,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dgdj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bi1         
#bjbj,mrs4 ,murray 7= h]self1 ,mr4      
,casey1 ,mr4 ,m55dez1 ,mr4 ,van ,holl51 
,ms4 ,duckwor?1 ,mr4 ,br[n1 ,mr4        
,m]kley1 ,mr4 ,b5net1 ,ms4 ,w>r51 ,mr4  
,m>key1 ,ms4 ,hirono1 ,ms4 ,baldw91 ,ms4
 ,ros51 ,mr4 ,s*atz1 ,ms4 ,klobu*>1 ,mr4
 ,re$1 ,ms4 ,smi?1 ,mr4 ,blum5?al1 &    
,mr4 ,durb97 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to      
support public heal? infra/ructure4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,public ,heal? ,infra/ructure ,saves    
,lives ,act4  #b4 ,core public heal?    
infra/ructure = ,/ate1 t]ritorial1      
local1 & tribal heal? dep>tm5ts  7a7    
,program ,! ,secret>y ( ,heal? & ,human 
,s]vices 7ref]r$ to 9 ?is ,act z !      
,secret>y71 act+ ?r\gh ! ,director ( !  
,c5t]s = ,disease ,control & ,prev5tion1
 %all e/abli% a core public heal?       

infra/ructure program to /r5g!n ! public
 heal? sy/em ( ! ,unit$ ,/ates1 includ+ 
! ,nation's ability to respond to !     
,,covid-#ai p&emic1 consi/+ ( aw>d+     
grants "u subsection 7b74  7b7 ,grants  
7#a7 ,aw>d ,= ! purpose ( address+ core 
public heal? infra/ructure ne$s1 !      
,secret>y-- 7,a7 %all aw>d a grant to   
ea* ,/ate or t]ritorial heal? dep>tm5t1 
& to local heal? dep>tm5ts t s]ve       
#ejj1jjj p or m2 &  7,b7 %all aw>d      
grants on a competitive basis to ,/ate1 
t]ritorial1 local1 or tribal heal?      
dep>tm5ts4  7#b7 ,allocation ,( ! total 
am\nt ( funds aw>d$ z grants "u ?is     
subsection = a fiscal ye>-- 7,a7 n less 
?an #ej p]c5t %all be = grants to heal? 
dep>tm5ts "u p>agraph 7#a77;,a72 &  7,b7
 n less ?an #cj p]c5t %all be = grants  
to ,/ate1 t]ritorial1 local1 or tribal  
heal? dep>tm5ts "u p>agraph 7#a77;,b74  
7c7 ,use ( ,funds ,! ,secret>y may aw>d 
a grant to an entity "u subsection      
7b77#a7 only if ! entity agrees to use !
 full am\nt ( ! grant to address core   

public heal? infra/ructure ne$s1 includ+
 ^? id5tifi$ 9 ! accr$itation process "u
 subsection 7h74  7d7 ,=mula grants to  
heal? dep>tm5ts ,9 mak+ grants "u       
subsection 7b77#a77;,a71 ! ,secret>y    
%all aw>d funds to ea* heal? dep>tm5t 9 
accordance )-- 7#a7 a =mula-- 7,a7 bas$ 
on population size1 burd5 ( prev5table  
disease & disability1 & pov]ty rate1 )  
special consid]ation giv5 to t]ritories2
 &  7,b7 :i*1 9 ! ev5t ( an aw>d made   
dur+ ! public heal? em]g5cy decl>$ "u   
section #cai ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bdg;d7 9 response  
to ,,covid-#ai1 %all consid] !          
,,covid-#ai burd5 ( ea* jurisdiction2 & 
7#b7 application requirem5ts e/abli%$ by
 ! ,secret>y1 includ+ a requirem5t t !  
heal? dep>tm5t submit a plan by ! end ( 
ye> #a ( ! grant t demon/rates to !     
satisfaction ( ! ,secret>y t ! heal?    
dep>tm5t w-- 7,a7 address its highe/    
priority core public heal? infra/ructure
 ne$s2  7,b7 9 ! case ( su* a plan      
submitt$ dur+ ! public heal? em]g5cy    

