,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #ahdi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #aa1 #bjba,miss  
,rice ( ,new ,york introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to       
au?orize ! ,secret>y ( ,heal? & ,human  
,s]vices1 act+ ?r\gh ! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion1
 to e/abli% a core public heal?         
infra/ructure program1 & = o!r purposes4
  #a4 ,core public heal? infra/ructure =
 ,/ate1 local1 ,tribal1 & t]ritorial    
heal? dep>tm5ts  7a7 ,program ,!        
,secret>y ( ,heal? & ,human ,s]vices 79 
?is ,act ref]r$ to z ! ,secret>y71 act+ 
?r\gh ! ,director ( ! ,c5t]s = ,disease 
,control & ,prev5tion1 %all e/abli% a   
core public heal? infra/ructure program 
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 heal?    
dep>tm5t2 &  7,b7 may aw>d grants on a  

competitive basis to ,/ate1 local1      
,tribal1 or t]ritorial 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 ,/ate heal?   
dep>tm5ts "u p>agraph 7#a77;,a72 &  7,b7
 n less ?an #cj p]c5t %all be = grants  
to ,/ate1 local1 ,tribal1 or t]ritorial 
heal? dep>tm5ts "u p>agraph 7#a77;,b74  
7c7 ,use ( funds ,a ,/ate1 local1       
,tribal1 or t]ritorial heal? dep>tm5t   
receiv+ a grant "u subsection 7b7 %all  
use ! grant funds to address core public
 heal? infra/ructure ne$s1 includ+ ^?   
id5tifi$ 9 ! accr$itation process "u    
subsection 7g74  7d7 ,=mula grants to   
,/ate heal? dep>tm5ts ,9 mak+ grants "u 
subsection 7b77#a77;,a71 ! ,secret>y    
%all aw>d funds to ea* ,/ate heal?      
dep>tm5t 9 accordance )-- 7#a7 a =mula  
bas$ on population size1 burd5 (        
prev5table disease & disability1 & core 
public heal? infra/ructure gaps1 includ+
 ^? id5tifi$ 9 ! accr$itation process "u

 subsection 7g72 &  7#b7 application    
requirem5ts e/abli%$ by ! ,secret>y1    
includ+ a requirem5t t ! ,/ate heal?    
dep>tm5t submit a plan t demon/rates to 
! satisfaction ( ! ,secret>y t ! ,/ate's
 heal? dep>tm5t w-- 7,a7 address its    
highe/ priority core public heal?       
infra/ructure ne$s2 &  7,b7 z           
appropriate1 allocate funds to local    
heal? dep>tm5ts )9 ! ,/ate4  7e7        
,competitive grants to ,/ate1 local1    
,tribal1 & t]ritorial heal? dep>tm5ts ,9
 mak+ grants "u subsection 7b77#a77;,b71
 ! ,secret>y %all give priority to      
applicants demon/rat+ core public heal? 
infra/ructure ne$s id5tifi$ 9 !         
accr$itation process "u subsection 7g74 
7f7 ,ma9t5ance ( ef=t ,! ,secret>y may  
aw>d a grant to an entity "u subsection 
7b7 only if ! entity demon/rates to !   
satisfaction ( ! ,secret>y t-- 7#a7     
funds receiv$ ?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$+ ! fiscal ye> = :i* 
! entity receives ! grant4  7g7         
,e/abli%m5t ( a public heal?            
accr$itation program  7#a7 ,9 g5]al ,!  
,secret>y %all-- 7,a7 develop1 &        
p]iodically review & update1 /&>ds =    
volunt>y accr$itation ( ,/ate1 local1   
,tribal1 & t]ritorial heal? dep>tm5ts & 
public heal? laboratories = ! purpose ( 
advanc+ ! quality & p]=mance ( su*      
dep>tm5ts & laboratories2 &  7,b7       
implem5t a program to accr$it su* heal? 
dep>tm5ts & laboratories 9 accordance ) 
su* /&>ds4  7#b7 ,coop]ative agreem5t ,!
 ,secret>y may ent] into a coop]ative   
agreem5t ) a private nonpr(it entity to 
c>ry out p>agraph 7#a74  7h7 ,report ,! 
,secret>y %all submit to ! ,congress an 
annual report on progress be+ made to   

accr$it entities "u subsection 7g71     
includ+-- 7#a7 a /rategy1 includ+ goals 
& objectives1 = accr$it+ entities "u    
subsection 7g7 & a*iev+ ! purpose       
describ$ 9 subsection 7g77#a77;,a72     
7#b7 id5tification ( gaps 9 rese>*      
relat$ to core public heal?             
infra/ructure2 &  7#c7 recomm5dations ( 
priority areas = su* rese>*4  7i7       
,def9ition ,9 ?is section1 ! t]m core   
public heal? infra/ructure includes--   
7#a7 work=ce capacity & compet5cy2  7#b7
 laboratory sy/ems2  7#c7 te/+ capacity1
 includ+ te/ plat=ms1 mobile te/+ units1
 & p]sonnel2  7#d7 heal? in=mation1     
heal? in=mation sy/ems1 & heal?         
in=mation analysis2  7#e7 disease       
surveillance2  7#f7 contact trac+2  7#g7
 communications2  7#h7 f9anc+2  7#i7 o!r
 relevant compon5ts ( organizational    
capacity2 &  7#aj7 o!r relat$           
activities4  7j7 ,au?orization (        
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$     
#f1jjj1jjj1jjj = ! p]iod ( fiscal ye>s  

#bjbb ?r\gh #bjbf4  #b4 ,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$s4
  7b7 ,report ,! ,secret>y %all submit  
to ! ,congress an annual report on !    
activities fund$ ?r\gh ?is section4  7c7
 ,def9ition ,9 ?is section1 ! t]m core  
public heal? infra/ructure has ! mean+  
giv5 to su* t]m 9 section #a4  7d7      
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #a1jjj1jjj1jjj = ! p]iod (  
fiscal ye>s #bjbb ?r\gh #bjbf4