,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #gicc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #c1 #bjbb,ms4   
,de,lauro 7= h]self1 ,mr4 ,bi%op (      
,georgia1 ,ms4 ,b>ragn1 ,ms4 ,pressley1 
,mr4 ,san ,nicolas1 ,mr4 ,l>son (       
,connecticut1 ,mr4 ,?ompson ( ,cali=nia1
 ,ms4 ,wild1 ,ms4 ,norton1 ,mr4 ,nadl]1 
,mr4 ,lawson ( ,florida1 ,mr4 ,s>banes1 
,mrs4 ,bu/os1 ,ms4 ,tlaib1 ,mrs4        
,napolitano1 ,ms4 ,wilson ( ,florida1   
,mr4 ,coop]1 ,mr4 ,blum5au]1 ,mr4       
,c>bajal1 ,mr4 ,evans1 ,mrs4 ,trahan1   
,mr4 ,pocan1 ,mr4 ,trone1 ,mr4 ,torres (
 ,new ,york1 ,mr4 ,cicill9e1 ,mr4 ,danny
 ,k4 ,davis ( ,ill9ois1 ,ms4 ,spei]1    
,ms4 ,und]wood1 ,mr4 ,de,saulnier1 ,mrs4
 ,c>olyn ,b4 ,maloney ( ,new ,york1 ,mr4
 ,c>son1 ,mrs4 ,hayes1 ,ms4 ,p+ree1 ,ms4
 ,bonamici1 ,mr4 ,lev9 ( ,cali=nia1 ,mr4
 ,c\rtney1 ,ms4 ,m5g1 ,mr4 ,p]lmutt]1   
,ms4 ,*u1 ,mr4 ,b[man1 ,ms4 ,titus1 ,ms4
 ,dean1 ,ms4 ,s*ak[sky1 ,ms4 ,bass1 ,ms4
 ,lee ( ,cali=nia1 ,mrs4 ,dem+s1 ,mr4   
,kri%namoor?i1 ,mr4 ,rask91 ,ms4 ,s*ri]1

 ,mr4 ,pappas1 ,ms4 ,blunt ,ro*e/]1 ,mr4
 ,kilm]1 ,mr4 ,ca/51 ,ms4 ,ross1 ,ms4   
,/ev5s1 ,mrs4 ,lawr5ce1 ,ms4 ,spanb]g]1 
,mr4 ,coh51 ,mr4 ,panetta1 ,ms4 ,port]1 
,mrs4 ,watson ,coleman1 ,mr4 ,mi*ael ,f4
 ,doyle ( ,p5nsylvania1 ,mr4 ,connolly1 
,ms4 ,ca/or ( ,florida1 ,mr4 ,himes1    
,ms4 ,mc,collum1 ,mr4 ,cr[1 ,mr4        
,gallego1 ,mr4 ,swalwell1 ,ms4 ,scanlon1
 ,mr4 ,wel*1 ,ms4 ,cl>k ( ,massa*usetts1
 ,ms4 ,roybal-,all>d1 ,mr4 ,soto1 ,mr4  
,case1 ,mr4 ,crd5as1 ,ms4 ,jackson ,lee1
 ,ms4 ,ku/]1 ,mr4 ,langev91 & ,ms4 ,lois
 ,frankel ( ,florida7 introduc$ ! foll[+
 bill2 :i* 0 ref]r$ to ! ,committee on  
,en]gy & ,comm]ce1 & 9 addition to !    
,committees on ,f9ancial ,s]vices1      
,education & ,labor1 & ,agriculture1 = a
 p]iod to be subsequ5tly det]m9$ by !   
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,a ,,bill  ,to am5d 
! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 
to improve ! safety & supply ( infant   
=mula1 & = o!r purposes4  #a4 ,%ort     

