,,ii #aaf? ,,congress #b;d ,session ,s4 #dafc ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #b1 #bjbj ,mr4 ,g>dn] 7= himself1 ,mr4 ,b5net1 ,mr4 ,romney1 & ,ms4 ,s9ema7 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 provide = timely & effective sy/ematic te/+ to improve biosurveillance activities & practices4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,timely & ,effective ,sy/ematic ,te/+ ,act or ! ,,te/ ,act4 #b4 ,biosurveillance facilities & capacities ( ! ,,cdc 7a7 ,9 g5]al ,section #cai;,d ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#d7 is am5d$-- 7#a7 ,9 subsection 7a77#c7-- 7,a7 9 subp>agraph 7,c71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,d71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7,e7 improv+ coord9ation ) ,f$]al1 ,/ate1 local1 ,tribal1 & t]ritorial public heal? (ficials & o!r ,f$]al ag5cies z appropriate1 includ+ ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 to id5tify gaps & align paym5t inc5tives to improve electronic case report+ capability4 2 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#c77;,a77iv71 by ins]t+ 7su* z comm]cial1 academic1 & o!r hospital laboratories7 aft] cl9ical laboratories2 7,b7 9 p>agraph 7#e7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 ! matt] prec$+ clause 7i71 by /rik+ & op]at+ & ins]t+ 1 op]at+1 & updat+2 7,,ii7 9 clause 7iv71 by /rik+ & at ! end2 7,,iii7 9 clause 7v71 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7,,iv7 by add+ at ! end ! foll[+3 7vi7 integrate & update applicable exi/+ sy/ems & networks support$ by ! ,c5t]s = ,disease ,control & ,prev5tion & 9 collaboration ) ,/ate1 local1 ,tribal1 & t]ritorial public heal? (ficials1 includ+ public heal? surveillance & disease detection sy/ems2 & 7vii7 direct ! ,c5t]s = ,disease ,control & ,prev5tion 9 coord9ation ) ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices to assess ! gaps 9 curr5t report+ sy/ems & evaluate grants & paym5t me*anisms to improve electronic case report+ capabilities4 2 & 7ii7 9 subp>agraph 7,b7-- 7,i7 9 clause 7i71 by ins]t+ & #fj days aft] ! date ( enactm5t ( ! ,,te/ ,act ( #bjbj aft] ,innovation ,act ( #bjah2 7,,ii7 9 clause 7ii71 by ins]t+ epidemiologi/s1 cl9ical microbiologi/s1 pa?ologi/s & laboratory exp]ts1 heal? in=mation te*nology develop]s1 exp]ts 9 heal? in=mation te*nology m>ket economics1 public & private entities engag$ 9 ! evaluation ( heal? in=mation te*nology p]=mance1 data %>+ networks1 su* z heal? in=mation ex*anges1 security exp]ts1 aft] =eca/+722 & 7,,iii7 9 clause 7iii7-- 7aa7 9 subclause 7,v71 by /rik+ & at ! end2 7bb7 9 subclause 7,,vi71 by /rik+ ! p]iod2 & 7cc7 by add+ at ! end ! foll[+3 7,,vii7 /rategies to integrate laboratory & epidemiology sy/ems & capabilities to conduct & report rapid & accurate laboratory te/s2 7,,viii7 ways to improve ! collection1 disaggregation1 & report+ ( appropriate demographic data to support population heal? /rategies & to bett] und]/& & address heal? disp>ities2 & 7,,ix7 an evaluation ( ! ,digital ,bridge project & subsequ5t lessons on /rategies to improve ! ex*ange ( electronic heal? in=mation betwe5 public heal? ag5cies & heal? c>e provid]s & facilities = ! purpose ( timely1 accurate1 & accessible disease surveillance4 2 & 7,c7 9 p>agraph 7#f7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 clause 7iii7-- 7aa7 9 subclause 7,,iii71 by /rik+ & at ! end2 7bb7 9 subclause 7,,iv71 by ins]t+ 1 includ+ ! ability to conduct & report on rapid & accurate laboratory te/+ dur+ a public heal? em]g5cy be=e ! semicolon2 & 7cc7 by add+ at ! end ! foll[+3 7,v7 improve coord9ation & collaboration1 z appropriate1 ) o!r ,f$]al dep>tm5ts2 & 7,,vi7 implem5t applicable lessons le>n$ f rec5t public heal? em]g5cies to address gaps 9 situational aw>5ess & biosurveillance