,,ii ,cal5d> ,no4 #fge #aag? ,,congress 
#b;d ,session  ,s4 #ddfe ,report ,no4   
#aag-bgf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$
 ,,/ates  ,june #bc1 #bjbb,mr4 ,pet]s 7=
 himself & ,mr4 ,portman7 introduc$ !   
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,homel& ,security &  
,gov]nm5tal ,affairs  ,decemb] #ai1     
#bjbb,report$ by ,mr4 ,pet]s1 ) an      
amendment,strike out all aft] ! enact+  
clause & ins]t ! "p pr9t$ 9 italic  ,a  
,,bill  ,to e/abli% a ,c\nt]+ ,weapons (
 ,mass ,de/ruction ,(fice & an ,(fice ( 
,heal? ,security 9 ! ,dep>tm5t ( ,homel&
 ,security1 & = o!r purposes4  #a4 ,%ort
 title1 table ( cont5ts  7a7 ,%ort title
 ,?is ,act may be cit$ z ! ,(fices (    
,c\nt]+ ,weapons ( ,mass ,de/ruction &  
,heal? ,security ,act ( #bjbb4  7b7     
,table ( cont5ts ,! table ( cont5ts =   
?is ,act is z foll[s3 ,sec4 #a4 ,%ort   
title1 table ( cont5ts4,,title          
,i--,c\nt]+ ,weapons ( ,mass ,de/ruction
 ,office,sec4 #aja4 ,c\nt]+ ,weapons (  
,mass ,de/ruction ,(fice4,sec4 #ajb4    

,rule ( con/ruction4,,title ,,ii--,(fice
 ( ,heal? ,security,sec4 #bja4 ,(fice ( 
,heal? ,security4,sec4 #bjb4 ,m$ical    
c\nt]measures program4,sec4 #bjc4       
,confid5tiality ( m$ical quality        
assurance records4,sec4 #bjd4           
,portability ( lic5sure4,sec4 #bje4     
,te*nical & con=m+ am5dm5ts4  ,i ,c\nt]+
 ,weapons ( ,mass ,de/ruction ,(fice    
#aja4 ,c\nt]+ ,weapons ( ,mass          
,de/ruction ,(fice  7a7 ,homel&         
,security ,act ( #bjjb ,title ,,xix ( ! 
,homel& ,security ,act ( #bjjb 7#f      
,u4,s4,c4 #eij et seq47 is am5d$-- 7#a7 
9 section #aija 7#f ,u4,s4,c4 #eia7--   
7,a7 9 subsection 7c71 by am5d+         
p>agraphs 7#a7 & 7#b7 to read z foll[s3 
7#a7 matt]s & /rategies p]ta9+ to-- 7,a7
 weapons ( mass de/ruction2 &  7,b7     
*emical1 biological1 radiological1      
nucle>1 & o!r relat$ em]g+ ?reats2 &    
7#b7 coord9at+ ! ef=ts ( ! ,dep>tm5t to 
c\nt]-- 7,a7 weapons ( mass de/ruction2 
&  7,b7 *emical1 biological1            
radiological1 nucle>1 & o!r relat$ em]g+

 ?reats4  2 &  7,b7 by /rik+ subsection 
7e72  7#b7 by am5d+ section #aiba 7#f   
,u4,s4,c4 #eia;g7 to read z foll[s3     
#aiba4 ,mission ( ! ,(fice ,! ,(fice    
%all be responsible =-- 7#a7 coord9at+ !
 ef=ts ( ! ,dep>tm5t to c\nt]-- 7,a7    
weapons ( mass de/ruction2 &  7,b7      
*emical1 biological1 radiological1      
nucle>1 & o!r relat$ em]g+ ?reats2 &    
7#b7 enhanc+ ! ability ( ,f$]al1 ,/ate1 
local1 ,tribal1 & t]ritorial p>tn]s to  
prev5t1 detect1 protect aga9/1 &        
mitigate ! impacts ( attacks us+-- 7,a7 
weapons ( mass de/ruction aga9/ ! ,unit$
 ,/ates2 &  7,b7 *emical1 biological1   
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats aga9/ ! ,unit$ ,/ates4  2  7#c7 
9 section #aibb 7#f ,u4,s4,c4 #eia;h7-- 
7,a7 by /rik+ subsection 7b72 &  7,b7 by
 r$esignat+ subsection 7c7 z subsection 
7b72  7#d7 9 section #aibc 7#f ,u4,s4,c4
 #eib7-- 7,a7 by r$esignat+ subsections 
7a7 & 7b7 z subsections 7b7 & 7d71      
respectively2  7,b7 by ins]t+ be=e      
subsection 7b7 ! foll[+3  7a7 ,(fice    

responsibilities  7#a7 ,9 g5]al ,= !    
purposes ( coord9at+ ! ef=ts ( !        
,dep>tm5t to c\nt] weapons ( mass       
de/ruction & *emical1 biological1       
radiological1 & nucle> ?reats1 ! ,(fice 
%all-- 7,a7 provide exp]tise & guidance 
to ,dep>tm5t lead]%ip & compon5ts on    
*emical1 biological1 radiological1 &    
nucle> matt]s1 subject to ! rese>*1     
developm5t1 te/+1 & evaluation          
coord9ation requirem5t describ$ 9       
subp>agraph 7,g72  7,b7 9 coord9ation ) 
! ,(fice = ,/rategy1 ,policy1 & ,plans1 
lead developm5t ( policies & /rategies  
to c\nt] weapons ( mass de/ruction &    
*emical1 biological1 radiological1 &    
nucle> ?reats on behalf ( ! ,dep>tm5t2  
7,c7 id5tify1 assess1 & prioritize      
capability gaps relat+ to ! ,dep>tm5t's 
*emical1 biological1 radiological1 &    
nucle> /rategic & mission objectives2   
7,d7 9 coord9ation ) ! ,(fice (         
,intellig5ce & ,analysis1 support       
compon5ts ( ! ,dep>tm5t1 & ,f$]al1      
,/ate1 local1 ,tribal1 & t]ritorial     