describ$ 9 p>agraph 7#a77;,b71 id5tify !
 core public heal? infra/ructure ne$s t 
are ! highe/ priority = /r5g!n+ !       
response to ,,covid-#ai & simil> public 
heal? ?reats & o!r public heal?         
em]g5cies2 &  7,c7 = ,/ate heal?        
dep>tm5ts1 allocate at lea/ #be p]c5t ( 
! grant funds to local heal? dep>tm5ts  
)9 ! ,/ate to support ! local           
jurisdiction's contribution to core     
public heal? infra/ructure4  7e7        
,competitive grants to ,/ate1           
t]ritorial1 local1 & tribal heal?       
dep>tm5ts ,9 mak+ grants "u subsection  
7b77#a77;,b71 ! ,secret>y %all give     
priority to applicants demon/rat+ core  
public heal? infra/ructure ne$s = all   
public heal? ag5cies 9 ! applicant's    
jurisdiction to be c]tifi$ by !         
accr$itation process "u subsection 7h71 
or = an entity = :i* a waiv] has be5    
receiv$ "u subp>agraph 7,a7 or 7,b7 (   
subsection 7h77#b71 t has o!rwise       
demon/rat$ ! applicant has core public  
heal? infra/ructure ne$s = all public   

heal? ag5cies4  7f7 ,p]mitt$ use ,!     
,secret>y may make available a subset ( 
! funds available = grants "u subsection
 7b77#a7 = purposes ( aw>d+ plann+      
grants to heal? dep>tm5ts eligible to   
receive a grant "u subsection           
7b77#a77;,b74 ,recipi5ts ( su* a plann+ 
grant may use su* aw>d to assess core   
public heal? infra/ructure ne$s4  7g7   
,ma9t5ance ( ef=t ,! ,secret>y may aw>d 
a grant to an entity "u subsection 7b7  
only if ! entity demon/rates to !       
satisfaction ( ! ,secret>y t-- 7#a7     
funds receiv$ ?r\gh ! grant w be exp5d$ 
only to supplem5t1 & n supplant1        
non-,f$]al & ,f$]al funds o!rwise       
available to ! entity = ! purpose (     
address+ core public heal? infra/ructure
 ne$s2 &  7#b7 ) respect to activities =
 :i* ! grant is aw>d$1 ! entity w ma9ta9
 exp5ditures ( non-,f$]al am\nts = su*  
activities at a level n less ?an ! level
 ( su* exp5ditures ma9ta9$ by ! entity =
 ! fiscal ye> prec$+ ! fiscal ye> = :i* 
! entity receives ! grant4  7h7 ,support

 ( a national ,public ,heal?            
,accr$itation ,program  7#a7 ,9 g5]al ,!
 ,secret>y1 act+ ?r\gh ! ,director ( !  
,c5t]s = ,disease ,control & ,prev5tion1
 %all-- 7,a7 support cont9u$ developm5t1
 & p]iodic review & updat+ ( /&>ds =    
accr$itation ( ,/ate1 t]ritorial1 local1
 or tribal heal? dep>tm5ts = ! purpose (
 advanc+ ! quality & p]=mance ( su*     
dep>tm5ts ) an emphasis on core public  
heal? infra/ructure2  7,b7 implem5t a   
program to accr$it su* heal? dep>tm5ts 9
 accordance ) su* /&>ds2 &  7,c7 beg9n+ 
9 fiscal ye> #bjbd1 ensure t any entity 
receiv+ a grant "u subsection 7b7 is    
accr$it$ z describ$ 9 subp>agraph 7,a7  
or meets ano!r /&>d ( acc\ntability     
specific to public heal? infra/ructure1 
subject to p>agraph 7#b74  7#b7 ,waiv]s 
,! ,secret>y may waive ! requirem5t "u  
p>agraph 7#a77;,c7 ) respect to-- 7,a7  
any individual entity until fiscal ye>  
#bjbf2 or  7,b7 aft] fiscal ye> #bjbf1  
any individual entity t demon/rates t x 
w\ld be a significant h>d%ip to comply )

 su* requirem5t4  7#c7 ,coop]ative      
agreem5t ,! ,secret>y may ent] into a   
coop]ative agreem5t ) a private nonpr(it
 entity to c>ry out ?is subsection4  7i7
 ,report ,! ,secret>y %all submit to !  
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives an annual report
 on progress be+ made to accr$it        
entities "u subsection 7h71 includ+--   
7#a7 a /rategy1 includ+ goals &         
objectives1 = accr$it+ entities "u      
subsection 7h7 & a*iev+ ! purpose       
describ$ 9 subsection 7h77#a72 &  7#b7  
id5tification ( gaps 9 rese>* relat$ to 
core public heal? infra/ructure &       
recomm5dations ( priority areas = su*   
rese>*4  #c4 ,core public heal?         
infra/ructure & activities = ,,cdc  7a7 
,9 g5]al ,! ,secret>y1 act+ ?r\gh !     
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all exp& & improve !    
core public heal? infra/ructure &       
activities ( ! ,c5t]s = ,disease        

