,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #hbje ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #aa1 #bjbj,ms4 ,ca/or ( ,florida 7= h]self1 ,ms4 ,und]wood1 & ,ms4 ,haal&7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,natural ,res\rces1 & ,ov]sight & ,re=m1 = 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 am5d ! ,public ,heal? ,s]vice ,act to exp&1 enhance1 & improve applicable public heal? data sy/ems us$ by ! ,c5t]s = ,disease ,control & ,prev5tion1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,ensur+ ,transp>5t ,hone/ ,in=mation on ,,covid-#ai ,act or ! ,,e?ic ,act4 #b4 ,requir$ report+ by ,/ate1 local1 ,tribal1 or t]ritorial gov]nm5ts reg>d+ ,,covid-#ai 7a7 ,9 g5]al ,z a condition on receipt ( funds ?r\gh a cov]$ grant or coop]ative agreem5t1 a ,/ate1 local1 ,tribal1 or t]ritorial gov]nm5t %all agree to direct ! appropriate ,/ate1 local1 ,tribal1 or t]ritorial gov]nm5tal entity 7includ+ any public heal? dep>tm5t !re(7 to report to ! ,c5t]s = ,disease ,control & ,prev5tion1 ) respect to ! jurisdiction involv$ & ,,covid-#ai-- 7#a7 on a daily basis1 ! in=mation li/$ 9 subsection 7c72 & 7#b7 on a weekly basis1 ! in=mation li/$ 9 subsection 7d74 7b7 ,tribal waiv] 7#a7 ,review & disposition ,^u ! receipt ( a writt5 reque/ f a ,tribal gov]nm5t1 or consortia !re(1 = a waiv] ( ! conditions specifi$ 9 p>agraphs 7#a7 & 7#b7 ( subsection 7a71 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion %all1 n lat] ?an #cj days aft] receipt ( su* reque/1 approve or d5y x4 7#b7 ,d5ials ,9 ! case ( a d5ial ( a reque/ "u p>agraph 7#a71 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion %all-- 7,a7 provide to ! reque/or a writt5 explanation ( ! reasons = ! d5ial2 & 7,b7 provide ! reque/or ) an opportunity to correct any defici5cies 9 ! reque/4 7c7 ,cov]$ grant or coop]ative agreem5t ,= purposes ( ?is section1 a cov]$ grant or coop]ative agreem5t is any grant or coop]ative agreem5t aw>d$ "u any ( ! foll[+ laws 7includ+ any am5dm5t made !reby73 7#a7 ,?is ,act4 7#b7 ,! ,coronavirus ,prep>$ness & ,response ,supplem5tal ,appropriations ,act1 #bjbj 7,public ,law #aaf-abc74 7#c7 ,! ,families ,fir/ ,coronavirus ,response ,act 7,public ,law #aaf-abg74 7#d7 ,! ,,c>es ,act 7,public ,law #aaf-acf74 7#e7 ,! ,pay*eck ,protection ,program & ,heal? ,c>e ,enhancem5t ,act 7,public ,law #aaf-aci74 7d7 ,daily report+ ,! in=mation to be report$ daily pursuant to subsection 7a77#a7 consi/s ( ! foll[+3 7#a7 ,demographic *>act]i/ics1 includ+1 9 a de-id5tifi$1 disaggregat$1 & /ratifi$ mann]1 race1 e?nicity1 age1 sex1 geographic region1 & o!r relevant factors ( individuals te/$ = or diagnos$ ) ,,covid-#ai1 to ! ext5t su* in=mation is available4 7#b7 ,! numb] ( adults ) a confirm$ case ( ,,covid-#ai :o are hospitaliz$ 9 an int5sive c>e b$4 7#c7 ,! numb] ( adults ) a suspect$ case ( ,,covid-#ai :o are hospitaliz$ 9 an int5sive c>e b$4 7#d7 ,! numb] ( adults ) a confirm$ case ( ,,covid-#ai :o are hospitaliz$ 9 an inpati5t c>e b$4 7#e7 ,! numb] ( adults ) a suspect$ case ( ,,covid-#ai :o are hospitaliz$ 9 an inpati5t c>e b$4 7#f7 ,! numb] ( *ildr5 ) a confirm$ case ( ,,covid-#ai :o are hospitaliz$ 9 an int5sive c>e b$4 7#g7 ,! numb] ( *ildr5 ) a suspect$ case ( ,,covid-#ai :o are hospitaliz$ 9 an