p>tn]s1 provide intellig5ce & in=mation 
analysis & reports on weapons ( mass    
de/ruction & *emical1 biological1       
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats2  7,e7 9 consultation ) !       
,sci5ce & ,te*nology ,directorate1      
assess risk to ! ,unit$ ,/ates f weapons
 ( mass de/ruction & *emical1           
biological1 radiological1 nucle>1 & o!r 
relat$ em]g+ ?reats2  7,f7 lead         
developm5t & prioritization ( ,dep>tm5t 
requirem5ts to c\nt] weapons ( mass     
de/ruction & *emical1 biological1       
radiological1 & nucle> ?reats1 subject  
to ! rese>*1 developm5t1 te/+1 &        
evaluation coord9ation requirem5t       
describ$ 9 subp>agraph 7,g71 :i*        
requirem5ts %all be-- 7i7 develop$ 9    
coord9ation ) end us]s2 &  7ii7 review$ 
by ! ,jo9t ,requirem5ts ,c\ncil1 z      
direct$ by ! ,secret>y2  7,g7 9         
coord9ation ) ! ,sci5ce & ,te*nology    
,directorate1 direct1 fund1 & coord9ate 
capability developm5t activities to     
c\nt] weapons ( mass de/ruction & all   

*emical1 biological1 radiological1 &    
nucle> rese>*1 developm5t1 te/1 &       
evaluation matt]s1 includ+ rese>*1      
developm5t1 te/+1 & evaluation exp]tise1
 ?reat *>act]ization1 te*nology         
maturation1 prototyp+1 & te*nology      
transition2  7,h7 acquire1 procure1 &   
deploy c\nt] weapons ( mass de/ruction  
capabilities1 & s]ve z ! lead advisor ( 
! ,dep>tm5t on compon5t acquisition1    
procurem5t1 & deploym5t ( c\nt]-weapons 
( mass de/ruction capabilities2  7,i7 9 
coord9ation ) ! ,(fice ( ,heal?         
,security1 support compon5ts ( !        
,dep>tm5t1 & ,f$]al1 ,/ate1 local1      
,tribal1 & t]ritorial p>tn]s on *emical1
 biological1 radiological1 & nucle>     
heal? matt]s2  7,j7 provide *emical1    
biological1 radiological1 & nucle>      
exp]tise to ,dep>tm5t & ,f$]al p>tn]s to
 support engagem5ts & ef=ts )           
int]national p>tn]s subject to ! rese>*1
 developm5t1 te/+1 & evaluation         
coord9ation requirem5t "u subp>agraph   
7,g72 &  7,k7 c>ry out any o!r duties   

assign$ to ! ,(fice by ! ,secret>y4     
7#b7 ,detection & report+ ,= purposes ( 
! *emical1 biological1 radiological1 &  
nucle> detection & report+              
responsibilities ( ! ,(fice1 ! ,(fice   
%all-- 7,a7 9 coord9ation ) end us]s1   
includ+ ,/ate1 local1 ,tribal1 &        
t]ritorial p>tn]s1 z appropriate-- 7i7  
c>ry out a program to te/ & evaluate    
te*nology1 9 consultation ) ! ,sci5ce & 
,te*nology ,directorate1 to detect &    
report on *emical1 biological1          
radiological1 & nucle> weapons or       
unau?oriz$ mat]ial1 9 coord9ation ) o!r 
,f$]al ag5cies1 z appropriate1 & e/abli%
 p]=mance metrics to evaluate !         
effectiv5ess ( individual detectors &   
detection sy/ems 9 detect+ ^? weapons or
 mat]ial-- 7,i7 "u reali/ic op]ational &
 environm5tal conditions2 &  7,,ii7     
aga9/ reali/ic adv]s>y tactics &        
c\nt]measures2  7,b7 9 coord9ation ) end
 us]s1 conduct1 support1 coord9ate1 &   
enc\rage a trans=mational program (     
rese>* & developm5t to g5]ate & improve 

te*nologies to detect1 protect aga9/1 & 
report on ! illicit entry1 transport1   
assembly1 or pot5tial use )9 ! ,unit$   
,/ates ( *emical1 biological1           
radiological1 & nucle> weapons or       
unau?oriz$ mat]ial1 & coord9ate ) ! ,"u 
,secret>y = ,sci5ce & ,te*nology on     
rese>* & developm5t ef=ts relevant to ! 
mission ( ! ,(fice & ! ,"u ,secret>y =  
,sci5ce & ,te*nology2  7,c7 be=e c>ry+  
out op]ational te/+ "u subp>agraph 7,a71
 develop a te/+ & evaluation plan t     
articulates ! requirem5ts = ! us] &     
describes h[ ^! capability ne$s w be    
te/$ 9 developm5tal te/ & evaluation &  
op]ational te/ & evaluation2  7,d7      
develop1 acquire1 & deploy equipm5t to  
detect & report on *emical1 biological1 
radiological1 & nucle> weapons or       
unau?oriz$ mat]ial 9 support ( ,f$]al1  
,/ate1 local1 ,tribal1 & t]ritorial     
gov]nm5ts2  7,e7 support & enhance !    
effective %>+ & use ( appropriate       
in=mation on *emical1 biological1       
radiological1 & nucle> ?reats & relat$  

em]g+ issues g5]at$ by elem5ts ( !      
intellig5ce community 7z def9$ 9 section
 #c ( ! ,national ,security ,act ( #aidg
 7#ej ,u4,s4,c4 #cjjc771 law en=cem5t   
ag5cies1 o!r ,f$]al ag5cies1 ,/ate1     
local1 ,tribal1 & t]ritorial gov]nm5ts1 
& =eign gov]nm5ts1 z well z provide     
appropriate in=mation to ^? entities2   
7,f7 consult1 z appropriate1 ) ! ,f$]al 
,em]g5cy ,managem5t ,ag5cy & o!r        
dep>tm5tal compon5ts1 on *emical1       
biological1 radiological1 & nucle>      
?reats & ef=ts to mitigate1 prep>e1 &   
respond to all ?reats 9 support ( !     
,/ate1 local1 & ,tribal communities2 &  
7,g7 p]=m o!r duties z assign$ by !     
,secret>y4  2  7,c7 9 subsection 7b71 z 
s r$esignat$-- 7i7 9 ! subsection head+1
 by /rik+ ,mission & ins]t+             
,radiological & nucle> responsibilities2
  7ii7 9 p>agraph 7#a7-- 7,i7 by ins]t+ 
deploy1 aft] acquire12 &  7,,ii7 by     
/rik+ deploym5t & ins]t+ op]ations2     
7iii7 by /rik+ p>agraphs 7#f7 ?r\gh     
7#aj72  7iv7 r$esignat+ p>agraphs 7#aa7 

