,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #ffaj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bc1 #bjbj,mr4 
,rose ( ,new ,york 7= himself1 ,ms4     
,scanlon1 ,ms4 ,norton1 & ,ms4 ,jackson 
,lee7 introduc$ ! foll[+ bill2 :i* 0    
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committees 
on ,transportation & ,infra/ructure1    
,arm$ ,s]vices1 ,=eign ,affairs1 &      
,intellig5ce 7,p]man5t ,select71 = 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      
e/abli% ! ,cab9et-level position (      
,director ( ,p&emic & ,biodef5se        
,prep>$ness & ,response 9 ! executive   
bran* ) ! responsibility ( develop+ a   
,national ,p&emic & ,biodef5se          
,prep>$ness & ,response ,/rategy1 to    
prep>e = & coord9ate ! response to      
future p&emics1 biological attacks1 &   
o!r major heal? crises1 includ+         
coord9at+ ! "w ( multiple gov]nm5t      

ag5cies1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,director ( ,p&emic & ,biodef5se        
,prep>$ness & ,response ,act4  #b4      
,f9d+s2 s5se ( ,congress  7a7 ,f9d+s ,! 
,congress f9ds ! foll[+3 7#a7 ,! ,unit$ 
,/ates c\ld h1 & %\ld h1 be5            
significantly m prep>$ to combat !      
,,covid-#ai p&emic4  7#b7 ,examples (   
?is are num]\s b include ! loss (       
/ockpil$ v5tilators to breakage because 
! ,f$]al ,gov]nm5t let ma9t5ance        
contracts lapse 9 #bjah1 ! reuse (      
p]sonal protective equipm5t t is only   
sanit>y = s+le-pati5t use due to        
%ortages1 & ! sc>city ( available te/+  
comp>$ to o!r nations4  7#c7 ,! loss (  
life & h>m to ! national economy is     
already /agg]+ yet its ext5t w n be kn[n
 = "s "t4  7#d7 ,z 9 previ\s p&emics &  
o!r major heal? crises1 confusion dur+ !
 ,,covid-#ai p&emic ab\t :i* ag5cy 0 9  
*>ge ( :at & :o w\ld coord9ate !        
response ( multiple ag5cies lead to     
calls = a cz> to be nam$1 z well z a    

task =ce to be creat$4  7#e7 ,! ,f$]al  
,gov]nm5t curr5tly supports p&emic &    
biodef5se prep>$ness & response 9 sev]al
 ways ?r\gh a myriad ( ag5cies1 ea*     
responsible = disp>ate programs &       
responsibilities relat$ to p&emics1     
biological attacks1 & o!r major heal?   
crises4  7#f7 ,foll[+ ! attack on our   
homel& on ,septemb] #aa1 #bjja1 !       
,director ( ,national ,intellig5ce      
position 0 creat$ to ensure ! coop]ation
 ( sev]al ag5cies 9 ! ,intellig5ce      
,community ?r\gh "o ,cab9et-level       
(ficial coord9at+ betwe5 & among        
multiple ,f$]al ag5cies *>g$ ) break+   
d[n silos :ile keep+ ! ,nation safe4    
7#g7 ,prep>+ ! ,unit$ ,/ates = &        
respond+ to a future p&emic1 biological 
attack1 or o!r major heal? crisis %\ld  
be a top priority across ag5cies ( !    
,f$]al ,gov]nm5t1 yet ! ,,covid-#ai     
p&emic expos$ ! ne$ = great] cohesion & 
spe$ 9 bo? prep>$ness & response4  7#h7 
,v>i\s ,f$]al ag5cies report on         
recomm5dations = prep>ation & response  

