,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #idgf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,decemb] #h1 #bjbb,mr4
 ,l>s5 ( ,wa%+ton 7= himself1 ,ms4      
,ross1 ,mr4 ,b]a1 ,ms4 ,norton1 ,mr4    
,c>bajal1 & ,ms4 ,b>ragn7 introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committees on ! ,budget1 
& ,f9ancial ,s]vices1 = 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 protect aga9/   
seasonal & p&emic influ5za1 & = o!r     
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,protect+ ,am]ica f        
,seasonal & ,p&emic ,influ5za ,act (    
#bjbb4  #b4 ,f9d+s ,! ,congress f9ds !  
foll[+3 7#a7 ,influ5za occurs seasonally
 ea* ye>1 & ?r\gh\t hi/ory has caus$    
deva/at+ p&emics4 ,! #aiah influ5za     
p&emic kill$ an e/imat$ #fge1jjj        
,am]icans4  7#b7 ,9 an av]age season1   
influ5za results 9 #ab1jjj to #eb1jjj   

dea?s 9 ! ,unit$ ,/ates1 includ+ ov]    
#ajj p$iatric dea?s4 ,additionally1     
influ5za causes hundr$s ( ?\s&s (       
hospitalizations & millions ( illnesses4
  7#c7 ,! ,c\ncil ( ,economic ,advisors 
issu$ a report 9 #bjai e/imat+ t        
seasonal influ5za co/s ! ,unit$ ,/ates  
approximately #cfa1jjj1jjj1jjj p] ye>1 &
 t an influ5za p&emic has ! pot5tial to 
cause up to #c1gij1jjj1jjj1jjj 9 losses4
 ,?is report 0 issu$ prior to !         
,,covid-#ai p&emic1 :i* w co/ ! ,unit$  
,/ates an e/imat$ #af1jjj1jjj1jjj1jjj4  
7#d7 ,mo/ fund+ = p&emic influ5za       
prep>$ness up until fiscal ye> #bjah 0  
d]iv$ f supplem5tal appropriations t    
dat$ back to ! #bjji ,h#a,n#a p&emic4   
7#e7 ,c5t]s = ,disease ,control &       
,prev5tion 79 ?is preamble ref]r$ to z !
 ,,cdc7 /udies ( influ5za               
hospitalization rates by race & e?nicity
 dur+ #aj influ5za seasons f #bjji to   
#bjai %[$ t p f racial & e?nic m9ority  
gr\ps are at high] risk = be+           
hospitaliz$ ) influ5za4  7#f7 ,!        

,,covid-#ai p&emic response has be5     
built on ! p&emic influ5za response     
ecosy/em4  7#g7 ,/rategies t increase   
seasonal influ5za vacc9ation rates w    
also improve p&emic read9ess4  7#h7 ,!  
,national ,influ5za ,vacc9e             
,mod]nization ,/rategy ( #bjbj-bjcj ( ! 
,dep>tm5t ( ,heal? & ,human ,s]vices    
%\ld be implem5t$ z quickly z possible  
to ensure ! ,nation's vacc9e ent]prise  
is highly responsive1 flexible1         
scalable1 & effective at r$uc+ ! impact 
( seasonal & p&emic influ5za viruses4   
7#i7 ,influ5za surveillance has be5     
improv$ significantly ov] ! la/ sev]al  
ye>s by deploy+ next-g5]ation g5e       
sequ5c+ tools to analyze circulat+      
influ5za viruses4 ,! te*nology all[s !  
,,cdc to /udy m influ5za viruses fa/] & 
9 m detail1 & to monitor g5etic *anges 9
 influ5za viruses to bett] und]/& &     
improve ! effectiv5ess ( influ5za       
vacc9es4  7#aj7 ,vacc9e hesitancy 9 !   
,unit$ ,/ates has rea*$ a tipp+ po9t :]e
 x is adv]sely affect+ public heal?4    

