,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ccji  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #ac1 #bjbj,mr4
 ,cassidy 7= himself1 ,mr4 ,s*atz1 ,mr4 
,rubio1 ,mr4 ,durb91 ,ms4 ,smi?1 & ,mr4 
,k+7 introduc$ ! foll[+ bill2 :i* 0 read
 twice & ref]r$ to ! ,committee on      
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to provide = a ,public      
,heal? ,em]g5cy ,fund1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,public ,heal? ,em]g5cy ,response & 
,acc\ntability ,act4  #b4 ,public heal? 
em]g5cies  7a7 ,9 g5]al ,section #cai ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bdg;d7 is am5d$-- 7#a7 9     
subsection 7a71 by /rik+ aft]           
consultation & ins]t+ 9 consultation ) !
 ,assi/ant ,secret>y = ,prep>$ness &    
,response &2  7#b7 by r$esignat+        
subsections 7b7 ?r\gh 7f7 z subsections 
7c7 ?r\gh 7g71 respectively2  7#c7 by   
ins]t+ aft] subsection 7a71 ! foll[+3   
7b7 ,report+ requirem5ts  7#a7 ,9 g5]al 
,^u ! det]m9ation ( a public heal?      

em]g5cy "u subsection 7a7 t is an       
infecti\s disease outbreak1 a biot]rori/
 attack1 or a disa/]1 ! ,secret>y %all  
reque/ ! ,assi/ant ,secret>y =          
,prep>$ness & ,response to conv5e a gr\p
 ( ,f$]al public heal? & o!r ,f$]al     
(ficials t %all prep>e mon?ly reports   
relat$ to su* em]g5cy = ! p]iod describ$
 9 p>agraph 7#c7 & submit su* reports to
 ,congress4  7#b7 ,cont5ts ,! reports   
prep>$ "u p>agraph 7#a7 %all include--  
7,a7 9 ! fir/ mon?ly report1 ! propos$  
budget ( ! response to ! em]g5cy1 &1 9  
ea* subsequ5t report1 updates to su*    
budget2  7,b7 a description ( h[ !      
,secret>y plans to use be/ practices &  
lessons le>n$ f previ\s public heal?    
em]g5cy responses2  7,c7 a description (
 h[ collaboration among public heal?    
ag5cies & dep>tm5ts w be a*iev$1        
/rategies = public communication1 &     
acquisition & di/ribution ( supplies2   
7,d7 an id5tification ( additional      
au?orities ne$$1 if any1 to respond to !
 em]g5cy2 &  7,e7 9 ! fir/ mon?ly       

report1 ! ju/ification = trigg]+ !      
public heal? em]g5cy response4  7#c7    
,p]iod ,! p]iod describ$ 9 ?is p>agraph 
is ! p]iod beg9n+ n lat] ?an #cj days   
aft] ! det]m9ation ( a public heal?     
em]g5cy "u subsection 7a7 t is an       
infecti\s disease outbreak1 a biot]rori/
 attack1 or a disa/]1 & end+ #cj days   
aft] ! det]m9ation ( su* em]g5cy        
t]m9ates 9 accordance ) su* subsection4 
2 &  7#d7 9 subsection 7c7 7z s         
r$esignat$7-- 7,a7 9 p>agraph 7#c71 by  
/rik+ ,committee on ,comm]ce & ins]t+   
,committee on ,en]gy & ,comm]ce2 &  7,b7
 by add+ at ! end ! foll[+3  7#f7 ,fund+
  7,a7 ,def9itions ,9 ?is p>agraph3 7i7 
,public heal? em]g5cy relief ,! t]m     
public heal? em]g5cy relief means !     
exp5ditures to address a public heal?   
em]g5cy det]m9$ "u subsection 7a7 t is  
an infecti\s disease outbreak1 a        
biot]rori/ attack1 or a disa/] f-- 7,i7 
am\nts made available by em]g5cy        
supplem5tal appropriations to           
appropriations acc\nts ( ! ,dep>tm5t (  

,heal? & ,human ,s]vices to address a   
public heal? em]g5cy t is an infecti\s  
disease outbreak1 a biot]rori/ attack1  
or a disa/] 7exclud+ funds transf]r$ to 
! ,dep>tm5t f ! appropriations acc\nt = 
! ,f$]al ,em]g5cy ,managem5t ,ag5cy1    
,disa/] ,relief ,fund or pursuant to !  
,oil ,pollution ,act ( #aiij72 &  7,,ii7
 any am\nts exp5d$ f ! ,public ,heal?   
,em]g5cy ,fund "u ?is subsection4  7ii7 
,t>get am\nt ,! t]m t>get am\nt means ! 
am\nt t is ! roll+ annual av]age (      
exp5ditures = public heal? em]g5cy      
relief ov] ! full #ad fiscal ye>s       
imm$iately prec$+ ! fiscal ye> = :i* !  
det]m9ation ( a public heal? em]g5cy is 
made "u subsection 7a7 t is an infecti\s
 disease outbreak1 a biot]rori/ attack1 
or a disa/]1 exclud+ ! highe/ & l[e/    
ye>s4  7,b7 ,appropriations  7i7 ,9     
g5]al ,subject to clause 7iv71 ^u !     
det]m9ation ( ea* public heal? em]g5cy  
"u subsection 7a7 t is an infecti\s     
disease outbreak1 a biot]rori/ attack1  
or a disa/]1 !re is appropriat$ to !    