to p&emics1 biological attacks1 & o!r   
major heal? crises1 b no "o ,f$]al      
(ficial c produce & speak ) au?ority on 
a national p&emic & biodef5se prep>$ness
 & response /rategy or execute su* a    
/rategy4  7#i7 ,a key elem5t = success  
dur+ response activities w be /ay+ ahead
 ( ! em]g5cy--9 o!r words1 be+ m        
proactive ?an reactive4 ,?is w require  
elem5ts includ+-- 7,a7 timely1 accurate 
assessm5ts ( newly em]g$ risks &        
vuln]abilities2  7,b7 a /reaml9$1 unifi$
 ef=t to lead all ,f$]al ,gov]nm5t      
ef=ts1 coord9ate ,/ate & local gov]nm5t 
activities1 & provide cle> guidance to  
assets 9 ! private sector2  7,c7 a      
coord9at$ national communications       
program to in=m1 educate1 & ga9 ! tru/ &
 support ( ! ,am]ican public2 &  7,d7 a 
national lead] ) ! au?ority1            
responsibility1 & acc\ntability to      
ensure ! mo/ effective coord9ation (    
,f$]al ag5cies & be/ use ( national     
assets4  7b7 ,s5se ( ,congress ,x is !  
s5se ( ,congress t ! creation ( !       

,cab9et-level position ( ! ,director (  
,p&emic & ,biodef5se ,prep>$ness &      
,response & a well-design$ ,national    
,p&emic & ,biodef5se ,prep>$ness &      
,response ,/rategy w\ld b5efit ! ,unit$ 
,/ates 9 sev]al important ways1 includ+ 
by end+ silos betwe5 & among v>i\s      
,f$]al ag5cies *>g$ ) p>ts ( p&emic &   
biodef5se prep>$ness & response1 includ+
 ! ,f$]al ,em]g5cy ,managem5t ,ag5cy1 ! 
,c5t]s = ,disease ,control & ,prev5tion1
 & ! ,dep>tm5t ( ,heal? & ,human        
,s]vices4  #c4 ,def9itions ,9 ?is ,act3 
7#a7 ,ag5cy ,! t]m ag5cy has ! mean+    
giv5 t t]m 9 section #eea ( title #e1   
,unit$ ,/ates ,code4  7#b7 ,national    
,p&emic & ,biodef5se ,prep>$ness &      
,response ,/rategy2 ,/rategy ,ea* ( !   
t]ms ,p&emic & ,biodef5se ,prep>$ness & 
,response ,/rategy & ,/rategy means !   
/rategy develop$ & submitt$ to !        
,congress "u section #e1 includ+ any    
report1 plan1 or /rategy requir$ to be  
incorporat$ into or issu$ concurr5tly ) 
su* /rategy4  #d4 ,reorganization &     

improvem5t ( managem5t ( ,f$]al p&emic &
 biodef5se response ag5cies  7a7        
,director ( ,p&emic & ,biodef5se        
,prep>$ness & ,response  7#a7 ,9 g5]al  
,!re is a ,director ( ,p&emic &         
,biodef5se ,prep>$ness & ,response :o   
%all be appo9t$ by ! ,presid5t1 by & ) !
 advice & cons5t ( ! ,s5ate4 ,any       
individual nom9at$ = appo9tm5t z        
,director ( ,p&emic & ,biodef5se        
,prep>$ness & ,response %all h ext5sive 
p&emic & biodef5se prep>$ness & response
 exp]tise4  7#b7 ,location ,! ,director 
( ,p&emic & ,biodef5se ,prep>$ness &    
,response %all n be locat$ )9 !         
,executive ,(fice ( ! ,presid5t4  7#c7  
,deadl9e = appo9tm5t ,n lat] ?an #c     
mon?s aft] ! date ( ! enactm5t ( ?is    
,act1 ! ,presid5t %all appo9t a         
,director ( ,p&emic & ,biodef5se        
,prep>$ness & ,response4  7b7 ,pr9cipal 
responsibilities ,subject to ! au?ority1
 direction1 & control ( ! ,presid5t1 !  
,director ( ,p&emic & ,biodef5se        
,prep>$ness & ,response %all-- 7#a7 s]ve