,mis9=mation is widely available on     
social m$ia1 & traditional s\rces (     
in=mation on ! value & efficacy (       
vacc9es are n tru/$ by _m ,am]icans1    
especially ^? :o are vacc9e hesitant4   
7#aa7 ,support = vacc9e communication1  
outrea*1 & adm9i/ration across public   
heal? & heal? c>e sett+s is critical to 
drive dem& ( influ5za vacc9es1          
treatm5ts1 & m$ical c\nt]measures &     
ensure equitable uptake ( ^!            
innovations4  #c4 ,/r5g!n+ & div]sify+  
influ5za vacc9e developm5t1 manufactur+1
 & supply *a9  7a7 ,timely deliv]y (    
fir/ doses ( f9i%$ influ5za vacc9e  7#a7
 ,national goal ,x is a national goal = 
! ,unit$ ,/ates1 n lat] ?an #c ye>s aft]
 ! date ( enactm5t ( ?is ,act1 to h !   
capacity to deliv] fir/ doses ( f9i%$   
influ5za vacc9e )9 #ab weeks ( em]g5ce (
 an influ5za /ra9 ) p&emic pot5tial4    
7#b7 ,plan ,n lat] ?an #f mon?s aft] !  
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices1 ! ,assi/ant 
,secret>y = ,prep>$ness & ,response1 & !

 ,director ( ! ,biom$ical ,advanc$      
,rese>* & ,developm5t ,au?ority %all    
publi% a plan to a*ieve ! goal specifi$ 
9 p>agraph 7#a74  7b7 ,univ]sal influ5za
 vacc9e  7#a7 ,national goal ,x is a    
national goal = ! ,unit$ ,/ates1 n lat] 
?an #aj ye>s aft] ! date ( enactm5t (   
?is ,act1 to h develop$ a univ]sal      
influ5za vacc9e4  7#b7 ,plan  7,a7      
,publication ,n lat] ?an #a ye> aft] !  
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices1 ! ,director 
( ! ,national ,in/itutes ( ,heal?1 & !  
,director ( ! ,biom$ical ,advanc$       
,rese>* & ,developm5t ,au?ority %all    
publi% a plan to a*ieve ! goal specifi$ 
9 p>agraph 7#a7 9 p>tn]%ip ) vacc9e     
manufactur]s4  7,b7 ,int]im support ,!  
plan "u subp>agraph 7,a7 %all include   
provisions1 z necess>y to a*ieve su*    
goal1 = support ov] ! p]iod ( #e ye>s   
foll[+ ! publication ( su* plan ( !     
foll[+3 7i7 ,increm5tal vacc9e efficacy 
improvem5ts4  7ii7 ,! rese>* work=ce4   
7c7 ,/r5g!n+ ! vacc9e supply *a9  7#a7  

,public-private p>tn]%ips  7,a7 ,9 g5]al
 ,! ,secret>y ( ,heal? & ,human ,s]vices
 %all e/abli% public-private p>tn]%ips  
to /r5g!n ! dome/ic vacc9e supply *a94  
7,b7 ,dome/ic vacc9e supply *a9 ,=      
purposes ( ?is p>agraph1 ! t]m dome/ic  
vacc9e supply *a9 includes ! full       
dome/ic supply *a91 includ+-- 7i7       
production ( +r$i5ts & manufactur+ &    
di/ribution ( f9i%$ vacc9es2  7ii7      
fill-f9i% capacity2 &  7iii7 ! supply   
*a9 ( ancill>y supplies su* z ne$les &  
syr+es4  7#b7 ,evaluation ( us+ ,,dpa ,!
 ,secret>y ( ,heal? & ,human ,s]vices1 9
 coord9ation ) ! ,adm9i/rator ( ! ,f$]al
 ,em]g5cy ,managem5t ,ag5cy & !         
,secret>y ( ,def5se1 %all-- 7,a7        
evaluate ! use ( ! ,def5se ,production  
,act ( #aiej 7#ej ,u4,s4,c4 #deja et    
seq47 = ,,covid-#ai p&emic response2    
7,b7 n lat] ?an #a ye> aft] ! date (    
enactm5t ( ?is ,act1 complete su*       
evaluation & submit a report to !       
,congress on ! results ( su* evaluation2
 &  7,c7 include 9 su* report-- 7i7     