int5sive c>e b$4 7#h7 ,! numb] ( *ildr5 ) a confirm$ case ( ,,covid-#ai :o are hospitaliz$ 9 an inpati5t c>e b$4 7#i7 ,! numb] ( *ildr5 ) a suspect$ case ( ,,covid-#ai :o are hospitaliz$ 9 an inpati5t c>e b$4 7#aj7 ,out ( ! maximum numb] ( b$s = :i* hospitals are lic5s$ to op]ate1 ! p]c5tage occupi$ by confirm$ or suspect$ ,,covid-#ai pati5ts4 7#aa7 ,total /aff$ hospital b$s4 7#ab7 ,! numb]s ( diagno/ic & s]ological te/s adm9i/]$ = ,,covid-#ai1 disaggregat$ & /ratifi$ by-- 7,a7 ! type ( te/2 & 7,b7 ! te/+ positivity rate ( ea* type ( te/4 7#ac7 ,! m$ian turn>\nd "t = diagno/ic te/s /ratifi$ by molecul> & antig5 te/s4 7#ad7 ,! p]c5tage ( new cases ( ,,covid-#ai l9k$ to at lea/ "o o!r case1 & if su* new cases are "p ( a kn[n outbreak1 id5tification ( su* outbreak4 7#ae7 ,! rate ( transmission ( ,,covid-#ai4 7#af7 ,! numb] ( confirm$ & probable dea?s z a result ( ,,covid-#ai1 de-id5tifi$ & /ratifi$ by race1 e?nicity1 age1 sex1 geographic region1 & o!r relevant factors4 7#ag7 ,su* o!r in=mation z ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion deems to be relevant4 7e7 ,weekly report+ ,! in=mation to be report$ weekly pursuant to subsection 7a77#b7 consi/s ( ! foll[+3 7#a7 ,new infections ( heal? c>e work]s n confirm$ to h contract$ ,,covid-#ai outside ( ! workplace4 7#b7 ,! m$ian "t betwe5 collection ( specim5s = diagno/ic te/s = ,,covid-#ai & isolation ( cases4 7#c7 ,! p]c5tage ( new cases ( ,,covid-#ai among qu>ant9$ contacts4 7#d7 ,su* o!r in=mation z ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion deems to be relevant4 7f7 ,public po/+ ( report$ data ,on a daily basis1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion %all make ! in=mation report$ pursuant to ?is section1 exclud+ p]sonally id5tifiable in=mation1 publicly available on ! website ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7g7 ,applicability ,! condition on fund+ 9 subsection 7a7 applies ) respect to ! obligation & exp5diture by ! ,f$]al ,gov]nm5t ( funds ?r\gh a cov]$ grant or coop]ative agreem5t on or aft] ! date ( enactm5t ( ?is ,act1 includ+ ) respect to cov]$ grants & coop]ative agreem5ts aw>d$ be=e su* date4 #c4 ,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 #bhbc4 ,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 applicable public heal? data sy/ems us$ by ! ,c5t]s = ,disease ,control & ,prev5tion1 relat$ to ! int]op]ability & improvem5t ( su* sy/ems 7includ+ z x relates to prep>$ness =1 prev5tion & detection (1 & response to public heal? em]g5cies72 & 7,b7 aw>d grants or coop]ative agreem5ts to ,/ate1 local1 ,tribal1 or t]ritorial public heal? dep>tm5ts = ! expansion & mod]nization ( public heal? data sy/ems1 to assi/ public heal? dep>tm5ts 9-- 7i7 assess+ curr5t data infra/ructure capabilities & gaps to improve & increase consi/5cy 9 data collection1 /orage1 & analysis &1 z appropriate1 to improve dissem9ation ( public heal?