title ,?is ,act may be cit$ z ! ,keep   
,infant ,=mula ,safe & ,on ! ,%elves    
,act ( #bjbb4  #b4 ,product safety  7a7 
,inspections & audits ,section #dab ( ! 
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cej;a7 is am5d$ by add+ 
at ! end ! foll[+3  7j7 ,inspections &  
audits  7#a7 ,9 g5]al ,n less ?an e #f  
mon?s1 ! ,secret>y %all inspect !       
facilities ( ea* manufactur] ( infant   
=mula regi/]$ "u subsection 7c74  7#b7  
,unann\nc$ inspections ,n lat] ?an #f   
mon?s aft] ! date ( enactm5t ( ! ,keep  
,infant ,=mula ,safe & ,on ! ,%elves    
,act ( #bjbb1 & n less ?an once p]      
cal5d> ye> !reaft]1 ! ,secret>y %all    
conduct unann\nc$ inspections ( !       
facilities ( ea* manufactur] ( infant   
=mula regi/]$ "u subsection 7c71 includ+
 su* facilities ) no hi/ory ( notable   
regulatory f9d+s4  7#c7 ,automatic      
compreh5sive food safety audit ,if !    
,secret>y makes a notable regulatory    
f9d+ at any facility ( a manufactur] (  
infant =mula dur+ an inspection or      

audit1 ! ,secret>y %all require su*     
facility to und]go a compreh5sive food  
safety audit t includes-- 7,a7 a root   
cause analysis2  7,b7 enhanc$ te/+2 &   
7,c7 compreh5sive environm5tal samples  
?r\gh\t ! facility4  7#d7 ,audits ,!    
,secret>y %all increase ! frequ5cy (    
compreh5sive food safety audits ( a     
facility ( a manufactur] ( infant =mula 
regi/]$ "u subsection 7c7 if !re are    
p]si/5t notable regulatory f9d+s at su* 
facility4  7#e7 ,microbial te/ results  
7,a7 ,9 g5]al ,dur+ any inspection or   
audit by ! ,secret>y ( a facility ( a   
manufactur] ( infant =mula1 !           
manufactur] %all provide to ! ,secret>y 
! results ( all microbial te/s conduct$ 
by or = ! facility dur+ ! p]iod ( #ae   
ye>s prec$+ ! date ( ! inspection or    
audit4  7,b7 ,f9es ,if ! ,secret>y f9ds 
t a facility is 9 violation (           
subp>agraph 7,a71 su* violation %all be 
treat$ z an infraction = purposes (     
impos+ a f9e 9 accordance ) title #ah1  
,unit$ ,/ates ,code4  4  7b7 ,cronobact]

 sakazakii ,! ,secret>y ( ,heal? &      
,human ,s]vices1 act+ ?r\gh ! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion1 & 9 consultation ) ! ,c\ncil
 ( ,/ate & ,t]ritorial ,epidemiologi/s1 
%all consid] add+ cronobact] sakazakii  
to ! li/ ( nationally notifiable        
diseases & conditions "u ! ,national    
,notifiable ,diseases ,surveillance     
,sy/em4  #c4 ,supply  7a7 ,/rategic     
,national ,/ockpile ,n lat] ?an #ij days
 aft] ! date ( enactm5t ( ?is ,act1 !   
,secret>y ( ,agriculture1 9 consultation
 ) ! ,assi/ant ,secret>y = ,prep>$ness &
 ,response ( ! ,dep>tm5t ( ,heal? &     
,human ,s]vices & ! ,adm9i/rator ( !    
,f$]al ,em]g5cy ,managem5t ,ag5cy1      
%all-- 7#a7 p]=m an assessm5t (-- 7,a7  
%ort- & long-t]m /orage ( infant =mula1 
includ+ ! possibility ( /orage ( infant 
=mula 9 a ,f$]al /ockpile2 &  7,b7      
models = di/ribution ( infant =mula dur+
 %ortages2 &  7#b7 submit a report to ! 
,congress on ! results ( su* assessm5t4 
7b7 ,notification by manufactur]s (     

circum/ances t c\ld lead to a %ortage ( 
infant =mula or ess5tial m$ical food    
7#a7 ,requirem5t ,*apt] ,,iv ( ! ,f$]al 
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cda et seq47 is am5d$ by add+
 ! foll[+ at ! end3  #dbd4 ,notice (    
circum/ances t c\ld lead to a %ortage   
7a7 ,notice requirem5t ,n lat] ?an #e   
bus9ess days aft] a manufactur] ( infant
 =mula or ess5tial m$ical food becomes  
aw>e ( circum/ances t c\ld lead to a    
%ortage ( infant =mula or ess5tial      
m$ical food 9 ! ,unit$ ,/ates1 su*      
manufactur] %all give writt5 notice (   
su* circum/ances to ! ,secret>y4  7b7   
,def9ition ,9 ?is section1 ! t]m        
ess5tial m$ical food means a food t--   
7#a7 is =mulat$ to be consum$ or        
adm9i/]$ ent]ally "u ! sup]vision ( a   
physician2  7#b7 is int5d$ = ! specific 
diet>y managem5t ( a disease or         
condition = :i* di/9ctive nutritional   
requirem5ts1 bas$ on recogniz$ sci5tific
 pr9ciples1 are e/abli%$ by m$ical      
evaluation2 &  7#c7 is id5tifi$ by !    