recomm5dations on us+ ! ,def5se         
,production ,act ( #aiej 7#ej ,u4,s4,c4 
#deja et seq47 = build+ dome/ic capacity
 to respond to an influ5za p&emic2 &    
7ii7 input f ext]nal /akehold]s4  7d7   
,national ,influ5za ,vacc9e             
,mod]nization ,/rategy ,! ,secret>y (   
,heal? & ,human ,s]vices %all-- 7#a7    
implem5t ! portions ( ! ,national       
,influ5za ,vacc9e ,mod]nization ,/rategy
 #bjbj-bjcj t are )9 ! au?ority ( !     
,dep>tm5t ( ,heal? & ,human ,s]vices to 
c>ry out 7"u o!r applicable provisions (
 law72 &  7#b7 by ,june #ae ea* cal5d>  
ye> ?r\gh #bjcj1 submit to ! ,congress a
 report on su* implem5tation4  7e7      
,assi/ant ,secret>y = ,prep>$ness &     
,response ,section #bhaa ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;hh-#aj7 is am5d$-- 7#a7 9          
subsection 7b7-- 7,a7 9 p>agraph 7#c71  
by ins]t+ 1 includ+ ! p&emic influ5za   
m$ical c\nt]measures program "u         
p>agraphs 7#b77;,e7 & 7#d77;,g7 (       
section #cai,l7c7 aft] qualifi$ p&emic  

or epidemic products 7z def9$ 9 section 
#cai;,f-#c72 &  7,b7 9 p>agraph 7#g71 by
 ins]t+ 1 includ+ ?r\gh ! p&emic        
influ5za m$ical c\nt]measures program "u
 p>agraphs 7#b77;,e7 & 7#d77;,g7 (      
section #cai,l7c7 aft] = ea* su* ?reat2 
&  7#b7 9 subsection 7d77#b7-- 7,a7 9   
subp>agraph 7,j71 by /rik+ & at ! end2  
7,b7 by r$esignat+ subp>agraph 7,k7 z   
subp>agraph 7,l72 &  7,c7 by ins]t+ aft]
 subp>agraph 7,j7 ! foll[+3  7,k7       
evaluate progress ) respect to implem5t+
 ! ,national ,influ5za ,vacc9e          
,mod]nization ,/rategy1 issu$ 9 ,june   
#bjbj1 or any successor /rategy2 &  4   
7f7 ,biom$ical advanc$ rese>* &         
developm5t au?ority  7#a7 ,prep>$ness   
activities ,section #cai,l7c7 ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdg;d-#g;e7c77 is am5d$--    
7,a7 9 p>agraph 7#b7-- 7i7 9 subp>agraph
 7,c71 by /rik+ & at ! end2  7ii7 9     
subp>agraph 7,d71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7iii7 by add+ at ! 
end ( ! foll[+3  7,e7 support+ p&emic   

influ5za c\nt]measure prep>$ness4  2 &  
7,b7 9 p>agraph 7#d71 by add+ at ! end (
 ! foll[+3  7,g7 ,p&emic influ5za m$ical
 c\nt]measures program ,9 c>ry+ out     
p>agraph 7#b77;,e71 ! ,secret>y %all    
e/abli% & implem5t a program t-- 7i7    
supports rese>* & developm5t activities 
= qualifi$ p&emic or epidemic products  
7z def9$ 9 section #cai;,f-#c71 includ+ 
by-- 7,i7 develop+ innovative           
te*nologies to enhance rapid response to
 p&emic influ5za ?reats2  7,,ii7        
develop+ influ5za vacc9es ) pot5tial    
univ]sal vacc9ation capability2  7,,iii7
 develop+ enhanc$ influ5za vacc9es )    
long] la/+ broad spectrum protective    
immunity aga9/ a wid] range (           
antig5ically div]g5t influ5za /ra9s2    
7,,iv7 develop+ novel small- &          
l>ge-molecule novel influ5za antivirals1
 monoclonal antibodies1 & o!r products t
 provide bett] influ5za treatm5t &      
prev5tion2 &  7,v7 implem5t+ ! ,national
 ,influ5za ,vacc9e ,mod]nization        
,/rategy1 issu$ 9 ,june #bjbj1 or any   

