]g5cy p]iod4 #ijjc4 ,exp&+ ! li/ ( practition]s eligible to furni% teleheal? s]vices ,section #ahcd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ describ$ 9 section #ahdb7;b77#ah77;,c7 & ins]t+ z def9$ 9 p>agraph 7#d77;,e72 7#b7 9 p>agraph 7#c77;,b71 by ins]t+ describ$ 9 subp>agraph 7,c7 ( su* section aft] practition]s2 & 7#c7 9 p>agraph 7#d71 by am5d+ subp>agraph 7,e7 to read z foll[s3 7,e7 ,practition] ,! t]m practition] means a practition] describ$ 9 section #ahdb7;b77#ah77;,c7 & includes1 ) respect to s]vices furni%$ be=e ,janu>y #a1 #bjbd1 any suppli] 7o!r ?an a physician7 p]mitt$ to receive paym5t = a teleheal? s]vice "u ?is section z ( ! date ( ! enactm5t ( ?is subp>agraph pursuant to a waiv] 9 effect z ( su* date "u section #aace4 4 #ijjd4 ,all[+ = ! provision ( teleheal? s]vices via audio-only telecommunications sy/ems ,section #ahcd7m77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77#d77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,g7 ,telecommunications sy/em 7i7 ,9 g5]al ,! t]m telecommunications sy/em includes1 9 ! case ( a teleheal? s]vice furni%$ by a qualifi$ provid] 7z def9$ 9 clause 7ii77 to an individual locat$ at an orig9at+ site be=e ,janu>y #a1 #bjbd1 a communications sy/em consi/+ ( only audio capabilities1 b only if su* individual does n h access to a communications sy/em ) audio-visual capabilities at su* site4 7ii7 ,qualifi$ provid] ,= purposes ( clause 7i71 ! t]m qualifi$ provid] means1 ) respect a teleheal? s]vice furni%$ to an individual1 a physician or practition] :o-- 7,i7 furni%$ to su* individual an item or s]vice 7o!r ?an su* teleheal? s]vice7 = :i* paym5t 0 made "u any gr\p heal? plan 7z def9$ 9 section #bgia ( ! ,public ,heal? ,s]vice ,act71 heal? insurance cov]age 7z s def9$71 ,f$]al heal? c>e program 7z def9$ 9 section #aabh;,b7f771 or ! heal? c>e program "u *apt] #hi ( title #e1 ,unit$ ,/ates ,code1 dur+ ! #c-ye> p]iod end+ on ! date su* teleheal? s]vice 0 furni%$2 or 7,,ii7 is 9 ! same practice 7z det]m9$ by tax id5tification numb]7 ( a physician or practition] :o furni%$ su* an item or s]vice to su* individual dur+ su* p]iod4 4 #ijje4 ,mak+ p]man5t ! safe h>bor = abs5ce ( d$uctible = teleheal? 7a7 ,9 g5]al ,section #bbc7;c77#b77;,e7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ ,9 ! case ( plan ye>s beg9n+ on or be=e ,decemb] #ca1 #bjba1 a & ins]t+ ,a4 7b7 ,c]ta9 cov]age disreg>d$ ,section #bbc7;c77#a77;,b77ii7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ 79 ! case ( plan ye>s beg9n+ on or be=e ,decemb] #ca1 #bjba74 #ijjf4 ,remov+ requirem5t = face-to-face visits betwe5 home dialysis pati5ts & physicians 7a7 ,9 g5]al ,section #ahha7;b77#c77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acierr7b77#c77;,b77 is am5d$-- 7#a7 9 clause 7i71 by /rik+ clauses 7ii7 & 7iii7 & ins]t+ clause 7ii72 7#b7 9 clause 7ii71 by ins]t+ or 7iv7 aft] clause 7iii72 7#c7 by mov+ clause 7iii7 #f ems to ! left2 & 7#d7 by add+ at ! end ! foll[+ new clause3 7iv7 ,clause 7ii7 %all n apply to mon?ly end /age r5al disease-relat$ cl9ical assessm5ts furni%$ be=e ,janu>y #a1 #bjbd1 9 ! case ( an individual :o has receiv$ 9-p]son tra9+ ) respect to home dialysis4 4 7b7 ,waiv] au?ority 7#a7 ,9 g5]al ,not)/&+ any provision ( section #aace ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e71 ! ,secret>y ( ,heal? & ,human ,s]vices may1 ) respect to a specifi$ waiv] 7z def9$ 9 p>agraph 7#b771 cont9ue su* waiv] 9 effect = any p]iod ( "t be=e ,janu>y #a1 #bjbd4 7#b7 ,def9ition ,9 ?is subsection1 ! t]m specifi$ waiv] means a waiv] 9 effect on ! date ( ! enactm5t ( ?is ,act t1 ) respect to any provision ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 t requires an 9-p]son visit ) a provid] ( s]vices or suppli] 7z su* t]ms are def9$ 9 section #ahfa ( su* ,act 7#db ,u4,s4,c4 #aciex77 z a pr]equisite = paym5t ( any item or s]vice "u su* title or = any o!r purpose1 modifies su* provision to all[ su* visit to be conduct$ ?r\gh ! use ( teleheal?4 #ijjg4 ,report on teleheal? paym5t integrity ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices %all review claims = paym5t = teleheal? s]vices furni%$ "u ! ,m$ic>e program dur+ ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b77 & submit to ,congress a report on any in/ances ( wa/e1 fraud1 or abuse id5tifi$ ?r\gh su* review4 #ijjh4 ,increas+ fund+ = review ( teleheal? claims ,!re are au?oriz$ to be appropriat$ to ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices #aj1jjj1jjj = fiscal ye>s #bjba ?r\gh #bjbc = purposes ( conduct+ audits & o!r ov]sight activities ) respect to paym5ts made "u section #ahcd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m774 #ijji4 ,teleheal? res\rces ,n lat] ?an #f mon?s aft] ! la/ day ( ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b771 ! ,secret>y ( ,heal? & ,human ,s]vices %all develop & make available to physicians 7z def9$ 9 section #ahfa7r7 ( su* ,act 7#db ,u4,s4,c4 #aciex7r777 & practition]s 7z def9$ 9 section #ahcd7m77#d77;,e7 ( su* ,act 7#db ,u4,s4,c4 #aciem7m77#d77;,e777 educational res\rces & tra9+ sessions on requirem5ts relat+ to ! furni%+ ( teleheal? s]vices "u section #ahcd7m7 ( su* ,act 7#db ,u4,s4,c4 #aciem7m774 ,b ,protect+ ,access to ,innovation ,dur+ ,,covid-#ai #ijaa4 ,au?oriz+ ! ext5sion ( pass-?r\gh /atus "u ! ,m$ic>e program = c]ta9 drugs & devices impact$ by ,,covid-#ai ,section #ahcc7t77#f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7t77#f77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,k7 ,au?ority to ext5d pass-?r\gh /atus = c]ta9 drugs & devices impact$ by ,,covid-#ai 7i7 ,9 g5]al ,not)/&+ ! prec$+ provisions ( ?is p>agraph1 9 ! case ( an eligible drug or device 7z def9$ 9 clause 7iv771 if ! ,secret>y det]m9es1 prior to or on ! date ( ! expiration ( pass-?r\gh /atus = su* drug or device 7or1 9 ! case ( su* a drug or device ^: pass-?r\gh /atus expir$ be=e ! date ( ! enactm5t ( ?is subp>agraph1 n lat] ?an #cj days aft] su* date71 t ! co/ ( su* drug or device is unable to be accurately calculat$ due to ! effects ( ,,covid-#ai1 ! ,secret>y may ext5d ! pass-?r\gh /atus ( su* eligible drug or device 9 accordance ) clause 7ii74 7ii7 ,ext5sion ,! ,secret>y may ext5d ! pass-?r\gh /atus ( an eligible drug or device describ$ 9 clause 7i7 ) respect to :i* a det]m9ation has be5 made "u su* clause-- 7,i7 9 ! case ( a drug or device ^: p]iod ( pass-?r\gh /atus expir$ dur+ ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b7 be=e ! date ( ! enactm5t ( ?is subp>agraph1 = a p]iod beg9n+ on ! fir/ day aft] su* p]iod ( up to ! numb] ( days occurr+ dur+ su* p]iod dur+ :i* su* drug or device _h pass-?r\gh /atus2 7,,ii7 9 ! case ( a drug or device ^: p]iod ( pass-?r\gh /atus w\ld o!rwise expire dur+ su* em]g5cy p]iod on or aft] su* date ( enactm5t-- 7aa7 = ! rema9d] ( su* p]iod2 & 7bb7 = a p]iod beg9n+ on ! fir/ day aft] su* p]iod ( up to ! numb] ( days occurr+ dur+ su* p]iod dur+ :i* su* drug or device _h pass-?r\gh /atus 7n tak+ into acc\nt any ext5sion ( su* /atus pursuant to ?is subclause72 & 7,,iii7 9 ! case ( a drug or device n describ$ 9 subclause 7,i7 or 7,,ii71 by ! numb] ( days occurr+ dur+ su* em]g5cy p]iod dur+ :i* su* drug or device _h pass-?r\gh /atus4 7iii7 ,special rules = already-expir$ drugs & devices ,9 ! case ( an eligible drug or device describ$ 9 clause 7ii77,i7 = :i* paym5t "u ?is subsection 0 packag$ into a paym5t = a cov]$ ,,opd s]vice 7or gr\p ( s]vices7 & ^: p]iod ( pass-?r\gh /atus is ext5d$ 9 accordance ) su* clause1 ! ,secret>y-- 7,i7 %all1 = ! p]iod dur+ :i* su* ext5sion is 9 effect = su* drug or device-- 7aa7 remove1 dur+ su* p]iod1 ! packag$ co/s ( su* drug or device 7z det]m9$ by ! ,secret>y7 f ! paym5t am\nt "u ?is subsection = ! cov]$ ,,opd s]vice 7or gr\p ( s]vices7 ) :i* x is packag$2 & 7bb7 n make any adju/m5ts to paym5t am\nts "u ?is subsection = a cov]$ ,,opd s]vice 7or gr\p ( s]vices7 = :i* no co/s 7 remov$ "u subclause 7,i72 & 7,,ii7 may n1 :5 calculat+ ! co/ ( su* drug or device at ! end ( su* ext5sion1 take into acc\nt claims = su* drug or device made :ile su* drug or device 0 s packag$4 7iv7 ,eligible drug or device def9$ ,= purposes ( ?is subp>agraph1 ! t]m eligible drug or device means a drug1 biological1 or device ) pass-?r\gh /atus 9 effect dur+ any portion ( ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b7 t w n be 7or 0 n7 sep>ately payable ^u ! expiration ( su* /atus1 b only if1 9 ! case ( a drug or biological1 