& 7#ab7 z p>agraphs 7#f7 & 7#g71        
respectively2  7v7 9 p>agraph 7#f77;,b71
 z s r$esignat$1 by /rik+ national      
/rategic five-ye> plan ref]r$ to 9      
p>agraph 7#aj7 & ins]t+ ,unit$ ,/ates   
national te*nical nucle> =5sics /rategic
 plann+2  7vi7 9 p>agraph 7#g77;,c77v71 
z s r$esignat$-- 7,i7 9 ! matt] prec$+  
subclause 7,i71 by ins]t+ except z      
o!rwise provid$1 be=e require2 &  7,,ii7
 9 subclause 7,,ii7-- 7aa7 9 ! matt]    
prec$+ item 7aa71 by /rik+ dea? or      
disability & ins]t+ dea?1 disability1 or
 a f9d+ ( good cause z det]m9$ by !     
,assi/ant ,secret>y 7includ+ extreme    
h>d%ip1 extreme ne$1 or ! ne$s ( !      
,(fice7 & = :i* ! ,assi/ant ,secret>y   
may grant a waiv] ( ! repaym5t          
obligation2 &  7bb7 9 item 7bb71 by add+
 & at ! end2  7vii7 by /rik+ p>agraph   
7#ac72 &  7viii7 by r$esignat+ p>agraph 
7#ad7 z p>agraph 7#h72 &  7,d7 by ins]t+
 aft] subsection 7b71 z s r$esignat$1 ! 
foll[+3  7c7 ,*emical & biological      
responsibilities ,! ,(fice-- 7#a7 %all  

be responsible = coord9at+ ) o!r ,f$]al 
ef=ts to enhance ! ability ( ,f$]al1    
,/ate1 local1 & ,tribal gov]nm5ts to    
prev5t1 detect1 protect aga9/1 &        
mitigate ! impacts ( *emical &          
biological ?reats aga9/ ! ,unit$ ,/ates2
 &  7#b7 %all-- 7,a7 s]ve z a prim>y    
entity ( ! ,f$]al ,gov]nm5t to fur!r    
develop1 acquire1 deploy1 & support !   
op]ations ( a national biosurveillance  
sy/em 9 support ( ,f$]al1 ,/ate1 local1 
,tribal1 & t]ritorial gov]nm5ts1 &      
improve t sy/em ov] "t2  7,b7 enhance ! 
*emical & biological detection ef=ts (  
,f$]al1 ,/ate1 local1 ,tribal1 &        
t]ritorial gov]nm5ts & provide guidance1
 tools1 & tra9+ to help ensure a manag$1
 coord9at$ response2 &  7,c7 collaborate
 ) ! ,biom$ical ,advanc$ ,rese>* &      
,developm5t ,au?ority1 ! ,(fice ( ,heal?
 ,security1 ! ,def5se ,advanc$ ,rese>*  
,projects ,ag5cy1 & ! ,national         
,a]onautics & ,space ,adm9i/ration1 &   
o!r relevant ,f$]al /akehold]s1 &       
receive input f indu/ry1 academia1 & !  

national laboratories on *emical &      
biological surveillance ef=ts4  2  7#e7 
9 section #aibd 7#f ,u4,s4,c4 #eic71 by 
/rik+ section #aajaa ( ! ,/rom ,?urmond 
,national ,def5se ,au?orization ,act =  
,fiscal ,ye> #aiii 7#e ,u4,s4,c4 #cajd  
note74 & ins]t+ section #djib ( title   
#aj1 ,unit$ ,/ates ,code1 except t !    
au?ority %all be limit$ to facilitate ! 
recruitm5t ( exp]ts 9 ! *emical1        
biological1 radiological1 or nucle>     
specialties42  7#f7 9 section           
#aibg7;a77#a77;,c7 7#f ,u4,s4,c4        
#eif;a7a77#a77;,c77-- 7,a7 9 clause 7i71
 by /rik+ requir$ "u section #ajcf ( !  
,national ,def5se ,au?orization ,act =  
,fiscal ,ye> #bjaj2  7,b7 9 clause 7ii71
 by /rik+ & at ! end2  7,c7 9 clause    
7iii71 by /rik+ ! p]iod at ! end &      
ins]t+ 2 &2 &  7,d7 by add+ at ! end !  
foll[+3  7iv7 includes any o!r in=mation
 reg>d+ national te*nical nucle> =5sics 
activities c>ri$ out "u section #aibc4  
2  7#g7 9 section #aibh 7#f ,u4,s4,c4   
#eif;b7-- 7,a7 9 subsection 7c77#a71 by 

/rik+ f among high-risk urban areas "u  
section #bjjc & ins]t+ bas$ on !        
capability & capacity ( ! jurisdiction1 
z well z ! relative ?reat1 vuln]ability1
 & consequ5ces f t]rori/ attacks & o!r  
high-consequ5ce ev5ts utiliz+ nucle> or 
o!r radiological mat]ials2 &  7,b7 by   
/rik+ subsection 7d7 & ins]t+ ! foll[+3 
7d7 ,report ,n lat] ?an #b ye>s aft] !  
date ( enactm5t ( ! ,(fices ( ,c\nt]+   
,weapons ( ,mass ,de/ruction & ,heal?   
,security ,act ( #bjbb1 ! ,secret>y %all
 submit to ! appropriate congressional  
committees an update on ! ,,/c program4 
2 &  7#h7 by add+ at ! end ! foll[+3    
#aibi4 ,acc\ntability  7a7 ,dep>tm5twide
 /rategy ,n lat] ?an #ahj days aft] !   
date ( enactm5t ( ,(fices ( ,c\nt]+     
,weapons ( ,mass ,de/ruction & ,heal?   
,security ,act ( #bjbb1 & e #d ye>s     
!reaft]1 ! ,secret>y1 9 coord9ation ) ! 
,deputy ,secret>y1 %all create a        
,dep>tm5twide /rategy & implem5tation   
plan to c\nt] weapons ( mass de/ruction 
& *emical1 biological1 radiological1 &  