successor /rategy2  7ii7 ensures        
read9ess to respond to qualifi$ p&emic &
 epidemic ?reats1 includ+ by-- 7,i7     
support+ developm5t & manufactur+ (     
influ5za virus se$s1 cl9ical trial lots1
 & /ockpiles ( novel influ5za /ra9s2    
7,,ii7 support+ ! /ockpile ( influ5za   
antivirals ?r\gh div]sify+ & repl5i%+ ! 
exi/+ /ockpile ( influ5za antivirals2   
7,,iii7 support+ manufactur+ & fill-f9i%
 rapid response infra/ructure ne$$ to   
meet ! goals ( ! ,national ,influ5za    
,vacc9e ,mod]nization ,/rategy1 issu$ 9 
,june #bjbj1 or any successor /rategy2 &
  7,,iv7 te/+ & evaluat+ p&emic ?reat   
rapid response capabilities ?r\gh regul>
 prep>$ness drills ) key public &       
private sector p>tn]s t exam9e ! range (
 activities 7includ+ production &       
cl9ical te/+ ( influ5za vacc9es7 requir$
 to effectively respond to novel ?reats2
 &  7iii7 builds1 su/a9s1 & repl5i%es   
qualifi$ p&emic & epidemic /ockpiles (  
bulk antig5 & adjuvant mat]ial1 includ+ 
by-- 7,i7 annually te/+ ! pot5cy & %elf 

life pot5tial ( all exi/+ p&emic &      
epidemic /ockpiles held by ! ,dep>tm5t (
 ,heal? & ,human ,s]vices2 &  7,,ii7    
develop+1 & dissem9at+ to key public &  
private sector p>tn]s1 a life cycle     
managem5t plan4  4  7g7 ,au?orization ( 
appropriations ,section #cai,l7d7 ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdg;d-#g;e7d77 is am5d$ by   
add+ at ! end ! foll[+3  7#c7 ,p&emic   
influ5za ,to c>ry out ?is section &     
section #bhaa ) respect to p&emic       
influ5za1 9 addition to am\nts au?oriz$ 
to be appropriat$ by p>agraph 7#b7 & any
 am\nts au?oriz$ to be appropriat$ by   
section #bhaa1 !re is au?oriz$ to be    
appropriat$ #chb1jjj1jjj = ea* ( !      
fiscal ye>s #bjbc ?r\gh #bjbg1 to rema9 
available until exp5d$4  4  #d4 ,promot+
 innovative approa*es & use ( new       
te*nologies to detect1 prev5t1 & respond
 to influ5za  7a7 ,exp&$ g5omic sequ5c+ 
7#a7 ,grants ,! ,director ( ! ,c5t]s =  
,disease ,control & ,prev5tion may aw>d 
grants to ,/ate & local laboratories1   