,public ,heal? ,em]g5cy ,fund1 out ( any
 money 9 ! ,treasury n o!rwise          
appropriat$1 = ! fiscal ye> ( !         
det]m9ation1 an am\nt det]m9$ "u        
subp>agraph 7,c71 to rema9 available    
until exp5d$1 :i* may be us$ 9          
accordance ) subp>agraph 7,d74  7ii7    
,report+ ,! report+ requirem5ts conta9$ 
9 subsection 7b7 %all apply ) respect to
 am\nts appropriat$ "u clause 7i74      
7iii7 ,em]g5cy designations  7,i7 ,9    
g5]al ,am\nts appropriat$ "u clause 7i7 
are designat$ z an em]g5cy requirem5t   
pursuant to section #d7;g7 ( ! ,/atutory
 ,pay-,z-,y-,g ,act ( #bjaj 7#b         
,u4,s4,c4 #icc7;g774  7,,ii7            
,designation 9 ! ,s5ate ,9 ! ,s5ate1    
am\nts appropriat$ "u clause 7i7 are    
designat$ z an em]g5cy requirem5t       
pursuant to section #djc7;a7 ( ,s4 ,con4
 ,res4 #ac 7#aaa? ,congress71 !         
concurr5t resolution on ! budget =      
fiscal ye> #bjaj4  7iv7 ,limitation     
,clause 7i7 %all n apply if ! am\nt     
available = exp5diture 9 ! ,public      

,heal? ,em]g5cy ,fund1 z ( ! date ( !   
det]m9ation z a public heal? em]g5cy "u 
subsection 7a7 t is an infecti\s disease
 outbreak1 a biot]rori/ attack1 or a    
disa/]1 is equal to or great] ?an !     
t>get am\nt4  7,c7 ,=mula  7i7 ,9 g5]al 
,subject to clause 7ii71 ! am\nt det]m9$
 "u ?is subp>agraph %all be equal to !  
diff]5ce betwe5 ! t>get am\nt & ! am\nt 
available = exp5diture 9 ! ,public      
,heal? ,em]g5cy ,fund1 z ( ! date ( !   
det]m9ation ( ! public heal? em]g5cy "u 
subsection 7a74  7ii7 ,report by ,,omb  
,n lat] ?an #cj days aft] ! date (      
enactm5t ( ?is p>agraph1 ! ,director ( !
 ,(fice ( ,managem5t & ,budget %all     
submit to ! ,committee on               
,appropriations & ! ,committee on !     
,budget ( ! ,s5ate & ! ,committee on    
,appropriations & ! ,committee on !     
,budget ( ! ,h\se ( ,repres5tatives1 a  
report on ! roll+ av]age calculat$ =    
purposes ( det]m9+ ! t>get am\nt4  7,d7 
,use ( funds  7i7 ,9 g5]al ,am\nts      
appropriat$ to ! ,public ,heal? ,em]g5cy

 ,fund "u subp>agraph 7,b7 %all be us$  
by ! ,secret>y 9 accordance ) ! propos$ 
budget describ$ 9 subsection 7b77#b7 =  
any public heal? em]g5cy det]m9$ "u     
subsection 7a7 t is an infecti\s disease
 outbreak1 a biot]rori/ attack1 or a    
disa/] t has n t]m9at$ "u su*           
subsection4 ,su* funds %all be us$--    
7,i7 to provide assi/ance = imm$iate    
,f$]al1 ,/ate1 local1 or int]national   
response ne$s ) respect to any public   
heal? em]g5cy det]m9$ "u subsection 7a7 
t is an infecti\s disease outbreak1 a   
biot]rori/ attack1 or a disa/]2 &       
7,,ii7 = activities det]m9$ appropriate 
by ! ,secret>y to improve prep>$ness &  
response to protect human heal? = all   
populations 9 any public heal? em]g5cy  
det]m9$ "u subsection 7a7 t is an       
infecti\s disease outbreak1 a biot]rori/
 attack1 or a disa/]4  7ii7             
,availability ,am\nts appropriat$ to !  
,public ,heal? ,em]g5cy ,fund "u        
subp>agraph 7,b7 %all rema9 available = 
! uses describ$ 9 ?is subp>agraph s long