nucle> ?reats1 :i* %\ld-- 7#a7 h cle>ly 
id5tifi$ au?orities1 specifi$ roles1    
objectives1 b5*m>ks1 acc\ntability1 &   
timel9es2  7#b7 incorporate !           
p]spectives ( non-,f$]al & private      
sector p>tn]s2 &  7#c7 articulate h[ !  
,dep>tm5t w contribute to relevant      
national-level /rategies & "w ) o!r     
,f$]al ag5cies4  7b7 ,consid]ation ,!   
,secret>y %all appropriately consid]    
*emical1 biological1 radiological1      
nucle>1 & em]g+ ?reats :5 creat+ !      
/rategy & implem5tation plan requir$ "u 
subsection 7a74  7c7 ,report ,! ,(fice  
%all submit to ! appropriate            
congressional committees a report on !  
updat$ ,dep>tm5twide /rategy &          
implem5tation plan requir$ "u subsection
 7a74  7d7 ,employee morale ,n lat] ?an 
#ahj days aft] ! date ( enactm5t ( !    
,(fices ( ,c\nt]+ ,weapons ( ,mass      
,de/ruction & ,heal? ,security ,act (   
#bjbb1 ! ,(fice %all submit to & brief !
 appropriate congressional committees on
 a /rategy & plan to cont9u\sly improve 

morale )9 ! ,(fice4  7e7 ,comptroll]    
,g5]al ,n lat] ?an #a ye> aft] ! date ( 
enactm5t ( ! ,(fices ( ,c\nt]+ ,weapons 
( ,mass ,de/ruction & ,heal? ,security  
,act ( #bjbb1 ! ,comptroll] ,g5]al ( !  
,unit$ ,/ates %all conduct a review ( & 
brief ! appropriate congressional       
committees on-- 7#a7 ! ef=ts ( ! ,(fice 
to prioritize ! programs & activities t 
c>ry out ! mission ( ! ,(fice1 includ+  
rese>* & developm5t2  7#b7 ! consi/5cy &
 effectiv5ess ( /akehold] coord9ation   
across ! c\nt]+ weapons ( mass          
de/ruction mission1 includ+ op]ational &
 support compon5ts ( ! ,dep>tm5t & ,/ate
 & local entities2 &  7#c7 ! ef=ts ( !  
,(fice to manage & coord9ate ! lifecycle
 ( rese>* & developm5t )9 ! ,(fice & )  
o!r compon5ts ( ! ,dep>tm5t1 includ+ !  
,sci5ce & ,te*nology ,directorate4  7f7 
,national ,academies ( ,sci5ces1        
,eng9e]+1 & ,m$ic9e  7#a7 ,/udy ,!      
,secret>y %all ent] into an agreem5t ) !
 ,national ,academies ( ,sci5ces1       
,eng9e]+1 & ,m$ic9e to conduct a        

cons5sus /udy & report to ! ,secret>y & 
! appropriate congressional committees  
on-- 7,a7 ! role ( ! ,dep>tm5t 9 prep>+1
 detect+1 & respond+ to biological &    
heal? security ?reats to ! homel&2  7,b7
 recomm5dations to improve dep>tm5tal   
biosurveillance ef=ts aga9/ biological  
?reats1 includ+ any relevant biological 
detection me?ods & te*nologies2 &  7,c7 
! feasibility ( diff]5t te*nological    
advances = biodetection comp>$ to ! co/1
 risk r$uction1 & timel9ess ( ^?        
advances4  7#b7 ,brief+ ,n lat] ?an #a  
ye> aft] ! date on :i* ! ,secret>y      
receives ! report requir$ "u p>agraph   
7#a71 ! ,secret>y %all brief !          
appropriate congressional committees    
on-- 7,a7 ! implem5tation ( !           
recomm5dations includ$ 9 ! report2 &    
7,b7 ! /atus ( biological detection at !
 ,dep>tm5t1 &1 if applicable1 timel9es =
 ! transition f ,bi[at* to updat$       
te*nology4  7g7 ,advisory ,c\ncil  7#a7 
,e/abli%m5t ,n lat] ?an #ahj days aft] !
 date ( enactm5t ( ! ,(fices ( ,c\nt]+  

,weapons ( ,mass ,de/ruction & ,heal?   
,security ,act ( #bjbb1 ! ,secret>y %all
 e/abli% an advisory body to ensure     
effective & ongo+ coord9ation ( ! ef=ts 
( ! ,dep>tm5t to c\nt] weapons ( mass   
de/ruction1 to be kn[n z ! ,advisory    
,c\ncil = ,c\nt]+ ,weapons ( ,mass      
,de/ruction 79 ?is subsection ref]r$ to 
z ! ,advisory ,c\ncil74  7#b7 ,memb]%ip 
,! memb]s ( ! ,advisory ,c\ncil %all--  
7,a7 be appo9t$ by ! ,assi/ant          
,secret>y2 &  7,b7 to ! ext5t           
practicable1 repres5t a geographic      
7includ+ urban & rural7 & sub/antive    
cross section ( (ficials1 f ,/ate1      
local1 & ,tribal gov]nm5ts1 academia1 ! 
private sector1 national laboratories1 &
 nongov]nm5tal organizations1 includ+1 z
 appropriate-- 7i7 memb]s select$ f !   
em]g5cy managem5t field & em]g5cy       
response provid]s2  7ii7 ,/ate1 local1 &
 ,tribal gov]nm5t (ficials2  7iii7      
exp]ts 9 ! public & private sectors )   
exp]tise 9 *emical1 biological1         
radiological1 & nucle> ag5ts & weapons2 

