,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dedb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #i1 
#bjbj,mr4 ,tillis introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,banking1
 ,housing1 and ,urban ,affairs  ,a      
,,bill  ,to prohibit distribution abroad
 of ,,covid-#ai vaccines developed with 
the support of ,federal funding until   
the domestic need for the vaccine has   
been met4  #a4 ,short title ,this ,act  
may be cited as the ,america ,first     
,vaccine ,act4  #b4 ,,covid-#ai vaccine 
distribution  7a7 ,certification        
requirement  7#a7 ,in general           
,notwithstanding any other provision of 
law1 subject to paragraph 7#b71 a       
manufacturer of a vaccine described in  
subsection 7b7 that is headquartered in 
the ,united ,states may not distribute  
such vaccine outside of the ,united     
,states unless the ,secretary of ,health
 and ,human ,services 7referred to in   
this section as the ,secretary71 in     

consultation with the ,commissioner of  
,food and ,drugs1 certifies that        
domestic need for the vaccine already   
has been met4  7#b7 ,waiver ,the        
,secretary may waive the certification  
requirement under paragraph 7#a7 with   
respect to a vaccine described in       
subsection 7b7 and permit the           
distribution of such vaccine outside of 
the ,united ,states1 if the ,secretary  
determines that such waiver and         
distribution is in the interest of the  
,american public health4  7b7 ,vaccines 
described ,a vaccine described in this  
subsection is a ,,covid-#ai vaccine     
that-- 7#a7 is authorized under section 
#efd of the ,federal ,food1 ,drug1 and  
,cosmetic ,act 7#ba ,u4,s4,c4           
#cfj;bbb-#c7 or licensed under section  
#cea of the ,public ,health ,service    
,act 7#db ,u4,s4,c4 #bfb72 and  7#b7 was
 developed with support of ,federal     
funding made available under the        
,coronavirus ,preparedness and ,response
 ,supplemental ,appropriations ,act     

7,public ,law #aaf-abc71 the ,families  
,first ,coronavirus ,response ,act      
7,public ,law #aaf-abg71 the            
,coronavirus ,aid1 ,relief1 and         
,economic ,security ,act 7,public ,law  
#aaf-acf71 or the ,paycheck ,protection 
,program and ,health ,care ,enhancement 
,act 7,public ,law #aaf-aci74  7c7      
,violations ,in the case of a           
manufacturer who violates subsection    
7a71 such manufacturer shall be required
 to reimburse the ,federal ,government  
for all amounts received by the         
manufacturer in support of development  
of the vaccine1 plus interest in an     
amount determined by the ,secretary of  
the ,treasury4  7d7 ,rule of            
construction ,nothing in this ,act shall
 be construed to limit or otherwise     
restrict the ,secretary's authority to  
enter into bilateral or multilateral    
agreements with international           
manufacturers to procure vaccines       
described in subsection 7b7 for the     
people of the ,united ,states4