academic rese>* in/itutions1 & o!r      
private entities to exp& g5omic sequ5c+4
  7#b7 ,s\rces ( data ,! sequ5c+        
support$ pursuant to p>agraph 7#a7 may  
rely on multiple s\rces ( data1 includ+ 
human1 animal1 plant1 & environm5tal    
data necess>y to track zoonotic         
diseases4  7b7 ,c5t]s ( ,excell5ce 9    
,g5omic ,epidemiology ,! ,director ( !  
,c5t]s = ,disease ,control & ,prev5tion 
may-- 7#a7 designate ,c5t]s ( ,excell5ce
 9 ,g5omic ,epidemiology2 &  7#b7 aw>d  
grants to su* ,c5t]s ( ,excell5ce to    
e/abli% & implem5t p>tn]%ips betwe5     
,/ate & local heal? dep>tm5ts & academic
 in/itutions to improve g5omic          
epidemiology1 includ+ ?r\gh ! conduct or
 support ( rese>*4  7c7 ,s5se (         
,congress ,x is ! s5se ( ,congress t !  
,c5t]s = ,disease ,control & ,prev5tion 
%\ld support int]op]able immunization   
in=mation sy/ems t enable bidirectional 
data ex*ange among ,/ates1 localities1 &
 community immunization provid]s4  7d7  
,prioritiz+ influ5za & pa?og5 agno/ic   

tools  7#a7 ,,nih ,! ,director ( !      
,national ,in/itutes ( ,heal? may       
conduct or support basic rese>*         
prioritiz+ ! developm5t (-- 7,a7 agno/ic
 tools to detect influ5za & o!r pa?og5s2
 &  7,b7 te*nologies t automate sample  
prep>ation = su* tools4  7#b7 ,,b>da ,! 
,director ( ! ,biom$ical ,advanc$       
,rese>* & ,developm5t ,au?ority may     
conduct or support advanc$ developm5t ( 
novel sequ5c+ modalities prioritiz+     
tools describ$ 9 p>agraph 7#a77;,a7 &   
te*nologies describ$ 9 p>agraph         
7#a77;,b74  7e7 ,developm5t (           
po9t-(-,p]son diagno/ics ,! ,director ( 
! ,biom$ical ,advanc$ ,rese>* &         
,developm5t ,au?ority1 9 collaboration )
 ! ,director ( ! ,c5t]s = ,disease      
,control & ,prev5tion1 ! ,director ( !  
,national ,in/itutes ( ,heal?1 & !      
,commission] ( ,food & ,drugs1 may      
conduct or support developm5t ( rapid1  
accurate1 easily accessible1            
self-adm9i/rable1 & readable            
po9t-(-p]son diagno/ic te/s4  7f7       

,incorporat+ diagno/ics supply *a9      
resili5cy into influ5za p&emic plann+ ,!
 ,assi/ant ,secret>y = ,prep>$ness &    
,response1 9 collaboration ) !          
,commission] ( ,food & ,drugs & !       
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all-- 7#a7 incorporate  
diagno/ics supply *a9 resili5cy into    
influ5za p&emic plann+2 &  7#b7 n lat]  
?an #a ye> aft] ! date ( enactm5t ( ?is 
,act1 publi% a plan = rapidly exp&+     
public & private diagno/ic te/+ capacity
 7includ+ at cl9ical laboratories1 at   
public heal? dep>tm5t laboratories1 & by
 means ( self-te/+7 9 an influ5za       
p&emic4  7g7 ,coord9at+ ! integration ( 
po9t-(-,p]son diagno/ic te/ results 9   
databases ,! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion %all c>ry
 out activities to provide = !          
coord9ation ( ! integration ( data &    
results f po9t-(-p]son diagno/ic te/s 9 
local1 ,/ate1 & ,f$]al heal? databases4 
7h7 ,scal+ up prophylactic influ5za     
antibody products t address gaps 9      

cov]age ,! ,director ( ! ,biom$ical     
,advanc$ ,rese>* & ,developm5t ,au?ority
 may conduct or support novel prev5tive 
approa*es1 includ+ ^? /ill 9 precl9ical 
& cl9ical /ages1 to rapidly scale up    
prophylactic influ5za antibody products 
t address gaps 9 vacc9e cov]age4  7i7   
,mod]niz+ pot5cy assays ,! ,commission] 
( ,food & ,drugs %all "w ) vacc9e       
manufactur]s to mod]nize pot5cy assays  
across a v>iety ( manufactur+           
te*nologies s z to r$uce by #f weeks !  
p]iod requir$ to fir/ evaluate new      
vacc9e c&idates dur+ a p&emic4  7j7     
,improv$ influ5za !rapeutics ,!         
,director ( ! ,biom$ical ,advanc$       
,rese>* & ,developm5t ,au?ority may     
conduct or support improv$ influ5za     
!rapeutics t-- 7#a7 are m broadly       
protective2 &  7#b7 meet ! ne$s (       
high-risk & high-exposure pati5ts4  7k7 
,report ,n lat] ?an #a ye> aft] ! date (
 enactm5t ( ?is ,act1 ! ,secret>y (     
,heal? & ,human ,s]vices %all submit to 
! ,congress a plan to /r5g!n & div]sify 