7iv7 repres5tatives f ! national        
laboratories2 &  7v7 su* o!r individuals
 z ! ,assi/ant ,secret>y det]m9es to be 
appropriate4  7#c7 ,responsibilities ,! 
,advisory ,c\ncil %all-- 7,a7 advise !  
,assi/ant ,secret>y on all aspects (    
c\nt]+ weapons ( mass de/ruction2  7,b7 
incorporate ,/ate1 local1 & ,tribal     
gov]nm5t1 national laboratories1 &      
private sector input 9 ! developm5t ( ! 
/rategy & implem5tation plan ( !        
,dep>tm5t = c\nt]+ weapons ( mass       
de/ruction2 &  7,c7 e/abli% p]=mance    
crit]ia = a national biological         
detection sy/em & review ! te/+ protocol
 = biological detection prototypes4     
7#d7 ,consultation ,to ensure input f & 
coord9ation ) ,/ate1 local1 & ,tribal   
gov]nm5ts1 ! ,assi/ant ,secret>y %all   
regul>ly consult & "w ) ! ,advisory     
,c\ncil on ! adm9i/ration ( ,f$]al      
assi/ance provid$ by ! ,dep>tm5t1       
includ+ ) respect to ! developm5t (     
requirem5ts = c\nt]+ weapons ( mass     
de/ruction programs1 z appropriate4     

7#e7 ,volunt>y s]vice ,! memb]s ( !     
,advisory ,c\ncil %all s]ve on !        
,advisory ,c\ncil on a volunt>y basis4  
7#f7 ,,faca ,! ,f$]al ,advisory         
,committee ,act 7#e ,u4,s4,c4 ,app47    
%all n apply to ! ,advisory ,c\ncil4  4 
7b7 ,c\nt]+ ,weapons ( ,mass ,de/ruction
 ,act ( #bjah ,section #b ( ! ,c\nt]+   
,weapons ( ,mass ,de/ruction ,act (     
#bjah 7,public ,law #aae-chg2 #acb ,/at4
 #eafb7 is am5d$-- 7#a7 9 subsection    
7b77#b7 7#f ,u4,s4,c4 #eia note71 by    
/rik+ #aibg & ins]t+ #aibf2 &  7#b7 9   
subsection 7g7 7#f ,u4,s4,c4 #eia       
note7-- 7,a7 9 ! matt] prec$+ p>agraph  
7#a71 by /rik+ "o ye> aft] ! date ( !   
enactm5t ( ?is ,act1 & annually !reaft]1
 & ins]t+ ,june #cj ( ea* ye>12 &  7,b7 
9 p>agraph 7#b71 by /rik+ ,security1    
includ+ rese>* & developm5t activities &
 ins]t+ ,security4  7c7 ,security &     
,acc\ntability = ,e ,port ,act ( #bjjf  
,! ,security & ,acc\ntability = ,e ,port
 ,act ( #bjjf 7#f ,u4,s4,c4 #ija et     
seq47 is am5d$-- 7#a7 9 section #a7;b7  

7,public ,law #aji-cdg2 #abj ,/at       
#ahhd71 by /rik+ ! item relat+ to       
section #ejb2 &  7#b7 by /rik+ section  
#ejb 7#f ,u4,s4,c4 #eib;a74  #ajb4 ,rule
 ( con/ruction ,no?+ 9 ?is title or !   
am5dm5ts made by ?is title %all be      
con/ru$ to affect or dim9i% ! au?orities
 or responsibilities ( ! ,"u ,secret>y =
 ,sci5ce & ,te*nology4  ,,ii ,(fice (   
,heal? ,security  #bja4 ,(fice ( ,heal? 
,security  7a7 ,e/abli%m5t ,! ,homel&   
,security ,act ( #bjjb 7#f ,u4,s4,c4    
#aja et seq47 is am5d$-- 7#a7 9 section 
#ajc 7#f ,u4,s4,c4 #aac7-- 7,a7 9       
subsection 7a77#b7-- 7i7 by /rik+ !     
,assi/ant ,secret>y = ,heal? ,affairs12 
&  7ii7 by /rik+ ,affairs1 or & ins]t+  
,affairs or2 &  7,b7 9 subsection 7d71  
by add+ at ! end ! foll[+3  7#f7 ,a     
,*ief ,m$ical ,(fic]4  2  7#b7 by add+  
at ! end ! foll[+3  ,,xxiii ,(fice (    
,heal? ,security  2  7#c7 by r$esignat+ 
section #aica 7#f ,u4,s4,c4 #eig7 z     
section #bcja & transf]r+ su* section to
 appe> aft] ! head+ = title ,,xxiii1 z  

add$ by p>agraph 7#b72 &  7#d7 9 section
 #bcja1 z s r$esignat$-- 7,a7 9 !       
section head+1 by /rik+ ,*ief ,m$ical   
,(fic] & ins]t+ ,(fice ( ,heal?         
,security2  7,b7 by /rik+ subsections   
7a7 & 7b7 & ins]t+ ! foll[+3  7a7 ,9    
g5]al ,!re is e/abli%$ 9 ! ,dep>tm5t an 
,(fice ( ,heal? ,security4  7b7 ,head ( 
,(fice ( ,heal? ,security ,! ,(fice (   
,heal? ,security %all be head$ by a *ief
 m$ical (fic]1 :o %all-- 7#a7 be !      
,assi/ant ,secret>y = ,heal? ,security &
 ! ,*ief ,m$ical ,(fic] ( ! ,dep>tm5t2  
7#b7 be a lic5s$ physician possess+ a   
demon/rat$ ability 9 & k ( m$ic9e &     
public heal?2  7#c7 be appo9t$ by !     
,presid5t2 &  7#d7 report directly to ! 
,secret>y4  2  7,c7 9 subsection 7c7--  
7i7 9 ! matt] prec$+ p>agraph 7#a71 by  
/rik+ m$ical issues relat$ to natural   
disa/]s1 acts ( t]rorism1 & o!r man-made
 disa/]s & ins]t+ ov]sight ( all m$ical1
 public heal?1 & work=ce safety matt]s (
 ! ,dep>tm5t2  7ii7 9 p>agraph 7#a71 by 
/rik+ 1 ! ,adm9i/rator ( ! ,f$]al       

