#aaf? ,,congress  #b;d ,session  ,h4 ,r4
 #gegd  ,,an ,,act  ,to am5d ! ,public  
,heal? ,s]vice ,act ) respect to !      
,/rategic ,national ,/ockpile1 & = o!r  
purposes4  #a4 ,%ort title2 table (     
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,/r5g!n+ ,am]ica's ,/rategic
 ,national ,/ockpile ,act ( #bjbj4  7b7 
,table ( cont5ts ,! table ( cont5ts =   
?is ,act is z foll[s3  ,sec4 #a4 ,%ort  
title2 table ( cont5ts4 ,sec4 #b4       
,reimbursable transf]s4 ,sec4 #c4       
,equipm5t ma9t5ance4 ,sec4 #d4 ,supply  
*a9 flexibility manufactur+ pilot4 ,sec4
 #e4 ,,gao /udy on ! feasibility &      
b5efits ( a us] fee agreem5t4 ,sec4 #f4 
,grants = ,/ate /rategic /ockpiles4     
,sec4 #g4 ,action report+4 ,sec4 #h4    
,improv$1 transp>5t processes4 ,sec4 #i4
 ,au?orization ( appropriations4  #b4   
,reimbursable transf]s ,section         
#cai;,f-#b7;a7 ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4             
#bdg;d-#f;b7a77 is am5d$ by add+ at !   
end ! foll[+3  7#f7 ,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  #c4 ,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  #d4 ,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 
#c1 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 #b1 is fur!r am5d$ by add+ at ! 
end ! foll[+3  7#g7 ,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      
,labor & ,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#h7 ,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  #e4 ,,gao /udy on ! feasibility &  
b5efits ( a us] fee agreem5t  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  #f4 ,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  #g4 ,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  #h4 ,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  #i4     
,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  ,pass$
 ! ,h\se ( ,repres5tatives ,septemb]    
#ba1 #bjbj4;,cl]k4