! public heal? & heal? c>e work=ce s z  
to ensure ! capacity ( su* work=ce to   
effectuate advances pursuant to         
subsections 7a7 ?r\gh 7j74  #e4         
,increas+ influ5za vacc9e & !rapeutics  
access & cov]age across all populations 
7a7 ,annual report on public            
communication /rategy ,! ,director ( !  
,c5t]s = ,disease ,control & ,prev5tion 
%all submit an annual report to !       
,congress on ! public communication     
/rategy ( ! ,c5t]s to increase public   
confid5ce 9 ! safety & effectiv5ess (   
vacc9es4  7b7 ,s5se ( ,congress ,x is ! 
s5se ( ,congress t ! ,national          
,in/itutes ( ,heal?1 ! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion1
 ! ,secret>y ( ,def5se1 ! ,secret>y (   
,vet]ans ,affairs1 ! ,adm9i/rator ( !   
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1 & !
 ,commission] ( ,food & ,drugs %\ld     
support rese>* us+ l>ge data sets f     
multiple s\rces ( heal? data to fur!r   
support & evaluate vacc9e safety &      
effectiv5ess ov] multiple influ5za      

seasons4  7c7 ,address+ mis9=mation &   
dis9=mation ,! ,secret>y ( ,heal? &     
,human ,s]vices %all create p>tn]%ips to
 address mis9=mation & dis9=mation )    
respect to influ5za vacc9es4  7d7       
,communications public-,private p>tn]%ip
 ,! ,secret>y ( ,heal? & ,human ,s]vices
 may provide = ! e/abli%m5t ( a         
communications public-private p>tn]%ip  
initiative = increas+ vacc9e confid5ce  
t-- 7#a7 includes an indep5d5t1         
nongov]nm5tal1 nonpr(it entity2  7#b7   
supports behavioral rese>* evaluat+     
individual behavior analysis & influ5ce2
  7#c7 id5tifies & t>gets vacc9e        
hesitant individuals2 &  7#d7 provides  
in=mation on vacc9e safety &            
effectiv5ess4  7e7 ,incorporat+ heal?   
equity into seasonal & p&emic influ5za  
plann+ & response ,! ,director ( !      
,c5t]s = ,disease ,control & ,prev5tion 
& ! ,assi/ant ,secret>y = ,prep>$ness & 
,response %all-- 7#a7 incorporate heal? 
equity into ! seasonal & p&emic influ5za
 plann+ & response programs ov]se5 by   

su* (ficials2 &  7#b7 9 s do+-- 7,a7    
emphasize ! inclusion ( all populations2
 &  7,b7 include /rategies to rea*      
communities ( color1 communities ) l[]  
socioeconomic /atus1 s5iors1 &          
individuals ) disabilities4  7f7 ,report
 on lessons le>n$ f ,,covid-#ai ,f$]al  
,retail ,ph>macy ,program ,n lat] ?an #f
 mon?s aft] ! date ( enactm5t ( ?is     
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all-- 7#a7 submit a report to 
! ,congress on lessons le>n$ f !        
,,covid-#ai ,f$]al ,retail ,ph>macy     
,program2 &  7#b7 id5tify positive      
aspects ( su* ,program t c\ld be appli$ 
) respect to influ5za4  7g7 ,creat+     
adm9i/ration pa?ways ,! ,secret>y (     
,heal? & ,human ,s]vices may aw>d grants
 to ,/ates to create adm9i/ration       
pa?ways = ph>macy p]sonnel to adm9i/]   
influ5za vacc9es1 9 ord] to increase    
vacc9ation rates = adults & *ildr54  7h7
 ,/rategic ,national ,/ockpile ,!       
,secret>y ( ,heal? & ,human ,s]vices    
%all incorporate into ! ,/rategic       