,em]g5cy ,managem5t ,ag5cy1 ! ,assi/ant 
,secret>y1 & o!r ,dep>tm5t (ficials &   
ins]t+ & all o!r ,dep>tm5t (ficials2    
7iii7 9 p>agraph 7#d71 by /rik+ & at !  
end2  7iv7 by r$esignat+ p>agraph 7#e7 z
 p>agraph 7#ab72 &  7v7 by ins]t+ aft]  
p>agraph 7#d7 ! foll[+3  7#e7 ov]see+   
all m$ical & public heal? activities ( !
 ,dep>tm5t1 includ+ ! deliv]y1          
advisem5t1 & ov]sight ( direct pati5t   
c>e & ! organization1 managem5t1 & /aff+
 ( compon5t op]ations t deliv] direct   
pati5t c>e2  7#f7 advis+ ! head ( ea*   
compon5t ( ! ,dep>tm5t t deliv]s direct 
pati5t c>e reg>d+ ! recruitm5t &        
appo9tm5t ( a compon5t *ief m$ical (fic]
 & deputy *ief m$ical (fic] or !        
employee :o functions 9 ! capacity (    
*ief m$ical (fic] & deputy *ief m$ical  
(fic]2  7#g7 advis+ ! ,secret>y & ! head
 ( ea* compon5t ( ! ,dep>tm5t t deliv]s 
direct pati5t c>e reg>d+ k & skill /&>ds
 = m$ical p]sonnel & ! assessm5t ( t k &
 skill2  7#h7 advis+ ! ,secret>y & !    
head ( ea* compon5t ( ! ,dep>tm5t t     

deliv]s pati5t c>e reg>d+ ! collection1 
/orage1 & ov]sight ( m$ical records2    
7#i7 9 consultation ) ! ,*ief ,in=mation
 ,(fic] ( ! ,dep>tm5t-- 7,a7 id5tify+   
me?ods & te*nologies = manag+1 updat+1 &
 ov]see+ pati5t records2 &  7,b7 sett+  
/&>ds = te*nology us$ by ! compon5ts ( !
 ,dep>tm5t reg>d+ ! collection1 /orage1 
& ov]sight ( m$ical records2  7#aj7     
advis+ ! ,secret>y & ! head ( ea*       
compon5t ( ! ,dep>tm5t t deliv]s direct 
pati5t c>e reg>d+ contracts = ! deliv]y 
( direct pati5t c>e1 o!r m$ical s]vices1
 & m$ical supplies2  7#aa7 coord9at+ ) !
 ,c\nt]+ ,weapons ( ,mass ,de/ruction   
,(fice & o!r compon5ts ( ! ,dep>tm5t z  
direct$ by ! ,secret>y to enhance !     
ability ( ,f$]al1 ,/ate1 local1 ,tribal1
 & t]ritorial gov]nm5ts to prev5t1      
detect1 protect aga9/1 & mitigate !     
heal? effects ( *emical1 biological1    
radiological1 & nucle> issues2 &  2 &   
7,d7 by add+ at ! end ! foll[+3  7d7    
,assi/ance & agreem5ts ,! ,secret>y1    
act+ ?r\gh ! ,*ief ,m$ical ,(fic]1 9    

support ( ! m$ical & public heal?       
activities ( ! ,dep>tm5t1 may-- 7#a7    
provide te*nical assi/ance1 tra9+1 &    
in=mation & di/ribute funds ?r\gh grants
 & coop]ative agreem5ts to ,/ate1 local1
 ,tribal1 & t]ritorial gov]nm5ts &      
nongov]nm5tal organizations2  7#b7 ent] 
into o!r transactions2  7#c7 ent] into  
agreem5ts ) o!r ,f$]al ag5cies2 &  7#d7 
accept s]vices f p]sonnel ( compon5ts ( 
! ,dep>tm5t & o!r ,f$]al ag5cies on a   
reimbursable or nonreimbursable basis4  
7e7 ,(fice ( ,heal? ,security ,privacy  
,(fic] ,!re %all be a ,privacy ,(fic] 9 
! ,(fice ( ,heal? ,security ) prim>y    
responsibility = privacy policy &       
compliance )9 ! ,(fice1 :o %all-- 7#a7  
report directly to ! ,*ief ,m$ical      
,(fic]2 &  7#b7 ensure privacy          
protections are integrat$ into all      
,(fice ( ,heal? ,security activities1   
subject to ! review & approval ( !      
,privacy ,(fic] ( ! ,dep>tm5t to ! ext5t
 consi/5t ) ! au?ority ( ! ,privacy     
,(fic] ( ! ,dep>tm5t "u section #bbb4  2

  7#e7 by r$esignat+ section #gaj 7#f   
,u4,s4,c4 #cej7 z section #bcjb &       
transf]r+ su* section to appe> aft]     
section #bcja1 z s r$esignat$2  7#f7 9  
section #bcjb1 z s r$esignat$-- 7,a7 9  
subsection 7a71 by /rik+ ,"u ,secret>y =
 ,managem5t ea* place t t]m appe>s &    
ins]t+ ,*ief ,m$ical ,(fic]2 &  7,b7 9  
subsection 7b7-- 7i7 9 ! matt] prec$+   
p>agraph 7#a71 by /rik+ ,"u ,secret>y = 
,managem5t1 9 coord9ation ) ! ,*ief     
,m$ical ,(fic]1 & ins]t+ ,*ief ,m$ical  
,(fic]2 &  7ii7 9 p>agraph 7#c71 by     
/rik+ z deem$ appropriate by ! ,"u      
,secret>y12  7#g7 by r$esignat+ section 
#ebh 7#f ,u4,s4,c4 #cbaq7 z section     
#bcjc & transf]r+ su* section to appe>  
aft] section #bcjb1 z s r$esignat$2 &   
7#h7 9 section #bcjc7;a71 z s           
r$esignat$1 by /rik+ ,assi/ant ,secret>y
 = ! ,c\nt]+ ,weapons ( ,mass           
,de/ruction ,(fice & ins]t+ ,*ief       
,m$ical ,(fic]4  7b7 ,transition &      
transf]s  7#a7 ,transition ,! individual
 appo9t$ pursuant to section #aica ( !  

