,,ii  #aafth ,,congress  #b;d ,session  
,s4 #cead  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #ag1    
#bjbj,ms4 ,warren 7for herself and ,mr4 
,udall7 introduced the following bill2  
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
ensure that facilities of the ,indian   
,health ,service1 facilities operated by
 an ,indian tribe1 tribal organization1 
or inter-tribal consortium1 and         
facilities operated by an urban ,indian 
organization receive items from the     
strategic national stockpile and        
qualified pandemic or epidemic products 
directly from the ,department of ,health
 and ,human ,services4  #a4 ,short title
 ,this ,act may be cited as the ,tribal 
,medical ,supplies ,stockpile ,access   
,act of #bjbj4  #b4 ,provision of items 
to ,indian programs and facilities  7a7 
,strategic national stockpile ,section  
#cai;,f-#b7;a77#c77;,g7 of the ,public  
,health ,service ,act 7#db ,u4,s4,c4    

#bdg;d-#f;b7a77#c77;,g77 is amended by  
inserting 1 and1 in the case that the   
,secretary deploys the stockpile under  
this subparagraph1 ensure1 in           
coordination with the applicable ,states
 and programs and facilities1 that      
appropriate drugs1 vaccines and other   
biological products1 medical devices1   
and other supplies are deployed by the  
,secretary directly to health programs  
or facilities operated by the ,indian   
,health ,service1 an ,indian tribe1 a   
tribal organization 7as those terms are 
defined in section #d of the ,indian    
,self-,determination and ,education     
,assistance ,act 7#be ,u4,s4,c4 #ecjd771
 or an inter-tribal consortium 7as      
defined in section #eja of the ,indian  
,self-,determination and ,education     
,assistance ,act 7#be ,u4,s4,c4 #echa77 
or through an urban ,indian organization
 7as defined in section #d of the       
,indian ,health ,care ,improvement      
,act71 while avoiding duplicative       
distributions to such programs or       

facilities before the semicolon4  7b7   
,distribution of qualified pandemic or  
epidemic products to ,,ihs facilities   
,title ,,iii of the ,public ,health     
,service ,act 7#db ,u4,s4,c4 #bda et    
seq47 is amended by inserting after     
section #cai;,f-#d the following3       
#cai;,f-#e4 ,distribution of qualified  
pandemic or epidemic products to ,indian
 programs and facilities ,in the case   
that the ,secretary distributes         
qualified pandemic or epidemic products 
7as defined in section                  
#cai;,f-#c7;i77#g77 to ,states or other 
entities1 the ,secretary shall ensure1  
in coordination with the applicable     
,states and programs and facilities1    
that1 as appropriate1 such products are 
distributed directly to health programs 
or facilities operated by the ,indian   
,health ,service1 an ,indian tribe1 a   
tribal organization 7as those terms are 
defined in section #d of the ,indian    
,self-,determination and ,education     
,assistance ,act 7#be ,u4,s4,c4 #ecjd771

 or an inter-tribal consortium 7as      
defined in section #eja of the ,indian  
,self-,determination and ,education     
,assistance ,act 7#be ,u4,s4,c4 #echa77 
or through an urban ,indian organization
 7as defined in section #d of the       
,indian ,health ,care ,improvement      
,act71 while avoiding duplicative       
distributions to such programs or       
facilities4  4