-relat$ 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+ by public heal? (ficials 9 multiple jurisdictions )9 su* ,/ate1 z appropriate1 & by simplify+ & support+ report+ by heal? c>e provid]s1 z applicable1 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+ 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 consultation ) ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology & ! ,director ( ! ,indian ,heal? ,s]vice1 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 ,tribal consultation ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology1 & ,director ( ! ,indian ,heal? ,s]vice1 %all jo9tly consult ) ,indian ,tribes & ,tribal organizations prior to designat+ ! data & te*nology /&>ds "u p>agraph 7#b74 7#d7 ,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 & demon/rates ! measures ! ,secret>y w utilize to-- 7#a7 update & improve applicable 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 ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all consult ) ,/ate1 local1 ,tribal1 & t]ritorial 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 entities reg>d+ ! implem5tation ( ! grant program "u subsection 7a7 & ! developm5t ( ! coord9at$ /rategy & accompany+ implem5tation plan "u subsection 7c74 7e7 ,te*nical assi/ance & tra9+ ,9 c>ry+ out ?is section1 ! ,secret>y may provide te*nical assi/ance & tra9+ relat$ to-- 7#a7 ! ex*ange ( in=mation by public heal? data sy/ems us$ by relevant heal? c>e & public heal? entities at ! local1 ,/ate1 ,f$]al1 ,tribal1 & t]ritorial levels2 or 7#b7 ! developm5t & utilization ( public-private p>tn]%ips = implem5tation support applicable to ?is section4 7f7 ,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 7g7 ,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 7h7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #dej1jjj1jjj1 to rema9 available until exp5d$4 7i7 ,tribal set-,aside ,( ! am\nts au?oriz$ "u subsection 7h71 no less ?an #c p]c5t1 b up to #e p]c5t ( su* funds1 %all be res]v$ = noncompetitive grants or coop]ative agreem5ts to ,indian ,tribes & ,tribal organizations 7z ^? t]ms are def9$ "u section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act74 4 #d4 ,core public heal? infra/ructure = ,/ate1 local1 ,tribal1 & t]ritorial heal? dep>tm5ts 7a7 ,program ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all e/abli% a core public heal? infra/ructure program consi/+ ( aw>d+ grants "u subsection 7b74 7b7 ,grants 7#a7 ,aw>d ,= ! purpose ( address+ core public heal? infra/ructure ne$s1 ! ,secret>y-- 7,a7 %all aw>d a grant to ea* ,/ate heal? dep>tm5t2 7,b7 %all aw>d grants to1 or ent] into coop]ative agreem5ts )1 ,indian ,tribes & ,tribal organizations on a noncompetitive basis2 & 7,c7 may aw>d grants on a competitive basis to ,/ate1 local1 ,tribal1 or t]ritorial heal? dep>tm5ts4 7#b7 ,allocation ,( ! total am\nt ( funds aw>d$ z grants "u ?is subsection = a fiscal ye>-- 7,a7 n less ?an #ej p]c5t %all be = grants to ,/ate heal? dep>tm5ts "u p>agraph 7#a77;,a72 7,b7 n less ?an #e p]c5t %all be = grants aw>d$ to1 or coop]ative agreem5ts )1 ,indian ,tribes & ,tribal organizations "u p>agraph 7#a77;,b72 & 7,c7 n less ?an #cj p]c5t %all be = grants to ,/ate1 local1 ,tribal1 or t]ritorial heal? dep>tm5ts "u p>agraph 7#a77;,c74 7c7 ,use ( funds ,a ,/ate1 local1 ,tribal1 or t]ritorial heal? dep>tm5t receiv+ a grant "u subsection 7b7 %all use ! grant funds to address core public heal? infra/ructure ne$s1 includ+ ^? id5tifi$ 9 ! accr$itation process "u subsection 7g74 7d7 ,=mula grants to /ate heal? dep>tm5ts ,9 mak+ grants "u subsection 7b77#a77;,a71 ! ,secret>y %all aw>d