 z head ( ! ,f$]al national p&emic &    
biodef5se prep>$ness & response         
community2  7#b7 act z ! pr9cipal advis]
 to ! ,presid5t1 ! ,national ,security  
,c\ncil1 & ! ,homel& ,security ,c\ncil =
 p&emic & biodef5se prep>$ness &        
response2  7#c7 ov]see & direct !       
implem5tation ( ! ,national ,p&emic &   
,biodef5se ,prep>$ness & ,response      
,/rategy & its execution ?r\gh !        
coord9ation ( ,f$]al ag5cies & ?r\gh !  
,unit$ ,/ates p>ticipation 9 ! ,_w      
,heal? ,organization & o!r              
,int]gov]nm5tal ,organizations2  7#d7   
act z ! pr9cipal advis] to ! ,presid5t 9
 a "t ( p&emic1 biological attack1 or   
o!r major heal? crisis2  7#e7 to        
coord9ate ! ,nation's response to su* a 
crisis2  7#f7 conduct a simulation      
ex]cise at lea/ once ea* ye> ( !        
response to a fictional p&emic1         
biological attack1 or o!r s]i\s heal?   
crisis ( high-level curr5t & =m]        
gov]nm5t & nongov]nm5tal (ficials 9 ord]
 to prep>e = ^! pot5tial ev5ts2  7#g7   

address ! organizational /ructure & *a9 
( comm&1 bo? 9 ! ,f$]al ,gov]nm5t & at !
 ,/ate level2  7#h7 ensure adequate     
laboratory surveillance ( viruses1      
includ+ ! ability to isolate & subtype  
viruses ye>-r\nd2  7#i7 improve vacc9e  
rese>*1 developm5t1 & production2  7#aj7
 procure adequate doses ( antivirals =  
treatm5t2  7#aa7 develop sy/ems = track+
 & di/ribut+ antiviral m$ication &      
vacc9es2  7#ab7 prioritize :o w\ld      
receive antivirals & vacc9es bas$ on    
limit$ supplies2  7#ac7 /ockpile m$ical 
& safety equipm5t = heal? c>e work]s &  
fir/ respond]s2  7#ad7 assure surge     
capacity capabilities = heal? c>e       
provid]s & in/itutions2  7#ae7 secure a 
backup heal? c>e work=ce 9 ! ev5t ( a   
major heal? crisis2  7#af7 ensure !     
availability ( food1 wat]1 & o!r        
ess5tial items dur+ a major heal?       
crisis2  7#ag7 provide guidance on ne$$ 
,/ate & local au?ority to implem5t      
public heal? measures su* z isolation or
 qu>ant9e2  7#ah7 ma9ta9 core public    

functions1 includ+ public utilities1    
refuse disposal1 mortu>y s]vices1       
transportation1 police & firefight]     
s]vices1 & o!r critical s]vices2  7#ai7 
e/abli% networks t provide al]ts & o!r  
in=mation = heal? c>e provid]s2  7#bj7  
communicate ) ! public ) respect to     
prev5tion & obta9+ c>e dur+ a p&emic2   
7#ba7 provide security = fir/ respond]s 
& o!r m$ical p]sonnel & volunte]s1      
hospitals1 treatm5t c5t]s1 isolation &  
qu>ant9e areas1 & transportation &      
deliv]y ( res\rces2 &  7#bb7 "w )       
e/abli%$ ag5cies & p]=m su* o!r         
functions or activities z ! ,presid5t   
may assign4  7c7 ,prohibition on dual   
s]vice ,! individual s]v+ 9 ! position (
 ,director ( ,p&emic & ,biodef5se       
,prep>$ness & ,response %all n1 :ile s  
s]v+1 also s]ve z ! head ( any o!r ag5cy
 ( ! ,f$]al ,gov]nm5t4  7d7 ,national   
,security ,c\ncil ,! ,director ( ,p&emic
 & ,biodef5se ,prep>$ness & ,response   
%all be a memb] ( ! ,national ,security 
,c\ncil4  7e7 ,exi/+ ,f$]al ag5cies ,n  

lat] ?an #ij days aft] ! date ( !       
enactm5t ( ?is ,act ! ,director (       
,p&emic & ,biodef5se ,prep>$ness &      
,response %all-- 7#a7 id5tify exi/+     
,f$]al ag5cies *>g$ ) elem5ts ( p&emic &
 biodef5se prep>$ness & response2 &     
7#b7 report to ! ,congress              
recomm5dations = reorganiz+ su* ag5cies 
"u ! ,(fice ( ! ,director ( ,p&emic &   
,biodef5se ,prep>$ness & ,response to   
ensure full coord9ation among su*       
ag5cies1 includ+ *anges to exi/+ law t  
are necess>y to c>ry out su*            
recomm5dations4  7f7 ,pay ,! ,director (
 ,p&emic & ,biodef5se ,prep>$ness &     
,response %all be paid at ! rate ( basic
 pay = level ,,ii ( ! ,executive ,s*$ule
 "u sub*apt] ,,ii ( *apt] #ec ( title   
#e1 ,unit$ ,/ates ,code4  #e4 ,national 
,p&emic & ,biodef5se ,prep>$ness &      
,response ,/rategy  7a7 ,9 g5]al ,n lat]
 ?an #a ye> aft] ! date ( ! enactm5t (  
?is ,act1 & e ye> !reaft]1 ! ,director (
 ,p&emic & ,biodef5se ,prep>$ness &     
,response %all submit a ,national       