,secret>y z be+ ess5tial = any urg5t    
m$ical condition4  7c7 ,f9es ,if !      
,secret>y f9ds t a manufactur] ( infant 
=mula or ess5tial m$ical food is 9      
violation ( ! requirem5t ( ?is section  
to give writt5 notice1 su* violation    
%all be treat$ z an infraction =        
purposes ( impos+ a f9e 9 accordance )  
title #ah1 ,unit$ ,/ates ,code4  4  7c7 
,li/ ( facilities t c\ld be conv]t$ ,to 
manufacture infant =mula ,section #dab (
 ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act
 7#ba ,u4,s4,c4 #cej;a71 z am5d$ by     
section #b7;a71 is fur!r am5d$ by add+  
at ! end ! foll[+3  7k7 ,li/ (          
facilities t c\ld be conv]t$ ,!         
,secret>y %all-- 7#a7 n lat] ?an #ij    
days aft] ! date ( enactm5t ( ?is       
subsection1 id5tify & compile a li/ (   
all manufactur+ facilities 9 ! ,unit$   
,/ates t c\ld be conv]t$ to manufacture 
infant =mula 9 ! ev5t ( a %ortage2  7#b7
 on an annual basis1 update su* li/2 &  
7#c7 po/ su* up-to-date li/ on ! public 
website ( ! ,food & ,drug ,adm9i/ration4

  4  7d7 ,report+ by manufactur]s dur+ a
 %ortage ,section #dab ( ! ,f$]al ,food1
 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 
#cej;a71 z am5d$ by subsection 7c71 is  
fur!r am5d$ by add+ at ! end ! foll[+3  
7l7 ,report+ by manufactur]s dur+ a     
%ortage ,9 ! ev5t ( a %ortage ( infant  
=mula 9 ! ,unit$ ,/ates1 ! ,secret>y may
 require manufactur]s ( infant =mula to 
report to ! ,secret>y-- 7#a7 ! quantity 
( infant =mula 9 ! inv5tories ( su*     
manufactur]s & _! di/ributors2  7#b7 !  
location ( rec5t or upcom+ %ipm5ts (    
infant =mula by su* manufactur]s & _!   
di/ributors2  7#c7 ! capacity ( su*     
manufactur]s & _! di/ributors to        
r$i/ribute _! inv5tories ( infant =mula 
bas$ on geographical ne$s2 &  7#d7 !    
quantity by :i* su* manufactur]s c\ld   
increase _! output ( infant =mula4  4   
#d4 ,use ( au?orities "u ! ,def5se      
,production ,act ( #aiej = food ,section
 #aja ( ! ,def5se ,production ,act (    
#aiej 7#ej ,u4,s4,c4 #deaa7 is am5d$ by 
add+ at ! end ! foll[+3  7e7 ,treatm5t (

 food ,= purposes ( ?is title1 title    
,,iii1 & title ,,vii1 food 7includ+     
infant =mula & ! +r$i5ts necess>y to    
produce infant =mula7 is a critical     
mat]ial ess5tial to ! national def5se4  
4  #e4 ,ensur+ work] safety & heal? ,!  
,assi/ant ,secret>y ( ,labor =          
,occupational ,safety & ,heal? %all     
issue a fact %eet & provide te*nical    
assi/ance to ea* manufactur] ( infant   
=mula regi/]$ "u section #dab7;c7 ( !   
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cej;a7c77 to promote    
compliance ) occupational safety & heal?
 /&>ds promulgat$ "u section #f ( !     
,occupational ,safety & ,heal? ,act (   
#aigj4 ,su* fact %eet & te*nical        
assi/ance %all include in=mation on     
recogniz$ haz>ds & on ! specific        
occupational safety & heal? /&>ds1 & any
 o!r legal requirem5ts "u !             
,occupational ,safety & ,heal? ,act (   
#aigj1 t apply to su* manufactur]4