funds to ea* ,/ate heal? dep>tm5t 9 accordance )-- 7#a7 a =mula bas$ on population size1 burd5 ( prev5table disease & disability1 & core public heal? infra/ructure gaps1 includ+ ^? id5tifi$ 9 ! accr$itation process "u subsection 7g72 & 7#b7 application requirem5ts e/abli%$ by ! ,secret>y1 includ+ a requirem5t t ! ,/ate heal? dep>tm5t submit a plan t demon/rates to ! satisfaction ( ! ,secret>y t ! ,/ate's heal? dep>tm5t w-- 7,a7 address its highe/ priority core public heal? infra/ructure ne$s2 & 7,b7 z appropriate1 allocate funds to local heal? dep>tm5ts )9 ! ,/ate4 7e7 ,=mula ,grants to ,indian ,tribes & ,tribal ,organizations ,9 mak+ grants "u subsection 7b77#a77;,b71 ! ,secret>y %all coord9ate ) ! ,director ( ! ,indian ,heal? ,s]vice to aw>d funds to ,indian ,tribes & ,tribal organizations accord+ to-- 7#a7 a =mula t ensures basel9e fund+ on a noncompetitive basis = ea* ,indian ,tribe or ,tribal organization1 or a consortia !re(1 t submits an application2 & 7#b7 aw>ds funds above ! basel9e accord+ to population size1 gaps 9 public heal? infra/ructure1 or o!r crit]ia d]iv$ ?r\gh consultation ) ,indian ,tribes & ,tribal organizations4 7f7 ,competitive grants to ,/ate1 local1 ,tribal1 & t]ritorial heal? dep>tm5ts ,9 mak+ grants "u subsection 7b77#a77;,c71 ! ,secret>y %all give priority to applicants demon/rat+ core public heal? infra/ructure ne$s id5tifi$ 9 ! accr$itation process "u subsection 7g74 7g7 ,ma9t5ance ( ef=t 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! ,secret>y may aw>d a grant to an entity "u subsection 7b7 only if ! entity demon/rates to ! satisfaction ( ! ,secret>y t-- 7,a7 funds receiv$ ?r\gh ! grant w be exp5d$ only to supplem5t1 & n supplant1 non-,f$]al & ,f$]al funds o!rwise available to ! entity = ! purpose ( address+ core public heal? infra/ructure ne$s2 & 7,b7 ) respect to activities = :i* ! grant is aw>d$1 ! entity w ma9ta9 exp5ditures ( non-,f$]al am\nts = su* activities at a level n less ?an ! level ( su* exp5ditures ma9ta9$ by ! entity = ! fiscal ye> prec$+ ! fiscal ye> = :i* ! entity receives ! grant4 7#b7 ,exception ,! requirem5t "u p>agraph 7#a7 %all n apply ) respect to a grant aw>d$ "u subsection 7b77#a77;,b74 7h7 ,e/abli%m5t ( a public heal? accr$itation program 7#a7 ,9 g5]al ,! ,secret>y %all-- 7,a7 develop1 & p]iodically review & update1 /&>ds = volunt>y accr$itation ( ,/ate1 local1 ,tribal1 & t]ritorial heal? dep>tm5ts & public heal? laboratories = ! purpose ( advanc+ ! quality & p]=mance ( su* dep>tm5ts & laboratories2 & 7,b7 implem5t a program to accr$it su* heal? dep>tm5ts & laboratories 9 accordance ) su* /&>ds4 7#b7 ,coop]ative agreem5t ,! ,secret>y may ent] into a coop]ative agreem5t ) a private nonpr(it entity to c>ry out p>agraph 7#a74 7i7 ,report ,! ,secret>y %all submit to ! ,congress an annual report on progress be+ made to accr$it entities "u subsection 7g71 includ+-- 7#a7 a /rategy1 includ+ goals & objectives1 = accr$it+ entities "u subsection 7g7 & a*iev+ ! purpose describ$ 9 subsection 7g77#a77;,a72 7#b7 id5tification ( gaps 9 rese>* relat$ to core public heal? infra/ructure2 & 7#c7 recomm5dations ( priority areas = su* rese>*4 7j7 ,def9ition ,9 ?is section1 ! t]m core public heal? infra/ructure includes-- 7#a7 work=ce capacity & compet5cy2 7#b7 laboratory sy/ems2 7#c7 te/+ capacity1 includ+ te/ plat=ms1 mobile te/+ units1 & p]sonnel2 7#d7 heal? in=mation1 heal? in=mation sy/ems1 & heal? in=mation analysis2 7#e7 disease surveillance2 7#f7 contact trac+2 7#g7 communications2 7#h7 f9anc+2 7#i7 o!r relevant compon5ts ( organizational capacity2 & 7#aj7 o!r relat$ activities4 7k7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #f1jjj1jjj1jjj1 to rema9 available until exp5d$4 #e4 ,core public heal? infra/ructure & activities = ,,cdc 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all exp& & improve ! core public heal? infra/ructure & activities ( ! ,c5t]s = ,disease ,control & ,prev5tion to address unmet & em]g+ public heal? ne$s4 7b7 ,report ,! ,secret>y %all submit to ! ,congress an annual report on ! activities fund$ ?r\gh ?is section4 7c7 ,def9ition ,9 ?is section1 ! t]m core public heal? infra/ructure has ! mean+ giv5 to su* t]m 9 section #c4 7d7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #a1jjj1jjj1jjj1 to rema9 available until exp5d$4 #f4 ,mod]nization ( ,/ate & local heal? inequities data 7a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all aw>d grants to ,/ate1 local1 & t]ritorial heal? dep>tm5ts 9 ord] to support ! mod]nization ( data collection me?ods & infra/ructure = ! purposes ( increas+ data relat$ to heal? inequities1 su* z racial1 e?nic1 socioeconomic1 sex1 g5d]1 & disability disp>ities4 ,! ,secret>y %all-- 7#a7 provide guidance1 te*nical assi/ance1 & in=mation to grantees "u ?is section on be/ practices reg>d+ culturally compet5t1 accurate1 & increas$ data collection & transmission2 & 7#b7 track p]=mance ( grantees "u ?is section to help improve _! heal? inequities data collection by id5tify+ gaps & tak+ effective /eps to support ,/ates1 localities1 & t]ritories 9 address+ ! gaps4 7b7 ,report ,n lat] ?an #a ye> aft] ! date on :i* ! fir/ grant is aw>d$ "u ?is section1 ! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate an initial report detail+-- 7#a7 nationwide be/ practices = ensur+ ,/ates & localities collect & transmit heal? inequities data2 7#b7 nationwide tr5ds :i* h9d] ! collection & transmission ( heal? inequities data2 7#c7 ,f$]al be/ practices = work+ ) ,/ates & localities to ensure culturally compet5t1 accurate1 & increas$ data collection & transmission2 & 7#d7 any recomm5d$ *anges to legislative or regulatory au?ority to help improve & increase heal? inequities data collection4 7c7 ,f9al report ,n lat] ?an ,decemb] #ca1 #bjbc1 ! ,secret>y %all-- 7#a7 update & f9alize ! initial report "u subsection 7b72 & 7#b7 submit su* f9al report to ! committees specifi$ 9 su* subsection4 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #ajj1jjj1jjj1 to rema9 available until exp5d$4 #g4 ,tribal fund+ to rese>* heal? inequities includ+ ,,covid-#ai 7a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,director ( ! ,indian ,heal? ,s]vice1 9 coord9ation ) ,tribal epidemiology c5t]s & o!r ,f$]al ag5cies1 z appropriate1 %all conduct or support rese>* & field /udies = ! purposes ( improv$ und]/&+ ( ,tribal heal? inequities among ,am]ican ,indians & ,alaska ,natives1 includ+ ) respect to-- 7#a7 disp>ities relat$ to ,,covid-#ai2 7#b7 public heal? surveillance & infra/ructure reg>d+ unmet