,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aa  ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$
 ,,/ates  ,janu>y #c1 #bjai ,mr4 ,rubio 
7= himself & ,mr4 ,cornyn7 introduc$ !  
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to /r5g!n 
! ,national ,disa/] ,m$ical ,sy/em1 & = 
o!r purposes4  #a4 ,%ort title  ,?is    
,act may be cit$ z ! ,/r5g!n+ !         
,national ,disa/] ,m$ical ,sy/em ,act ( 
#bjai4  #b4 ,national disa/] m$ical     
sy/em  7a7 ,/r5g!n+ ! national disa/]   
m$ical sy/em ,clause 7ii7 ( section     
#bhab7;a77#c77;,a7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;hh-#aa7;a77#c77;,a77 is am5d$ to   
read z foll[s3  7ii7 be pres5t at       
locations1 & = limit$ p]iods ( "t1      
specifi$ by ! ,secret>y on ! basis t !  
,secret>y has det]m9$ t a location is at
 risk ( a public heal? em]g5cy dur+ ! "t
 specifi$1 or !re is a significant      
pot5tial = a public heal? em]g5cy4  4   

7b7 ,review ( ! national disa/] m$ical  
sy/em ,section #bhab7;b77#b7 ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#cjj;hh-#aa7;b77#b77 is am5d$ to read z 
foll[s3  7#b7 ,jo9t review & m$ical     
surge capacity /rategic plan  7,a7      
,review ,n lat] ?an #ahj days aft] !    
date ( enactm5t ( ! ,/r5g!n+ ! ,national
 ,disa/] ,m$ical ,sy/em ,act ( #bjai1 ! 
,secret>y1 9 coord9ation ) ! ,secret>y (
 ,homel& ,security1 ! ,secret>y (       
,def5se1 & ! ,secret>y ( ,vet]ans       
,affairs1 %all conduct a jo9t review ( !
 ,national ,disa/] ,m$ical ,sy/em4 ,su* 
review %all include--  7i7 an evaluation
 ( m$ical surge capacity1 z describ$ 9  
section #bhjc7;a72  7ii7 an assessm5t ( 
! available work=ce ( ! int]mitt5t      
disa/] response p]sonnel describ$ 9     
subsection 7c72  7iii7 ! capacity ( !   
work=ce describ$ 9 clause 7ii7 to       
respond to all haz>ds1 includ+ !        
capacity to simultane\sly respond to    
multiple public heal? em]g5cies & !     
capacity to respond to a nationwide     

public heal? em]g5cy2  7iv7 !           
effectiv5ess ( ef=ts to recruit1 reta91 
& tra9 su* work=ce2 &  7v7 gaps t may   
exi/ 9 su* work=ce & recomm5dations =   
address+ su* gaps4  7,b7 ,updates ,z "p 
( ! ,national ,heal? ,security ,/rategy 
"u section #bhjb1 ! ,secret>y %all      
update ! f9d+s f ! review "u subp>agraph
 7,a7 & provide recomm5dations to modify
 ! policies ( ! ,national ,disa/]       
,m$ical ,sy/em z necess>y4  4  7c7      
,notification ( %ortage ,section        
#bhab7;c7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #cjj;hh-#aa7;c77 is 
am5d$ by add+ at ! end ! foll[+3  7#c7  
,notification ,n lat] ?an #cj days aft] 
! date on :i* ! ,secret>y det]m9es !    
numb] ( int]mitt5t disa/]-response      
p]sonnel ( ! ,national ,disa/] ,m$ical  
,sy/em is insuffici5t to address a      
public heal? em]g5cy or pot5tial public 
heal? em]g5cy1 ! ,secret>y %all submit  
to ! congressional committees (         
jurisdiction a notification detail+--   
7,a7 ! impact su* %ortage c\ld h on     

meet+ public heal? ne$s & em]g5cy m$ical
 p]sonnel ne$s dur+ a public heal?      
em]g5cy2 &  7,b7 any id5tifi$ measures  
to address su* %ortage4  7#d7 ,c]ta9    
appo9tm5ts  7,a7 ,9 g5]al ,if !         
,secret>y det]m9es t ! numb] (          
int]mitt5t disa/] response p]sonnel )9 !
 ,national ,disa/] ,m$ical ,sy/em "u ?is
 section is insuffici5t to address a    
public heal? em]g5cy or pot5tial public 
heal? em]g5cy1 ! ,secret>y may appo9t   
c&idates directly to p]sonnel positions 
= int]mitt5t disa/] response )9 su*     
sy/em )\t reg>d to ! provisions (       
sections #ccji ?r\gh #ccah ( title #e1  
,unit$ ,/ates ,code4 ,! ,secret>y %all  
provide updates on ! numb] ( vacant or  
unfill$ positions )9 su* sy/em to !     
congressional committees ( jurisdiction 
ea* qu>t] = :i* ?is au?ority is 9       
effect4  7,b7 ,sunset ,! au?ority "u ?is
 p>agraph %all expire on ,septemb] #cj1 
#bjbb4  4