su* drug or biological-- 7,i7 0 payable bas$ ^u ! :olesale acquisition co/ ( su* drug or biological 9 lieu ( ! av]age sales price ( su* drug or biological on ! fir/ date ( su* em]g5cy p]iod2 & 7,,ii7 w be 7or 07 packag$ into a paym5t = a cov]$ ,,opd s]vice 7or gr\p ( s]vices7 ^u expiration ( su* /atus4 4 ,c ,r$uc+ ,unnecess>y ,s5ior ,hospitalizations #ijba4 ,,snf-bas$ provision ( prev5tive acute c>e & hospitalization r$uction program ,title ,,xviii ( ! ,social ,security ,act is am5d$ by add+ at ! end ! foll[+ new section3 #ahii;,c4 ,,snf-bas$ provision ( prev5tive acute c>e & hospitalization r$uction program 7a7 ,e/abli%m5t ,!re is e/abli%$ a program to be kn[n z ! ,,snf-bas$ ,provision ( ,prev5tive ,acute ,c>e & ,hospitalization ,r$uction ,program 79 ?is section ref]r$ to z ! ,program71 to be adm9i/]$ by ! ,secret>y1 = purposes ( r$uc+ unnecess>y hospitalizations & em]g5cy dep>tm5t visits by all[+ qualifi$ gr\p practices 7z def9$ 9 section #ahgg7;h77#d77 on or aft] ,janu>y #a1 #bjbb1 to furni% items & s]vices id5tifi$ "u subsection 7b77#c7 to individuals entitl$ to b5efits "u "p ,a & enroll$ "u "p ,b resid+ 9 qualifi$ skill$ nurs+ facilities4 7b7 ,op]ation ( ,program ,"u ! ,program1 ! ,secret>y %all provide = ! foll[+3 7#a7 ,c]tification ( skill$ nurs+ facilities z qualifi$ skill$ nurs+ facilities "u subsection 7c77#a74 7#b7 ,c]tification ( gr\p practices z qualifi$ gr\p practices "u subsection 7c77#b74 7#c7 ,id5tification ( m9imum requir$ nonsurgical items & s]vices furni%$ at a hospital em]g5cy dep>tm5t t may be safely furni%$ by a qualifi$ gr\p practice at a qualifi$ skill$ nurs+ facility "u ! ,program1 z det]m9$ z cl9ically appropriate by ! ,secret>y1 & t su* qualifi$ gr\p practice %all (f] to furni% "u ! ,program4 7#d7 ,annual id5tification ( additional items & s]vices furni%$ at a hospital em]g5cy dep>tm5t t may be safely furni%$ by a qualifi$ gr\p practice at a qualifi$ skill$ nurs+ facility "u ! ,program dur+ a ye> & t su* qualifi$ gr\p practice may (f] to furni% "u ! ,program dur+ su* ye>4 7#e7 ,e/abli%m5t ( qualifications = nonphysician employees :o may furni% su* items & s]vices at a qualifi$ skill$ nurs+ facility4 ,su* qualifications %all include ! requirem5t t su* an employee-- 7,a7 be c]tifi$ 9 basic life support by a nationally recogniz$ specialty bo>d ( c]tification or equival5t c]tification bo>d2 & 7,b7 h-- 7i7 cl9ical exp]i5ce furni%+ m$ical c>e-- 7,i7 9 a skill$ nurs+ facility2 7,,ii7 9 a hospital em]g5cy dep>tm5t sett+2 or 7,,iii7 z an employee ( a provid] or suppli] ( ambulance s]vices2 or 7ii7 a c]tification 9 p>am$ic9e4 7#f7 ,paym5t "u ?is title = items & s]vices id5tifi$ "u p>agraph 7#c7 or 7#d7 furni%$ by su* qualifi$ gr\p practices at su* a facility 9 am\nts det]m9$ "u subsection 7d74 7c7 ,c]tifications 7#a7 ,qualifi$ skill$ nurs+ facilities ,= purposes ( ?is section1 ! ,secret>y %all c]tify a skill$ nurs+ facility z a qualifi$ skill$ nurs+ facility if ! facility submits an application 9 a "t & mann] specifi$ by ! ,secret>y & meets ! foll[+ requirem5ts3 7,a7 ,! facility has on-site diagno/ic equipm5t necess>y = a qualifi$ gr\p practice to furni% items & s]vices "u ! ,program & real-"t audio & visual capabilities4 7,b7 ,! facility has at lea/ "o individual :o meets ! qualifications describ$ 9 p>agraph 7#e7 or a physician pres5t #bd h\rs a day & #g days a week to "w ) ! qualifi$ gr\p practice4 ,su* individual may be a memb] ( ! /aff ( ! qualifi$ skill$ nurs+ facility or ( ! qualifi$ gr\p practice4 7,c7 ,! facility ensures t resid5ts ( su* facility1 ^u ent]+ su* facility1 are all[$ to specify 9 an advanc$ c>e directive :e!r ! resid5t wi%es to receive items & s]vices furni%$ at ! facility "u ! ,program 9 a case :]e communication ) ! resid5t is n possible4 7,d7 ,! facility ensures t individuals to be furni%$ su* items & s]vices "u ! ,program at su* facility h ! opportunity1 at _! reque/1 to in/ead be transport$ to a hospital em]g5cy dep>tm5t4 7,e7 ,! facility is n "p ( ! ,special ,focus ,facility program ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices 7al?\gh ! facility may1 at ! discretion ( ! ,secret>y1 be a c&idate = selection "u su* program74 ,no?