,control & ,prev5tion to address unmet &
 em]g+ public heal? ne$s & provide      
te*nical assi/ance to grantees fund$ "u 
?is provision1 includ+ ! adm9i/ration ( 
! grants "u section #b7;b77#a74  7b7    
,report ,! ,secret>y %all submit to     
,congress an annual report on !         
activities fund$ ?r\gh ?is section4  #d4
 ,core ,public ,heal? ,infra/ructure    
def9$ ,= purposes ( ?is ,act1 ! t]m core
 public heal? infra/ructure means all ( 
! foll[+ elem5ts1 & ! work=ce ne$$ to   
e/abli% & ma9ta9 su* elem5ts3 7#a7      
,assessm5t 7includ+ surveillance1       
epidemiology1 & laboratory capacity7 ,! 
ability to track ! heal? ( a community  
?r\gh data1 case f9d+1 & laboratory te/s
 ) p>ticul> att5tion to ^? mo/ at risk4 
7#b7 ,all haz>ds prep>$ness & response  
,! capacity to respond to em]g5cies (   
all k9ds4  7#c7 ,policy developm5t &    
support ,! ability to translate public  
heal? sci5ce into appropriate policy &  
regulation4  7#d7 ,communications ,!    
ability to rea* ! public effectively )  

timely1 sci5ce-bas$ in=mation to        
mitigate ! impact ( public heal? ?reats1
 ) p>ticul> att5tion to h>d-to-rea*     
populations4  7#e7 ,community p>tn]%ip  
developm5t ,! capacity to h>ness & align
 community res\rces & organizations to  
advance ! heal? ( all memb]s ( !        
community4  7#f7 ,organizational        
compet5cies 7lead]%ip & gov]nance1 heal?
 equity7 ,! ability to lead int]nal &   
ext]nal /akehold]s to cons5sus & action4
  7#g7 ,acc\ntability & p]=mance        
managem5t 7includ+ quality improvem5t1  
in=mation te*nology1 human res\rces1    
f9ancial managem5t1 & law7 ,! ability to
 apply bus9ess practices t ensure       
effici5t use ( res\rces1 a*ieve desir$  
outcomes1 & fo/] a cont9u\s le>n+       
environm5t4  7#h7 ,equity ,utiliz+ all (
 ! prec$+ elem5ts1 ! capacity to address
 & correct heal? disp>ities 7includ+    
disp>ities relat$ to race1 e?nicity1    
national orig91 socioeconomic /atus1    
prim>y language1 sex 7includ+ sexual    
ori5tation & g5d] id5tity71 disability  

/atus1 & o!r factors71 advance heal?    
equity 9 all communities1 & implem5t    
culturally & l+ui/ically appropriate    
programs & int]v5tions4  #e4 ,fund+  7a7
 ,9 g5]al ,to c>ry out ?is ,act1 !re are
 h]eby appropriat$1 out ( am\nts 9 !    
,treasury n o!rwise appropriat$1 !      
foll[+ to be made available until       
exp5d$3 7#a7 ,= fiscal ye> #bjba1       
#gej1jjj1jjj4  7#b7 ,= fiscal ye> #bjbb1
 #a1jjj1jjj1jjj4  7#c7 ,= fiscal ye>    
#bjbc1 #b1jjj1jjj1jjj4  7#d7 ,= fiscal  
ye> #bjbd1 #c1jjj1jjj1jjj4  7#e7 ,=     
fiscal ye> #bjbe & ea* subsequ5t fiscal 
ye>1 #d1ejj1jjj1jjj4  7b7 ,core public  
heal? infra/ructure & activities ,( !   
am\nts made available "u ?is section = a
 fiscal ye>1 n m ?an #cej1jjj1jjj %all  
be us$ to c>ry out section #c4  7c7     
,supplem5t ,am\nts made available "u ?is
 section %all be us$ to supplem5t1 & n  
supplant1 am\nts o!rwise made available 
= ! purposes describ$ 9 ?is ,act4