,p&emic & ,biodef5se ,prep>$ness &      
,response ,/rategy to ! ,presid5t & !   
,congress4 ,! ,/rategy %all conta9 a    
summ>y ( ! curr5t /ate ( p&emic &       
biodef5se prep>$ness & response 9 !     
,unit$ ,/ates1 & a compreh5sive /rategy 
to-- 7#a7 "w across ,f$]al & ,/ate      
gov]nm5t ag5cies to implem5t a coh]5t   
integrat$ ,/rategy & associat$ plans2   
7#b7 prep>e = & execute int]ag5cy plann+
 & coord9ation to implem5t ! ,/rategy2  
7#c7 provide = dep>tm5tal & ag5cy       
responsibility & acc\ntability = ea*    
compon5t ( ! ,/rategy2  7#d7 budget = & 
fund requirem5ts & s\rces "u ! ,/rategy2
  7#e7 ensure int]national collaboration
 & coord9ation ef=ts to implem5t !      
,/rategy2 &  7#f7 provide recomm5dations
 & a timel9e = implem5tation ( !        
,/rategy4  7b7 ,application ( ,,faca    
,not)/&+ ! ,f$]al ,advisory ,committee  
,act 7#e ,u4,s4,c4 ,app471 nongov]nm5t  
individuals & entities may p>ticipate 9 
! prep>ation ( ! ,national ,p&emic &    
,biodef5se ,prep>$ness & ,response      

,/rategy4  #f4 ,heal? pr(essional tra9+ 
,! ,director1 9 consultation )          
pr(essional heal? & m$ical societies1   
%all develop & dissem9ate p&emic &      
biodef5se tra9+ curricula-- 7#a7 to     
educate & tra9 heal? pr(essionals1      
includ+ physicians1 nurses1 public heal?
 practition]s1 virologi/s &             
epidemiologi/s1 vet]9>ians1 m5tal heal? 
provid]s1 alli$ heal? pr(essionals1 &   
p>am$ics & o!r fir/ respond]s2  7#b7 to 
educate & tra9 volunte]1 nonm$ical      
p]sonnel ^: assi/ance may be requir$    
dur+ a p&emic1 biological attack1 or o!r
 major heal? crisis2  7#c7 t address    
prev5tion1 includ+ use ( qu>ant9e & o!r 
isolation precautions1 p&emic diagnosis1
 m$ical guidel9es = use ( antivirals &  
vacc9es1 & pr(essional requirem5ts &    
responsibilities1 z appropriate2  7#d7  
t>get+ di/ribution to high-risk gr\ps1  
includ+ heal? pr(essionals & relief     
p]sonnel & o!r individuals det]m9$ to be
 mo/ susceptible to illness or dea? f a 
p&emic1 biological attack1 or o!r major 

heal? crisis2  7#e7 ensur+ equitable    
di/ribution ( heal?c>e res\rces1        
p>ticul>ly across l[-income & o!r       
und]s]v$ gr\ps2 &  7#f7 t integrate )   
exi/+ ,/ate & local sy/ems z            
appropriate4  #g4 ,report+ ,n lat] ?an  
#b ye>s aft] ! date ( ! enactm5t ( ?is  
,act1 & e #b ye>s !reaft]1 ! ,director (
 ,p&emic & ,biodef5se ,prep>$ness &     
,response1 9 consultation ) ! ,director 
( ! ,(fice ( ,managem5t & ,budget1 %all 
submit to ! ,presid5t & ! ,congress a   
report t describes progress made 9 !    
implem5tation ( ! ,national ,p&emic &   
,biodef5se ,prep>$ness & ,response      
,/rategy & 9 fulfilm5t ( its objectives4