+ 9 ?is p>agraph %all affect ! requirem5ts "u section #ahai7;b77#d74 7#b7 ,qualifi$ gr\p practices ,= purposes ( ?is section1 ! ,secret>y %all c]tify a gr\p practice z a qualifi$ gr\p practice = a p]iod ( #c ye>s if ! gr\p practice submits an application 9 a "t & mann] specifi$ by ! ,secret>y & meets ! foll[+ requirem5ts3 7,a7 ,! gr\p practice (f]s to furni% all m9imum requir$ items & s]vices id5tifi$ "u subsection 7b77#c7 "u ! ,program4 7,b7 ,! gr\p practice submits a notification to ! ,secret>y annually specify+ :i* 7if any7 additional items & s]vices id5tifi$ "u subsection 7b77#d7 = a ye> ! gr\p practice w (f] to furni% = su* ye> "u ! ,program4 7,c7 ,! gr\p practice ensures t only individuals :o meet ! qualifications e/abli%$ "u subsection 7b77#e7 or a physician :o is "p ( su* gr\p practice may furni% su* m9imum requir$ items & s]vices & su* additional items & s]vices4 7,d7 ,! gr\p practice ensures t1 9 ! case :]e su* m9imum requir$ items & s]vices or su* additional items & s]vices are furni%$ by su* an individual1 su* individual furni%es su* m9imum requir$ items & s]vices or additional items & s]vices "u ! sup]vision1 ei!r 9-p]son or ?r\gh ! use ( teleheal? 7n includ+ /ore-&-=w>d te*nologies71 (-- 7i7 a physician-- 7,i7 :o is bo>d c]tifi$ or bo>d eligible 9 em]g5cy m$ic9e1 family m$ic9e1 g]iatrics1 or int]nal m$ic9e2 or 7,,ii7 :o has be5 c]tifi$ by a nationally recogniz$ specialty bo>d ( c]tification or equival5t c]tification bo>d 9 basic life support2 7ii7 a nurse practition] :o has be5 c]tifi$ by a nationally recogniz$ specialty bo>d ( c]tification or equival5t c]tification bo>d 9 basic life support2 or 7iii7 a physician assi/ant :o has be5 c]tifi$ by a nationally recogniz$ specialty bo>d ( c]tification or equival5t c]tification bo>d 9 basic life support4 7,e7 ,) respect to any ye> 9 :i* ! qualifi$ gr\p practice w\ld p>ticipate 9 ! ,program1 ! ,*ief ,actu>y = ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices det]m9es t su* p>ticipation dur+ su* ye> w n result 9 total e/imat$ exp5ditures "u ?is title = su* ye> be+ great] ?an total e/imat$ exp5ditures "u su* title = su* ye> )\t su* p>ticipation4 7d7 ,paym5ts 7#a7 ,9 g5]al ,= #bjbb & ea* subsequ5t ye>1 ! ,secret>y %all develop a s*$ule ( paym5ts to apply = items & s]vices id5tifi$ "u p>agraph 7#c7 or p>agraph 7#d7 ( subsection 7b7 furni%$ dur+ su* ye> "u ! ,program4 ,su* paym5ts %all be 9 lieu ( any o!r paym5ts t may be made "u ?is title = su* items & s]vices4 7#b7 ,%>$ sav+s ,9 ! case ( a ye> = :i* ! ,secret>y det]m9es t p>ticipation 9 ! ,program result$ 9 a r$uction 9 exp5ditures "u ?is title comp>$ to :at su* exp5ditures w\ld h be5 )\t su* p>ticipation1 ! ,secret>y %all-- 7,a7 pay to su* qualifi$ gr\p practice an am\nt equal to #cg4e p]c5t ( ! e/imat$ am\nt ( su* r$uction2 & 7,b7 9 ! case ( ea* qualifi$ skill$ nurs+ facility :]e su* qualifi$ gr\p practice furni%$ items & s]vices "u ! ,program dur+ su* ye>-- 7i7 if ! qualifi$ skill$ nurs+ facility has at lea/ a ?ree-/> rat+ "u ! ,five ,/> ,quality ,rat+ ,sy/em 7or a successor sy/em71 pay to ! facility an am\nt t be>s ! same ratio to #ab4e p]c5t ( ! e/imat$ am\nt ( su* r$uction z ! am\nt ( exp5ditures "u ! ,program = su* items & s]vices furni%$ ) respect to individuals at su* facility by su* qualifi$ gr\p practice dur+ su* ye> be>s to ! total am\nt ( exp5ditures "u ! ,program = su* items & s]vices furni%$ ) respect to all individuals by su* qualifi$ gr\p practice dur+ su* ye>2 & 7ii7 9 ! case ( a qualifi$ skill$ nurs+ facility t is n describ$ 9 clause 7i71 reta9 9 ! ,f$]al ,hospital ,insurance ,tru/ ,fund "u section #ahag ! am\nt t ! facility w\ld h be5 paid pursuant to clause 7i7 if ! facility 7 describ$ 9 su* clause until su* "t z ! facility has at lea/ a ?ree-/> rat+ "u ! ,five ,/> ,quality ,rat+ ,sy/em 7or a successor sy/em71 at :i* po9t ! ,secret>y %all pay su* am\nt to ! facility4 7#c7 ,advanc$ alt]native paym5t models ,p>agraph 7#b7 %all n apply to items & s]vices furni%$ to an individual entitl$ to b5efits "u "p ,a & enroll$ "u "p ,b = :om %>$ sav+s w\ld o!rwise be attribut$ ?r\gh an advanc$ alt]native paym5t model z au?oriz$ "u section #aaae;,a or section #ahii4 7e7 ,evaluation 7#a7 ,9 g5]al ,) respect to a qualifi$ gr\p practice & a qualifi$ skill$ nurs+ facility1 n lat] ?an #f mon?s aft] su* gr\p practice beg9s furni%+ items & s]vices "u ! ,program 7or1 9 ! case ( a qualifi$ skill$ nurs+ facility1 n less ?an #f mon?s aft] a qualifi$ gr\p practice fir/ furni%es su* items & s]vices at su* facility71 & n less ?an once e #b ye>s !reaft]1 ! ,secret>y %all evaluate su* qualifi$ gr\p practice & su* qualifi$ facility us+ in=mation receiv$ "u p>agraph 7#b7 on su* crit]ia z det]m9$ appropriate by ! ,secret>y4 7#b7 ,report+ ( in=mation ,9 a "t & mann] specifi$ by ! ,secret>y1 a qualifi$ gr\p practice & a qualifi$ skill$ nurs+ facility %all submit to ! ,secret>y a report conta9+ ! foll[+ in=mation ) respect to items & s]vices furni%$ "u ! ,program dur+ a report+ p]iod 7z specifi$ by ! ,secret>y73 7,a7 ,! numb] ( individuals ) respect to :om su* gr\p practice furni%$ su* items & s]vices 9 su* p]iod 7or1 9 ! case ( a qualifi$ skill$ nurs+ facility1 ! numb] ( individuals ) respect to :om su* a gr\p practice furni%$ su* items & s]vices at su* facility 9 su* p]iod74 7,b7 ,! numb] ( su* individuals :o 7 admitt$ to a hospital or treat$ 9 ! em]g5cy dep>tm5t ( a hospital )9 #bd h\rs ( be+ furni%$ su* items & s]vices4 7,c7 ,o!r in=mation det]m9$ appropriate by ! ,secret>y4 7#c7 ,loss ( qualifi$ c]tification 7,a7 ,9 g5]al ,n lat] ?an #c mon?s aft] a det]m9ation describ$ 9 ?is s5t5ce is made1 ! ,secret>y may revoke ! c]tification ( a qualifi$ skill$ nurs+ facility or a qualifi$ gr\p practice made "u subsection 7c7 if-- 7i7 ! ,*ief ,actu>y ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices det]m9es t ! p>ticipation ( su* skill$ nurs+ facility or su* gr\p practice 9 ! ,program dur+ a ye> result$ 9 total exp5ditures "u ?is title = su* p]iod be+ great] ?an total exp5ditures "u su* title w\ld h be5 dur+ su* p]iod )\t su* p>ticipation2 or 7ii7 a facility is select$ = ! ,special ,focus ,facility program or1 if ! facility is a c&idate = ! ,special ,focus ,facility program1 ! ,secret>y det]m9es t ! p>ticipation ( su* facility 9 ! ,program %\ld be t]m9at$4 7,b7 ,exclusion f c]tification 7i7 ,9 g5]al ,9 ! case t ! ,secret>y revokes ! c]tification ( a qualifi$ skill$ nurs+ facility or a qualifi$ gr\p practice "u subp>agraph 7,a71 su* skill$ nurs+ facility or su* gr\p practice %all be ineligible = c]tification z a qualifi$ skill$ nurs+ facility or a qualifi$ gr\p practice 7z applicable7 "u subsection 7c7 = ! applicable p]iod 7z def9$ "u clause 7ii774 7ii7 ,applicable p]iod def9$ ,9 ?is subp>agraph1 ! t]m applicable p]iod means-- 7,i7 if ! revocation ( a facility or gr\p practice "u subp>agraph 7,a7 is due to ! application ( clause 7i7 ( su* subp>agraph1 a #a-ye> p]iod beg9n+ on ! date ( su* revocation2 & 7,,ii7 9 ! revocation ( a facility "u subp>agraph 7,a7 is due to ! application ( clause 7ii7 ( su* subp>agraph1 ! p]iod beg9n+ on ! date ( su* revocation & end+ on ! date on :i* ! facility graduates f ! ,special ,focus ,facility program 7or1 9 ! case ( a facility t is a c&idate = su* program1 ! date on :i* ! facility is no long] su* a c&idate1 z det]m9$ by ! ,secret>y74 7f7 ,det]m9ation ( budget neutrality2 t]m9ation ( program 7#a7 ,det]m9ation ,n lat] ?an ,july #a1 #bjbg1 ! ,*ief ,actu>y ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices %all det]m9e :e!r ! ,program has result$ 9 an increase 9 total exp5ditures "u ?is title ) respect to ! p]iod beg9n+ on ,janu>y #a1 #bjbb1 & end+ on ,decemb] #ca1 #bjbf1 comp>$ to :at su* exp5ditures w\ld h be5 dur+ su* p]iod _h ! ,program n be5 9 op]ation4 7#b7 ,t]m9ation ,if ! ,*ief ,actu>y makes a det]m9ation "u p>agraph 7#a7 t ! ,program has result$ 9 an increase 9 total exp5ditures "u ?is title1 ! ,secret>y %all t]m9ate ! ,program z ( ,janu>y #a ( ! fir/ ye> beg9n+ aft] su* det]m9ation4 4 ,x ,appropriations #ajjja4 ,appropriations ,! foll[+ sums are h]eby appropriat$1 out ( any money 9 ! ,treasury n o!rwise appropriat$1 = ! fiscal ye> end+ ,septemb] #cj1 #bjba1 & = o!r purposes1 namely3 ,a ,heal? programs ,dep>tm5t ( ,heal? & ,human ,s]vices ,(fice ( ! ,secret>y ,public ,heal? & ,social ,s]vices ,em]g5cy ,fund 7,includ+ ,transf] ( ,funds7 ,= an additional am\nt = ,public ,heal? & ,social ,s]vices ,em]g5cy ,fund1 #ca1jjj1jjj1jjj1 to rema9 