,national ,/ockpile "u section          
#cai;,f-#b ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bdg;d-#f;b7        
products ne$$ to respond to p&emic      
influ5za1 includ+ ?r\gh-- 7#a7 dynamic  
managem5t ( ag+ antivirals2 &  7#b7     
div]sification ( /ockpil$ products4  7i7
 ,monitor+ & di/ribut+ influ5za         
antiviral supplies ,! ,secret>y ( ,heal?
 & ,human ,s]vices %all-- 7#a7 monitor  
influ5za antiviral supplies ?r\gh\t !   
c\ntry2 &  7#b7 e/abli% a process1 to be
 us$ 9 p&emic situations1 to di/ribute  
products rapidly & effectively to areas 
( urg5t ne$ 9 close coord9ation )       
manufactur]s & ,/ate & local heal?      
(ficials4  7j7 ,plan = ensur+ access to 
appropriate influ5za !rapeutics &       
prophylaxis  7#a7 ,9 g5]al ,n lat] ?an  
#a ye> aft] ! date ( enactm5t ( ?is     
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all publi% a plan = ensur+    
access to appropriate influ5za          
!rapeutics & prophylaxis =-- 7,a7       
high-risk pati5ts1 su* z nurs+ home &   

p$iatric pati5ts2 &  7,b7 high-exposure 
pati5ts1 su* z fir/ respond]s & heal?   
c>e work]s4  7#b7 ,communications ef=ts 
,! plan requir$ by p>agraph 7#a7 %all   
include communications ef=ts to educate 
! public ab\t ! b5efits ( e>ly use (    
influ5za !rapeutics & prophylaxis4  #f4 
,au?oriz+ su/a9able fund+ = ! influ5za  
ecosy/em  7a7 ,influ5za ,plann+ &       
,response ,program ,!re is au?oriz$ to  
be appropriat$ #bea1jjj1jjj = fiscal ye>
 #bjbe & ea* subsequ5t fiscal ye> =     
programs & activities ( ! ,c5t]s =      
,disease ,control & ,prev5tion relat+ to
 influ5za plann+ & response4  7b7       
,/rategic ,national ,/ockpile ,!re is   
au?oriz$ to be appropriat$              
#a1feg1jjj1jjj = fiscal ye> #bjbc & ea* 
subsequ5t fiscal ye> = ! ,/rategic      
,national ,/ockpile "u section          
#cai;,f-#b ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bdg;d-#f;b74  7c7  
,hospital ,prep>$ness ,program ,!re is  
au?oriz$ to be appropriat$ #dgd1jjj1jjj 
= fiscal ye> #bjbc & ea* subsequ5t      

fiscal ye> = ,hospital ,prep>$ness      
,program ( ! ,assi/ant ,secret>y =      
,prep>$ness & ,response4  7d7 ,univ]sal 
,flu ,vacc9e ,rese>* ,!re is au?oriz$ to
 be appropriat$ #bfj1jjj1jjj = fiscal   
ye> #bjbc & ea* subsequ5t fiscal ye> =  
rese>* ( ! ,national ,in/itutes ( ,heal?
 to develop a univ]sal flu vacc9e4  7e7 
,immunization ,program ,!re is au?oriz$ 
to be appropriat$ #a1acj1jjj1jjj =      
fiscal ye> #bjbc & ea* subsequ5t fiscal 
ye> = ! immunization program ( ! ,c5t]s 
= ,disease ,control & ,prev5tion "u     
section #cag ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bdg;b74  7f7       
,public ,heal? ,em]g5cy ,prep>$ness     
,program ,!re is au?oriz$ to be         
appropriat$ #hbd1jjj1jjj = fiscal ye>   
#bjbc & ea* subsequ5t fiscal ye> = !    
,public ,heal? ,em]g5cy ,prep>$ness     
,program ( ! ,c5t]s = ,disease ,control 
& ,prev5tion4  7g7 ,infecti\s ,disease  
,rapid ,response ,res]ve ,fund ,!re is  
au?oriz$ to be appropriat$ #ce1jjj1jjj =
 fiscal ye> #bjbc & ea* subsequ5t fiscal

