,,ii  #aag? ,,congress  #b;d ,session   
,s4 #cddd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,janu>y #e1 #bjbb,ms4  
,w>r5 7= h]self1 ,ms4 ,smi?1 ,mr4       
,padilla1 ,ms4 ,ros51 ,mr4 ,he9ri*1 ,ms4
 ,baldw91 & ,mr4 ,s&]s7 introduc$ !     
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to      
ensure t facilities ( ! ,indian ,heal?  
,s]vice1 facilities op]at$ by an ,indian
 ,tribe1 ,tribal organization1 or       
int]-,tribal consortium1 & facilities   
op]at$ by an urban ,indian organization 
receive items f ! /rategic national     
/ockpile & qualifi$ p&emic or epidemic  
products directly f ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,tribal       
,m$ical ,supplies ,/ockpile ,access ,act
 ( #bjbb4  #b4 ,provision ( items to    
,indian programs & facilities  7a7      
,/rategic national /ockpile ,section    
#cai;,f-#b7;a77#c77;,g7 ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      

#bdg;d-#f;b7a77#c77;,g77 is am5d$ by    
ins]t+ 1 &1 9 ! case t ! ,secret>y      
deploys ! /ockpile "u ?is subp>agraph1  
ensure1 9 coord9ation ) ! applicable    
,/ates & programs & facilities1 t       
appropriate drugs1 vacc9es & o!r        
biological products1 m$ical devices1 &  
o!r supplies are deploy$ by ! ,secret>y 
directly to heal? programs or facilities
 op]at$ by ! ,indian ,heal? ,s]vice1 an 
,indian ,tribe1 a ,tribal organization  
7z ^? t]ms are def9$ 9 section #d ( !   
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act71 or an int]-,tribal    
consortium 7z def9$ 9 section #eja ( !  
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act7 or ?r\gh an urban      
,indian organization 7z def9$ 9 section 
#d ( ! ,indian ,heal? ,c>e ,improvem5t  
,act71 :ile avoid+ duplicative          
di/ributions to su* programs or         
facilities be=e ! semicolon4  7b7       
,di/ribution ( qualifi$ p&emic or       
epidemic products to ,,ihs facilities   
,title ,,iii ( ! ,public ,heal? ,s]vice 

,act 7#db ,u4,s4,c4 #bda et seq47 is    
am5d$ by ins]t+ aft] section #cai;,f-#d 
! foll[+3  #cai;,f-#e4 ,di/ribution (   
qualifi$ p&emic or epidemic products to 
,indian programs & facilities ,9 ! case 
t ! ,secret>y di/ributes qualifi$ p&emic
 or epidemic products 7z def9$ 9 section
 #cai;,f-#c7;i77#g77 to ,/ates or o!r   
entities1 ! ,secret>y %all ensure1 9    
coord9ation ) ! applicable ,/ates &     
programs & facilities1 t1 z appropriate1
 su* products are di/ribut$ directly to 
heal? programs or facilities op]at$ by !
 ,indian ,heal? ,s]vice1 an ,indian     
,tribe1 a ,tribal organization 7z ^?    
t]ms are def9$ 9 section #d ( ! ,indian 
,self-,det]m9ation & ,education         
,assi/ance ,act71 or an int]-,tribal    
consortium 7z def9$ 9 section #eja ( !  
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act7 or ?r\gh an urban      
,indian organization 7z def9$ 9 section 
#d ( ! ,indian ,heal? ,c>e ,improvem5t  
,act71 :ile avoid+ duplicative          
di/ributions to su* programs or         

facilities4  4