available until ,septemb] #cj1 #bjbe1 to prev5t1 prep>e =1 & respond to coronavirus1 dome/ically or int]nationally1 includ+ ! developm5t ( necess>y c\nt]measures & vacc9es1 prioritiz+ plat=m-bas$ te*nologies ) ,unit$ ,/ates-bas$ manufactur+ capabilities1 ! pur*ase ( vacc9es1 !rapeutics1 diagno/ics1 necess>y m$ical supplies1 z well z m$ical surge capacity1 address+ blood supply *a91 work=ce mod]nization1 teleheal? access & infra/ructure1 initial advanc$ manufactur+1 novel disp5s+1 enhancem5ts to ! ,unit$ ,/ates ,commission$ ,corps1 & o!r prep>$ness & response activities3 ,provid$1 ,t funds appropriat$ "u ?is p>agraph 9 ?is title may be us$ to develop & demon/rate innovations & enhancem5ts to manufactur+ plat=ms to support su* capabilities3 ,provid$ fur!r1 ,t ! ,secret>y ( ,heal? & ,human ,s]vices %all pur*ase vacc9es develop$ us+ funds made available "u ?is p>agraph 9 ?is title to respond to an outbreak or p&emic relat$ to coronavirus 9 quantities det]m9$ by ! ,secret>y to be adequate to address ! public heal? ne$3 ,provid$ fur!r1 ,t products pur*as$ by ! ,f$]al ,gov]nm5t ) funds made available "u ?is p>agraph 9 ?is title1 includ+ vacc9es1 !rapeutics1 & diagno/ics1 %all be pur*as$ 9 accordance ) ,f$]al ,acquisition ,regulation guidance on fair & reasonable pric+3 ,provid$ fur!r1 ,t ! ,secret>y may take su* measures au?oriz$ "u curr5t law to ensure t vacc9es1 !rapeutics1 & diagno/ics develop$ f funds provid$ 9 ?is title w be af=dable 9 ! comm]cial m>ket3 ,provid$ fur!r1 ,t 9 c>ry+ out ! previ\s proviso1 ! ,secret>y %all n take actions t delay ! developm5t ( su* products3 ,provid$ fur!r1 ,t ! ,secret>y %all ensure t protections rema9 = individuals enroll$ 9 gr\p or individual heal? c>e cov]age ) pre-exi/+ conditions1 includ+ ^? l9k$ to coronavirus3 ,provid$ fur!r1 ,t products pur*as$ ) funds appropriat$ "u ?is p>agraph 9 ?is title may1 at ! discretion ( ! ,secret>y ( ,heal? & ,human ,s]vices1 be deposit$ 9 ! ,/rategic ,national ,/ockpile "u section #cai;,f-#b ( ! ,public ,heal? ,s]vice ,act3 ,provid$ fur!r1 ,t ( ! am\nt appropriat$ "u ?is p>agraph 9 ?is title1 n m ?an #b1jjj1jjj1jjj %all be = ! ,/rategic ,national ,/ockpile "u section #cai;,f-#b7;a7 ( su* ,act3 ,provid$ fur!r1 ,t funds appropriat$ "u ?is p>agraph 9 ?is title may be transf]r$ to1 & m]g$ )1 ! fund au?oriz$ by section #cai;,f-#d1 ! ,cov]$ ,c\nt] measure ,process ,fund1 ( ! ,public ,heal? ,s]vice ,act3 ,provid$ fur!r1 ,t ( ! am\nt appropriat$ "u ?is p>agraph 9 ?is title1 n m ?an #b1jjj1jjj1jjj1 to rema9 available until ,septemb] #cj1 #bjbc1 %all be = activities to improve & su/a9 ,/ate m$ical /ockpiles3 ,provid$ fur!r1 ,t ( ! am\nt appropriat$ "u ?is p>agraph 9 ?is title1 #bj1jjj1jjj1jjj %all be available to ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority = necess>y exp5ses ( manufactur+1 production1 & pur*ase1 at ! discretion ( ! ,secret>y1 ( vacc9es1 !rapeutics1 diagno/ics1 & small molecule active ph>maceutical +r$i5ts1 includ+ ! developm5t1 translation1 & demon/ration at scale ( innovations 9 manufactur+ plat=ms3 ,provid$ fur!r1 ,t funds 9 ! previ\s proviso may be us$ = ! con/ruction or r5ovation ( ,unit$ ,/ates-bas$ next g5]ation manufactur+ facilities1 o!r ?an facilities own$ by ! ,unit$ ,/ates ,gov]nm5t3 ,provid$ fur!r1 ,t am\nts provid$ 9 ! elev5? proviso may be = necess>y exp5ses relat$ to ! su/a9$ on-%ore manufactur+ capacity = public heal? em]g5cies3 ,provid$ fur!r1 ,t ( ! am\nt appropriat$ "u ?is p>agraph 9 ?is title1 #f1jjj1jjj1jjj %all be = activities to plan1 prep>e =1 promote1 di/ribute1 adm9i/]1 monitor1 & track coronavirus vacc9es to ensure broad-bas$ di/ribution1 access1 & vacc9e cov]age3 ,provid$ fur!r1 ,t ! ,secret>y %all coord9ate fund+ & activities outl9$ 9 ! previ\s proviso ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion3 ,provid$ fur!r1 ,t ! ,secret>y1 ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all report to ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate )9 #fj days ( ! date ( enactm5t ( ?is title on a compreh5sive coronavirus vacc9e di/ribution /rategy & sp5d plan t includes h[ exi/+ infra/ructure w be lev]ag$1 enhancem5ts or new infra/ructure t may be built1 consid]ations = mov+ & /or+ vacc9es1 