 ye> = ! ,infecti\s ,disease ,rapid     
,response ,res]ve ,fund ( ! ,c5t]s =    
,disease ,control & ,prev5tion4  7h7    
,data ,mod]nization ,initiative ,!re is 
au?oriz$ to be appropriat$ #bej1jjj1jjj 
= fiscal ye> #bjbc & ea* subsequ5t      
fiscal ye> = ! ,public ,heal? ,data     
,mod]nization ,initiative ( ! ,c5t]s =  
,disease ,control & ,prev5tion4  7i7    
,heal? def5se op]ations budget matt]s   
7#a7 ,designation ,section #bea7;b77#b7 
( ! ,balanc$ ,budget & ,em]g5cy ,deficit
 ,control ,act ( #aihe 7#b ,u4,s4,c4    
#ija7;b77#b77 is am5d$ by add+ at ! end 
! foll[+3  7,f7 ,heal? def5se op]ations 
7i7 ,if1 = any fiscal ye>1              
appropriations = discretion>y acc\nts   
are enact$ t ! ,congress designates 9   
/atute on an acc\nt by acc\nt basis z   
be+ = heal? def5se op]ations1 !n !      
adju/m5t = t fiscal ye> %all be ! total 
( su* appropriations = t fiscal ye>4    
7ii7 ,any report or explanatory /atem5t 
accompany+ an appropriations ,act t     
conta9s an acc\nt ) am\nts t are        

designat$ z be+ = heal? def5se op]ations
 pursuant to clause 7i7 %all specify ea*
 program1 project1 or activity t w be   
fund$ by su* am\nts1 & a specific doll> 
am\nt provid$ = ea* su* program1        
project1 or activity4  4  7#b7          
,pr(essional bypass budget ,title ,,iv (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bha et seq47 is am5d$ by     
ins]t+ aft] section #djb;,b ! foll[+3   
#djb;,c4 ,heal? def5se op]ations        
pr(essional bypass budget  7a7 ,9 g5]al 
,= fiscal ye> #bjbd & ea* fiscal ye>    
!reaft]1 ! ,director ( ! ,c5t]s =       
,disease ,control & ,prev5tion1 !       
,director ( ! ,national ,in/itutes (    
,heal?1 & ! ,assi/ant ,secret>y =       
,prep>$ness & ,response %all prep>e &   
submit directly to ! ,presid5t = review 
& transmittal to ,congress1 aft]        
reasonable opportunity = comm5t1 b )\t  
*ange1 by ! ,secret>y ( ,heal? & ,human 
,s]vices1 an annual budget e/imate      
7includ+ an e/imate ( ! numb] & type (  
p]sonnel ne$s = ! ,in/itutes7 = am\nts  

to be designat$ z be+ = heal? def5se    
op]ations pursuant to subp>agraph 7,f7 (
 section #bea7;b77#b7 ( ! ,balanc$      
,budget & ,em]g5cy ,deficit ,control    
,act ( #aihe4  7b7 ,programs1 projects1 
& activities ,any budget e/imate        
submitt$ pursuant to subsection 7a7 by !
 ,director %all include any program1    
project1 or activity t receiv$ funds    
designat$ "u su* subp>agraph 7,f7 = !   
fiscal ye> dur+ :i* su* budget is       
submitt$1 except t ! ,director may      
modify ! programs1 projects1 or         
activities conta9$ 9 su* budget e/imate 
z circum/ances w>rant4  4