capabilities1 includ+ an evaluation ( ways to improve ! collection1 disaggregation1 & report+ ( demographic data to support population heal? /rategies & to bett] und]/& & address heal? disp>ities2 2 7,,ii7 9 clause 7iv71 by /rik+ & at ! end2 7,,iii7 9 clause 7v71 by /rik+ ! p]iod & ins]t+ includ+ a ju/ification = ^? dates = h[ !y w fur!r ! goal ( address+ bo? curr5t & pot5tial future infecti\s disease outbreaks2 &2 & 7,,iv7 by add+ at ! end ! foll[+3 7vi7 id5tifies & demon/rates measurable /eps ! ,secret>y w take to fur!r develop & integrate infecti\s disease detection1 includ+ exp&+ capabilities to conduct & report on rapid & accurate diagno/ic laboratory te/+ dur+ a public heal? em]g5cy1 & improve coord9ation & collaboration ) ,/ate1 local1 ,tribal1 & t]ritorial public heal? (ficials1 cl9ical laboratories 7includ+ comm]cial1 hospital & academic labs71 & o!r entities ) exp]tise 9 public heal? surveillance4 2 7ii7 by r$esignat+ subp>agraph 7,b7 z subp>agraph 7,c72 & 7iii7 by ins]t+ aft] subp>agraph 7,a71 ! foll[+3 7,b7 ,reports ,n lat] ?an "o mon? aft] ! date ( enactm5t ( ! ,,te/ ,act1 & e #ij days !reaft]1 ! ,secret>y %all report on ! /atus ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices' biosurveillance mod]nization & assessm5t progress ) respect to bo? curr5t & pot5tial future infecti\s disease outbreaks4 2 7#c7 9 subsection 7d7-- 7,a7 9 p>agraph 7#b77;,c71 by ins]t+ 1 includ+ any public-private p>tn]%ips ent]$ into to improve su* capacity be=e ! semicolon2 & 7,b7 9 p>agraph 7#c7-- 7i7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7ii7 9 subp>agraph 7,c71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7iii7 by add+ at ! end ! foll[+3 7,d7 may e/abli%1 enhance1 or ma9ta9 a sy/em or network = ! collection ( data to provide = e>ly detection ( infecti\s disease outbreaks1 ne> real-"t access to relevant electronic data & integration ( electronic data & in=mation f public heal? & o!r appropriate s\rces1 su* z laboratories1 hospitals1 & epidemiology sy/ems1 to enhance ! capability to conduct rapid & accurate diagno/ic laboratory te/s to provide = disease detection4 2 7#d7 9 subsection 7f77#a77;,a71 by ins]t+ pa?ologi/s1 cl9ical microbiologi/s1 laboratory pr(essionals1 epidemiologi/s1 aft] =eca/+712 & 7#e7 9 subsection 7h71 by add+ at ! end ! foll[+3 ,su* evaluation %all include id5tification ( any gaps 9 biosurveillance & situational aw>5ess capabilities id5tifi$ relat$ to rec5t public heal? em]g5cies1 any imm$iate /eps tak5 to address su* gaps1 & any long-t]m plans to address su* gaps1 includ+ relate to activities au?oriz$ "u ?is section44 7b7 ,coord9ation ,! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices %all coord9ate ) ,c5t]s = ,disease ,control & ,prev5tion to assess ! gaps 9 curr5t report+ sy/ems & evaluate grants & paym5t me*anisms to improve electronic case report+ capabilities = purposes ( section #cai;,d7c77#e77;,a77vii7 ( ! ,public ,heal? ,s]vice ,act 7z add$ by subsection 7a774 #c4 ,national heal? security /rategy ,section #bhjb7;b77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#a7;b77#b77 is am5d$-- 7#a7 9 subp>agraph 7,a71 by ins]t+ su* z by integrat+ laboratory & epidemiology sy/ems & capability to conduct & report on rapid & accurate laboratory te/s1 aft] detection1 id5tification12 & 7#b7 9 subp>agraph 7,b71 by ins]t+ laboratory te/+1 aft] s]vices & supplies14 #d4 ,epidemiology-laboratory capacity grants ,section #bhba7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#ca7;a77 is am5d$-- 7#a7 9 p>agraph 7#c71 by /rik+ &2 7#b7 9 p>agraph 7#d71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#e7 support+ ,/ate & local public heal? dep>tm5ts activities relat$ to biosurveillance & disease detection1 includ+ activities relat$ to section #cai;,d4 4