guidance = h[ ,/ates & heal? c>e provid]s %\ld prep>e =1 /ore1 & adm9i/] vacc9es1 nationwide vacc9ation t>gets1 fund+ t w be di/ribut$ to ,/ates1 h[ an in=mational campaign to bo? ! public & heal? c>e provid]s w be execut$1 & h[ ! vacc9e di/ribution plan w focus ef=ts on high risk1 und]s]v$1 & m9ority populations3 ,provid$ fur!r1 ,t su* plan %all be updat$ & provid$ to ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate #ij days aft] submission ( ! fir/ plan3 ,provid$ fur!r1 ,t ! ,secret>y %all notify ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate #b days 9 advance ( any obligation 9 excess ( #ej1jjj1jjj1 includ+ contracts & int]ag5cy agreem5ts1 f funds provid$ 9 ?is p>agraph 9 ?is title3 ,provid$ fur!r1 ,t funds appropriat$ "u ?is p>agraph 9 ?is title may be us$ = ! con/ruction1 alt]ation1 or r5ovation ( nonf$]ally own$ facilities = ! production ( vacc9es1 !rapeutics1 diagno/ics1 & m$ical supplies :]e ! ,secret>y det]m9es t su* a contract is necess>y to secure suffici5t am\nts ( su* supplies3 ,provid$ fur!r1 ,t n lat] ?an #cj days aft] enactm5t ( ?is title1 & e #cj days !reaft] until funds are exp5d$1 ! ,secret>y %all report to ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate on uses ( fund+ = ,op]ation ,w>p ,spe$1 detail+ curr5t obligations by ,dep>tm5t or ,ag5cy1 or compon5t !re( brok5 out by ! coronavirus supplem5tal appropriations ,act t provid$ ! s\rce ( funds3 ,provid$ fur!r1 ,t ! plan outl9$ 9 ! previ\s proviso %all include fund+ by contract1 grant1 or o!r transaction 9 excess ( #bj1jjj1jjj ) a notation ( :i* ,dep>tm5t or ,ag5cy1 & compon5t !re( is manag+ ! contract3 ,provid$ fur!r1 ,t su* am\nt is designat$ by ! ,congress z be+ = an em]g5cy requirem5t pursuant to section #bea7;b77#b77;,a77i7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,= an additional am\nt = ,public ,heal? & ,social ,s]vices ,em]g5cy ,fund1 #af1jjj1jjj1jjj1 to rema9 available until ,septemb] #cj1 #bjbc1 to prev5t1 prep>e =1 & respond to coronavirus1 dome/ically or int]nationally1 :i* %all be = necess>y exp5ses = te/+1 contact trac+1 surveillance1 conta9m5t1 & mitigation to monitor & suppress ,,covid-#ai1 includ+ te/s = bo? active infection & prior exposure1 includ+ molecul>1 antig51 & s]ological te/s1 ! manufactur+1 procurem5t & di/ribution ( te/s1 te/+ equipm5t & te/+ supplies1 includ+ p]sonal protective equipm5t ne$$ = adm9i/]+ te/s1 ! developm5t & validation ( rapid1 molecul> po9t-(-c>e te/s1 & o!r te/s1 support = work=ce1 epidemiology1 to scale up academic1 comm]cial1 public heal?1 & hospital laboratories1 to conduct surveillance & contact trac+1 support developm5t ( ,,covid-#ai te/+ plans1 & o!r relat$ activities relat$ to ,,covid-#ai te/+3 ,provid$1 ,t ( ! am\nt appropriat$ "u ?is p>agraph 9 ?is title1 n less ?an #ae1jjj1jjj1jjj %all be = ,/ates1 localities1 t]ritories1 ,tribes1 ,tribal organizations1 urban ,indian heal? organizations1 or heal? s]vice provid]s to ,tribes = necess>y exp5ses = te/+1 contact trac+1 surveillance1 conta9m5t1 & mitigation1 includ+ support = work=ce1 epidemiology1 use by employ]s1 elem5t>y & second>y s*ools1 *ild c>e facilities1 in/itutions ( high] education1 long-t]m c>e facilities1 or 9 o!r sett+s1 scale up ( te/+ by public heal?1 academic1 comm]cial1 & hospital laboratories1 & community-bas$ te/+ sites1 heal? c>e facilities1 & o!r entities engag$ 9 ,,covid-#ai te/+1 & o!r relat$ activities relat$ to ,,covid-#ai te/+1 contact trac+1 surveillance1 conta9m5t1 & mitigation3 ,provid$ fur!r1 ,t ! am\nt provid$ 9 ! prec$+ proviso %all be made available )9 #cj days ( ! date ( enactm5t ( ?is title3 ,provid$ fur!r1 ,t ! am\nt id5tifi$ 9 ! fir/ proviso "u ?is p>agraph 9 ?is title %all be allocat$ to ,/ates1 localities1 & t]ritories accord+ to ! =mula t appli$ to ! ,public ,heal? ,em]g5cy ,prep>$ness coop]ative agreem5t 9 fiscal ye> #bjai3 ,provid$ fur!r1 ,t n less ?an #ejj1jjj1jjj %all be allocat$ 9 coord9ation ) ! ,director ( ! ,indian ,heal? ,s]vice1 to ,tribes1 ,tribal organizations1 urban ,indian heal? organizations1 or heal? s]vice provid]s to ,tribes3 ,provid$ fur!r1 ,t ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is p>agraph z ! ,secret>y7 may satisfy ! fund+ ?re%olds outl9$ 9 ! fir/ & f\r? provisos "u ?is p>agraph 9 ?is title by mak+ aw>ds ?r\gh o!r grant or coop]ative agreem5t me*anisms3 ,provid$ fur!r1 ,t ! ,gov]nor or designee ( ea* ,/ate1 locality1 t]ritory1 ,tribe1 or ,tribal organization receiv+ funds pursuant to ?is title %all update _! plans1 z applicable1 = ,,covid-#ai te/+ & contact trac+ submitt$ to ! ,secret>y pursuant to ! ,pay*eck ,protection ,program & ,heal? ,c>e ,enhancem5t ,act 7,public ,law #aaf-aci7 & submit su* updates to ! ,secret>y n lat] ?an #fj days aft] funds appropriat$ 9 ?is p>agraph 9 ?is title h be5 aw>d$ to su* recipi5t3 ,provid$ fur!r1 ,t n lat] ?an #fj days aft] ! date ( enactm5t1 & e qu>t] !reaft] until funds are exp5d$1 ! ,gov]nor or designee ( ea* ,/ate1 locality1 t]ritory1 ,tribe1 or ,tribal organization receiv+ funds %all report to ! ,secret>y on uses ( fund+1 detail+ curr5t commitm5ts & obligations brok5 out by ! coronavirus supplem5tal appropriations ,act t provid$ ! s\rce ( funds3 ,provid$ fur!r1 ,t n lat] ?an #ae days aft] receipt ( su* reports1 ! ,secret>y %all summ>ize & report to ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate on ,/ates' commitm5ts & obligations ( fund+3 ,provid$ fur!r1 ,t funds an entity receives f am\nts describ$ 9 ! fir/ proviso 9 ?is p>agraph may also be us$ = ! r5t1 lease1 pur*ase1 acquisition1 con/ruction1 alt]ation1 r5ovation1 or equipp+ ( nonf$]ally own$ facilities to improve coronavirus prep>$ness & response capability at ! ,/ate & local level3 ,provid$ fur!r1 ,t su* am\nt is designat$ by ! ,congress z be+ = an em]g5cy requirem5t pursuant to section #bea7;b77#b77;,a77i7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,b ,g5]al provisions-,?is ,title #ajaja4 ,ea* am\nt appropriat$ or made available by ?is title is 9 addition to am\nts o!rwise appropriat$ = ! fiscal ye> involv$4 #ajajb4 ,no "p ( any appropriation conta9$ 9 ?is title %all rema9 available = obligation beyond ! curr5t fiscal ye> unless expressly s provid$ h]e94 #ajajc4 ,unless o!rwise provid$ = by ?is title1 ! additional am\nts appropriat$ by ?is title to appropriations acc\nts %all be available "u ! au?orities & conditions applicable to su* appropriations acc\nts = fiscal ye> #bjbj4 #ajajd4 ,9 ?is title1 ! t]m coronavirus means ,,s>s-,co,v-#b or ano!r coronavirus ) p&emic pot5tial4 #ajaje4 ,ea* am\nt designat$ 9 ?is title by ! ,congress z be+ = an em]g5cy requirem5t pursuant to section #bea7;b77#b77;,a77i7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe %all be available 7or resc9d$ or transf]r$1 if applicable7 only if ! ,presid5t subsequ5tly s designates all su* am\nts & transmits su* designations to ! ,congress4 #ajajf4 ,any am\nt appropriat$ by ?is title1 designat$ by ! ,congress z an em]g5cy requirem5t pursuant to section #bea7;b77#b77;,a77i7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe & subsequ5tly s designat$ by ! ,presid5t1 & transf]r$ pursuant to transf] au?orities provid$ by ?is title %all reta9 su* designation4 #ajajg4 7a7 ,/atutory paygo scorec>ds ,! budget>y effects ( ?is title %all n be ent]$ on ei!r ,,paygo scorec>d ma9ta9$ pursuant to section #d7;d7 ( ! ,/atutory ,pay ,z-,y-,g ,act ( #bjaj4 7b7 ,s5ate paygo scorec>ds ,! budget>y effects ( ?is title %all n be ent]$ on any ,,paygo scorec>d ma9ta9$ = purposes ( section #dajf ( ,h4 ,con4 ,res4 #ga 7#aae? ,congress74 7c7 ,classification ( budget>y effects ,not)/&+ ,rule #c ( ! ,budget ,scorekeep+ ,guidel9es set =? 9 ! jo9t explanatory /atem5t ( ! committee ( conf]5ce accompany+ ,conf]5ce ,report #aje-bag & section #bej7;c77#g7 & 7c77#h7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe1 ! budget>y effects ( ?is title %all be e/imat$ = purposes ( section #bea ( su* ,act4 7d7 ,ensur+ no )9-,session seque/ration ,solely = ! purpose ( calculat+ a brea* )9 a category = fiscal ye> #bjbj pursuant to section #bea7;a77#f7 or section #bed7;g7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe1 & not)/&+ any o!r provision ( ?is title1 ! budget>y effects f ?is title %all be c\nt$ z am\nts designat$ z be+ = an em]g5cy requirem5t pursuant to section #bea7;b77#b77;,a7 ( su* ,act4 ,?is title may be cit$ z ! ,coronavirus ,response ,additional ,supplem5tal ,appropriations ,act1 #bjbj4