,homel& ,security ,act ( #bjjb 7#f      
,u4,s4,c4 #eig7 ( ! ,dep>tm5t ( ,homel& 
,security1 z 9 effect on ! day be=e !   
date ( enactm5t ( ?is ,act1 & s]v+ z !  
,*ief ,m$ical ,(fic] ( ! ,dep>tm5t (    
,homel& ,security on ! day be=e ! date (
 enactm5t ( ?is ,act1 %all cont9ue to   
s]ve z ! ,*ief ,m$ical ,(fic] ( !       
,dep>tm5t on & aft] ! date ( enactm5t ( 
?is ,act )\t ! ne$ = reappo9tm5t4  7#b7 
,rule ( con/ruction ,! rule (           
con/ruction describ$ 9 section #b7;hh7 (
 ! ,presid5tial ,appo9tm5t ,effici5cy & 
,/reaml9+ ,act ( #bjaa 7#e ,u4,s4,c4    
#cacb note7 %all n apply to ! ,*ief     
,m$ical ,(fic] ( ! ,dep>tm5t ( ,homel&  
,security1 includ+ ! incumb5t :o holds !
 position on ! day be=e ! date (        
enactm5t ( ?is ,act1 & su* (fic] %all be
 paid pursuant to section #cacb7;a77#b7 
or #ecae ( title #e1 ,unit$ ,/ates      
,code4  7#c7 ,transf] ,! ,secret>y (    
,homel& ,security %all transf] to !     
,*ief ,m$ical ,(fic] ( ! ,dep>tm5t (    
,homel& ,security-- 7,a7 all functions1 

p]sonnel1 budget au?ority1 & assets ( ! 
,"u ,secret>y = ,managem5t relat+ to    
work=ce heal? & m$ical support1 z 9     
exi/5ce on ! day be=e ! date ( enactm5t 
( ?is ,act2  7,b7 all functions1        
p]sonnel1 budget au?ority1 & assets ( ! 
,assi/ant ,secret>y = ! ,c\nt]+ ,weapons
 ( ,mass ,de/ruction ,(fice relat+ to ! 
,*ief ,m$ical ,(fic]1 includ+ ! ,m$ical 
,op]ations ,directorate ( ! ,c\nt]+     
,weapons ( ,mass ,de/ruction ,(fice1 z 9
 exi/5ce on ! day be=e ! date ( enactm5t
 ( ?is ,act2 &  7,c7 all functions1     
p]sonnel1 budget au?ority1 & assets ( ! 
,assi/ant ,secret>y = ! ,c\nt]+ ,weapons
 ( ,mass ,de/ruction ,(fice associat$ ) 
! ef=ts p]ta9+ to ! program coord9ation 
activities relat+ to def5d+ ! food1     
agriculture1 & vet]9>y def5ses ( !      
,(fice1 z 9 exi/5ce on ! day be=e ! date
 ( enactm5t ( ?is ,act4  #bjb4 ,m$ical  
c\nt]measures program ,! ,homel&        
,security ,act ( #bjjb 7#f ,u4,s4,c4    
#aja et seq47 is am5d$ by r$esignat+    
section #aicb 7#f ,u4,s4,c4 #eig;a7 z   

section #bcjd & transf]r+ su* section to
 appe> aft] section #bcjc1 z s          
r$esignat$ by section #bja ( ?is ,act4  
#bjc4 ,confid5tiality ( m$ical quality  
assurance records ,title ,,xxiii ( !    
,homel& ,security ,act ( #bjjb1 z add$  
by ?is ,act1 is am5d$ by add+ at ! end !
 foll[+3  #bcje4 ,confid5tiality (      
m$ical quality assurance records  7a7   
,def9itions ,9 ?is section3 7#a7 ,heal? 
c>e provid] ,! t]m heal? c>e provid]    
means an individual :o-- 7,a7 is-- 7i7  
an employee ( ! ,dep>tm5t2  7ii7 a      
detailee to ! ,dep>tm5t f ano!r ,f$]al  
ag5cy2  7iii7 a p]sonal s]vices         
contractor ( ! ,dep>tm5t2 or  7iv7 hir$ 
"u a contract = s]vices2  7,b7 p]=ms    
heal? c>e s]vices z "p ( duties ( !     
individual 9 t capacity2 &  7,c7 has a  
curr5t1 valid1 & unre/rict$ lic5se or   
c]tification-- 7i7 t is issu$ by a      
,/ate1 ! ,di/rict ( ,columbia1 or a     
commonweal?1 t]ritory1 or possession ( !
 ,unit$ ,/ates2 &  7ii7 t is = !        
practice ( m$ic9e1 o/eopa?ic m$ic9e1    

d5ti/ry1 nurs+1 em]g5cy m$ical s]vices1 
or ano!r heal? pr(ession4  7#b7 ,m$ical 
quality assurance program ,! t]m m$ical 
quality assurance program means any     
activity c>ri$ out by ! ,dep>tm5t to    
assess ! quality ( m$ical c>e1 includ+  
activities conduct$ by individuals1     
committees1 or o!r review bodies        
responsible = quality assurance1        
cr$5tials1 infection control1 incid5t   
report+1 ! deliv]y1 advisem5t1 &        
ov]sight ( direct pati5t c>e & assessm5t
 7includ+ treatm5t proc$ures1 blood1    
drugs1 & !rapeutics71 m$ical records1   
heal? res\rces managem5t review1 &      
id5tification & prev5tion ( m$ical1     
m5tal heal?1 or d5tal incid5ts & risks4 
7#c7 ,m$ical quality assurance record ( 
! ,dep>tm5t ,! t]m m$ical quality       
assurance record ( ! ,dep>tm5t means all
 in=mation1 includ+ ! proce$+s1 records 
7includ+ pati5t records t ! ,dep>tm5t   
creates & ma9ta9s z "p ( a sy/em (      
records71 m9utes1 & reports t-- 7,a7    
emanate f quality assurance program     