ne$s 9 ,indian c\ntry & ,urban ,indian communities2 7#c7 population-bas$ heal? disp>ities2 7#d7 b>ri]s to heal? c>e s]vices2 7#e7 ! impact ( socioeconomic /atus2 & 7#f7 factors contribut+ to ,tribal heal? inequities4 7b7 ,consultation1 conf]1 & coord9ation ,9 c>ry+ out ?is section1 ! ,director ( ! ,indian ,heal? ,s]vice %all-- 7#a7 consult ) ,indian ,tribes & ,tribal organizations2 7#b7 conf] ) ,urban ,indian organizations2 & 7#c7 coord9ate ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,director ( ! ,national ,in/itutes ( ,heal?4 7c7 ,process ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,director ( ! ,indian ,heal? ,s]vice %all e/abli% a nationally repres5tative panel to e/abli% processes & proc$ures = ! rese>* & field /udies conduct$ or support$ "u subsection 7a74 ,! ,director %all ensure t1 at a m9imum1 ! panel consi/s ( ! foll[+ individuals3 7#a7 ,elect$ ,tribal lead]s or _! designees4 7#b7 ,tribal public heal? practition]s & exp]ts f ! national & regional levels4 7d7 ,duties ,! panel e/abli%$ "u subsection 7c7 %all1 at a m9imum-- 7#a7 advise ! ,director ( ! ,indian ,heal? ,s]vice on ! processes & proc$ures reg>d+ ! design1 implem5tation1 & evaluation (1 & report+ on1 rese>* & field /udies conduct$ or support$ "u ?is section2 7#b7 develop & %>e res\rces on ,tribal public heal? data surveillance & report+1 includ+ be/ practices2 & 7#c7 c>ry out su* o!r activities z may be appropriate to e/abli% processes & proc$ures = ! rese>* & field /udies conduct$ or support$ "u subsection 7a74 7e7 ,report ,n lat] ?an #a ye> aft] exp5d+ all funds made available to c>ry out ?is section1 ! ,director ( ! ,indian ,heal? ,s]vice1 9 coord9ation ) ! panel e/abli%$ "u subsection 7c71 %all submit an initial report on ! results ( ! rese>* & field /udies "u ?is section to-- 7#a7 ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,natural ,res\rces ( ! ,h\se ( ,repres5tatives2 & 7#b7 ! ,committee on ,indian ,affairs & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate4 7f7 ,tribal data sov]eignty ,! ,director ( ! ,indian ,heal? ,s]vice %all ensure t all rese>* & field /udies conduct$ or support$ "u ?is section are tribally direct$ & c>ri$ out 9 a mann] :i* ensures ,tribal-direction ( all data collect$ "u ?is section-- 7#a7 accord+ to ,tribal be/ practices reg>d+ rese>* design & implem5tation1 includ+ by ensur+ ! cons5t ( ! ,tribes involv$ to public report+ ( ,tribal data2 7#b7 accord+ to all relevant & applicable ,tribal1 pr(essional1 in/itutional1 & ,f$]al /&>ds = conduct+ rese>* & gov]n+ rese>* e?ics2 7#c7 ) ! prior & in=m$ cons5t ( any ,indian ,tribe p>ticipat+ 9 ! rese>* or %>+ data = use "u ?is section2 & 7#d7 9 a mann] t respects ! inh]5t sov]eignty ( ,indian ,tribes1 includ+ ,tribal gov]nance ( data & rese>*4 7g7 ,f9al report ,n lat] ?an ,decemb] #ca1 #bjbc1 ! ,director ( ! ,indian ,heal? ,s]vice %all-- 7#a7 update & f9alize ! initial report "u subsection 7e72 & 7#b7 submit su* f9al report to ! committees specifi$ 9 su* subsection4 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]ms ,indian ,tribe & ,tribal organization h ! mean+s giv5 to su* t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#b7 ,! t]m ,urban ,indian organization has ! mean+ giv5 to