 z any public heal? em]g5cy is det]m9$  
"u subsection 7a7 t is an infecti\s     
disease outbreak1 a biot]rori/ attack1  
or a disa/]1 & ! det]m9ation = any su*  
em]g5cy has n t]m9at$ "u su* subsection4
  7iii7 ,au?ority ,9 exp5d+ funds       
appropriat$ "u subp>agraph 7,b7 & c>ry+ 
out activities "u ?is subp>agraph1 !    
,secret>y %all h ! au?ority to-- 7,i7   
transf] funds & ent] into contracts2    
7,,ii7 utilize flexible hir+ me*anisms1 
includ+ direct hir+ au?ority & p]sonal  
s]vice contracts2 exemptions f c]ta9    
adm9i/rative re/rictions 7su* z travel1 
in=mation te*nology1 pr9t+ & supplies72 
motor vehicle au?ority2 & flexible      
comp5sation = respond]s1 includ+ ov]time
 & dang] pay2 &  7,,iii7 utilize        
flexible transaction me*anisms4  4  7b7 
,exemption ( ! ,public ,heal? ,em]g5cy  
,fund f seque/ration  7#a7 ,9 g5]al     
,section #bee7;g77#a77;,a7 ( ! ,balanc$ 
,budget & ,em]g5cy ,deficit ,control    
,act ( #aihe is am5d$ by ins]t+ ,public 
,heal? ,em]g5cy ,fund 7#jji-ia-iiac74   

aft] ! item relat+ to ,po/al ,s]vice    
,fund 7#ah-djbj-j-c-cgb744  7#b7        
,application ,! am5dm5t made by p>agraph
 7#a7 %all apply to any seque/ration    
ord] issu$ "u su* ,act on or aft] ! date
 ( enactm5t ( ?is section4  7c7 ,,gao   
reports  7#a7 ,9 g5]al ,n lat] ?an #ahj 
days aft] ! date ( enactm5t ( ?is ,act1 
! ,comptroll] ,g5]al ( ! ,unit$ ,/ates1 
9 consultation ) relevant ,f$]al1 ,/ate1
 & local gov]nm5t entities1 %all prep>e 
& submit to ! appropriate committees (  
,congress1 a report-- 7,a7 review+ !    
capacity ( ! ,unit$ ,/ates public heal? 
sy/em1 includ+ ! public heal? work=ce1  
to respond effectively to infecti\s     
disease outbreaks2  7,b7 id5tify+ areas 
( pot5tial improvem5t 9 coord9ation     
betwe5 ,f$]al1 ,/ate1 & local gov]nm5t  
entities to respond m effectively to    
infecti\s disease outbreaks2  7,c7 mak+ 
recomm5dations on h[ to provide or      
allocate mo/ effectively res\rces =     
public heal? em]g5cy response1          
specifically consid]+ h[ to utilize mo/ 

effectively ! em]g5cy fund e/abli%$ "u  
section #cai ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bdg;d72 &  7,d7    
conta9+ an audit ( h[ funds = public    
heal? em]g5cies h be5 exp5d$ )9 ! #b    
ye>s prec$+ ! date ( ! report4  7#b7    
,po/-em]g5cy report  7,a7 ,9 g5]al ,n   
lat] ?an #f mon?s aft] ! t]m9ation ( a  
det]m9ation ( a public heal? em]g5cy "u 
section #cai ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bdg;d7 t is an     
infecti\s disease outbreak1 a biot]rori/
 attack1 or a disa/]1 ! ,comptroll]     
,g5]al ( ! ,unit$ ,/ates %all review    
response ef=ts by ,f$]al1 ,/ate1 & local
 gov]nm5t entities1 z well z any o!r    
relevant entities engag$ 9 response     
ef=ts1 & submit a report to !           
appropriate committees ( ,congress to   
det]m9e-- 7i7 ! compliance ( su* ef=ts )
 be/ practices id5tifi$ 9 ! report "u   
p>agraph 7#a72  7ii7 ! effectiv5ess (   
su* be/ practices2  7iii7 ! co/ ( su*   
ef=ts2  7iv7 ! areas ( pot5tial cont9u$ 
improvem5t 9 coord9ation betwe5 ,f$]al1 

,/ate1 & local gov]nm5t entities to     
respond m effectively to infecti\s      
disease outbreaks2 &  7v7 h[ to         
incorporate additional be/ practices :i*
 may be incorporat$ 9 future response   
ef=ts4  7,b7 ,audit ,! report "u        
subp>agraph 7,a7 %all include an audit  
indicat+ h[ funds us$ = public heal?    
em]g5cies det]m9$ "u section #cai ( !   
,public ,heal? ,s]vice ,act h be5 exp5d$
 dur+ ! #b ye>s prec$+ ! submission ( ! 
report "u su* subp>agraph4  #c4         
,applicability ,no?+ 9 ?is ,act1 or an  
am5dm5t made by ?is ,act1 %all affect ! 
applicability ( ! ,rob]t ,t4 ,/af=d     
,disa/] ,relief & ,em]g5cy ,assi/ance   
,act 7#db ,u4,s4,c4 #eaba et seq47 or ! 
,oil ,pollution ,act ( #aiij 7#cc       
,u4,s4,c4 #bgja et seq47 9 ! case ( a   
public heal? em]g5cy4