su* t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc74 7i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #be1jjj1jjj1 to rema9 available until exp5d$4 #h4 ,/udy exam9+ public heal? data & infra/ructure necess>y dur+ & aft] ! ,,covid-#ai public heal? em]g5cy 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all seek to ent] into a contract ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e 7ref]r$ to 9 ?is section z ! ,national ,academies7 n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 "u :i* ! ,national ,academies agree to conduct a /udy ) /akehold]s f ,f$]al ag5cies1 ,/ate1 ,tribal1 t]ritorial1 & local gov]nm5ts1 rese>* in/itutions1 indu/ry1 & nonpr(it organizations t w\ld review ! curr5t sy/em = public heal? data infra/ructure & report+ & provide recomm5dations on ne$$ data & sy/em improvem5ts = future p&emics & ongo+ public heal? ne$s4 7b7 ,submission ( report ,! contract "u subsection 7a7 %all require t ! /udy "u su* subsection be complet$1 & a report on ! result+ recomm5dations be submitt$ to ! ,secret>y1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 n lat] ?an #ab mon?s aft] ! date ! contract 0 execut$4 7c7 ,/udy topics ,! contract "u subsection 7a7 %all require ! /udy "u su* subsection to-- 7#a7 review ! curr5t public heal? data sy/ems & ! report+ /ructure = ,f$]al1 ,/ate1 ,tribal1 t]ritorial1 & local public heal? in=mation1 includ+ vital records2 7#b7 review curr5t /&>ds = report+1 quality controls1 & transp>5cy ( ! data2 7#c7 exam9e data gaps & b>ri]s to timely & accurate report+ & id5tify ways to fill ^? gaps2 7#d7 exam9e h[ sy/ems c be access$ & us$ by a wide range ( us]s1 includ+ ext]nal rese>*]s2 7#e7 exam9e h[ diff]5t data sy/ems int]act & h[ diff]5t data s\rces c be integrat$2 7#f7 exam9e nontraditional data s\rces or alt]native data ga!r+ me?ods t c\ld be us$ to complem5t traditionally collect$ data2 7#g7 id5tify ne$$ improvem5ts to ! public heal? data sy/ems & /ructure1 especially ) reg>d to ! ne$s ( ,tribal sy/ems2 7#h7 id5tify core elem5ts ( a m9imum data set t might be us$ = ,/ate population surveillance1 includ+ demographic compon5ts t are necess>y to ensure heal? equity 9 public heal? decision mak+2 7#i7 exam9e h[ surveillance sy/ems c be explicitly design$ to ensure vuln]able populations 7:i* may include racial & e?nic m9orities1 immigrants1 individuals 9 nurs+ homes1 o!r in/itutionaliz$ populations1 & individuals exp]i5c+ homelessness7 are includ$ 9 report+2 7#aj7 consid] h[ traditional & nontraditional data might be us$ to promote heal? equity across ! ,unit$ ,/ates & r$uce racial1 ,tribal1 & o!r demographic disp>ities2 7#aa7 exam9e data gaps & b>ri]s to collect+1 analyz+1 & us+ demographic data to *>act]ize ! ,,covid-#ai p&emic = public heal? action & rese>* to improve public heal? actions & id5tify ways to fill ^? gaps2 & 7#ab7 report on :at is kn[n bas$ on exi/+ data ab\t h[ ,,covid-#ai is impact+ subgr\ps ( ! population ) respect to access to te/+ & treatm5t 7hospitalization & access to drugs & m$ical equipm5t71 & heal? outcomes 7morbidity & mortality74 7d7 ,disaggregation ( data ,to ! ext5t feasible1 ! contract "u subsection 7a7 %all require data to be disaggregat$ by race1 e?nicity1 age1 g5d]1 disability1 geography1 language1 socioeconomic /atus1 & o!r factors4