activities describ$ 9 p>agraph 7#b72 &  
7,b7 are produc$ or compil$ by !        
,dep>tm5t z "p ( a m$ical quality       
assurance program4  7b7 ,confid5tiality 
( records ,a m$ical quality assurance   
record ( ! ,dep>tm5t t is creat$ z "p ( 
a m$ical quality assurance program--    
7#a7 is confid5tial & privileg$2 &  7#b7
 except z provid$ 9 subsection 7d71 may 
n be disclos$ to any p]son or entity4   
7c7 ,prohibition on disclosure &        
te/imony ,except z o!rwise provid$ 9 ?is
 section-- 7#a7 no "p ( any m$ical      
quality assurance record ( ! ,dep>tm5t  
may be subject to discov]y or admitt$   
into evid5ce 9 any judicial or          
adm9i/rative proce$+2 &  7#b7 an        
individual :o reviews or creates a      
m$ical quality assurance record ( !     
,dep>tm5t or :o p>ticipates 9 any       
proce$+ t reviews or creates a m$ical   
quality assurance record ( ! ,dep>tm5t  
may n be p]mitt$ or requir$ to te/ify 9 
any judicial or adm9i/rative proce$+ )  
respect to ! record or ) respect to any 

f9d+1 recomm5dation1 evaluation1 op9ion1
 or action tak5 by t individual 9       
connection ) ! record4  7d7 ,au?oriz$   
disclosure & te/imony  7#a7 ,9 g5]al    
,subject to p>agraph 7#b71 a m$ical     
quality assurance record ( ! ,dep>tm5t  
may be disclos$1 & a p]son describ$ 9   
subsection 7c77#b7 may give te/imony 9  
connection ) ! record1 only z foll[s3   
7,a7 ,to a ,f$]al ag5cy or private      
organization1 if ! m$ical quality       
assurance record ( ! ,dep>tm5t or       
te/imony is ne$$ by ! ,f$]al ag5cy or   
private organization to-- 7i7 p]=m      
lic5s+ or accr$itation functions relat$ 
to ,dep>tm5t heal? c>e facilities1 a    
facility affiliat$ ) ! ,dep>tm5t1 or any
 o!r location au?oriz$ by ! ,secret>y = 
! p]=mance ( heal? c>e s]vices2 or  7ii7
 p]=m monitor+1 requir$ by law1 (       
,dep>tm5t heal? c>e facilities1 a       
facility affiliat$ ) ! ,dep>tm5t1 or any
 o!r location au?oriz$ by ! ,secret>y = 
! p]=mance ( heal? c>e s]vices4  7,b7   
,to an adm9i/rative or judicial proce$+ 

conc]n+ an adv]se action relat$ to !    
cr$5tial+ ( or heal? c>e provid$ by a   
pres5t or =m] heal? c>e provid] by !    
,dep>tm5t4  7,c7 ,to a gov]nm5tal bo>d  
or ag5cy or to a pr(essional heal? c>e  
society or organization1 if ! m$ical    
quality assurance record ( ! ,dep>tm5t  
or te/imony is ne$$ by ! bo>d1 ag5cy1   
society1 or organization to p]=m lic5s+1
 cr$5tial+1 or ! monitor+ ( pr(essional 
/&>ds ) respect to any heal? c>e provid]
 :o is or 0 a heal? c>e provid] = !     
,dep>tm5t4  7,d7 ,to a hospital1 m$ical 
c5t]1 or o!r in/itution t provides heal?
 c>e s]vices1 if ! m$ical quality       
assurance record ( ! ,dep>tm5t or       
te/imony is ne$$ by ! in/itution to     
assess ! pr(essional qualifications (   
any heal? c>e provid] :o is or 0 a heal?
 c>e provid] = ! ,dep>tm5t & :o has     
appli$ = or be5 grant$ au?ority or      
employm5t to provide heal? c>e s]vices 9
 or on behalf ( ! in/itution4  7,e7 ,to 
an employee1 a detailee1 or a contractor
 ( ! ,dep>tm5t :o has a ne$ = ! m$ical  

quality assurance record ( ! ,dep>tm5t  
or te/imony to p]=m (ficial duties or   
duties )9 ! scope ( _! contract4  7,f7  
,to a crim9al or civil law en=cem5t     
ag5cy or in/rum5tality *>g$ "u          
applicable law ) ! protection ( ! public
 heal? or safety1 if a qualifi$         
repres5tative ( ! ag5cy or in/rum5tality
 makes a writt5 reque/ t ! m$ical       
quality assurance record ( ! ,dep>tm5t  
or te/imony be provid$ = a purpose      
au?oriz$ by law4  7,g7 ,9 an            
adm9i/rative or judicial proce$+ comm5c$
 by a crim9al or civil law en=cem5t     
ag5cy or in/rum5tality describ$ 9       
subp>agraph 7,f71 b only ) respect to ! 
subject ( ! proce$+4  7#b7 ,p]sonally   
id5tifiable in=mation  7,a7 ,9 g5]al ,) 
! exception ( ! subject ( a quality     
assurance action1 p]sonally id5tifiable 
in=mation ( any p]son receiv+ heal? c>e 
s]vices f ! ,dep>tm5t or ( any o!r p]son
 associat$ ) ! ,dep>tm5t = purposes ( a 
m$ical quality assurance program t is   
disclos$ 9 a m$ical quality assurance   

record ( ! ,dep>tm5t %all be delet$ f t 
record be=e any disclosure ( ! record is
 made outside ! ,dep>tm5t4  7,b7        
,application ,! requirem5t "u           
subp>agraph 7,a7 %all n apply to !      
release ( in=mation t is p]missible "u  
section #eeb;a ( title #e1 ,unit$ ,/ates
 ,code 7commonly kn[n z ! ,privacy ,act 
( #aigd74  7e7 ,disclosure = c]ta9      
purposes ,no?+ 9 ?is section %all be    
con/ru$-- 7#a7 to au?orize or require ! 
)hold+ f any p]son or entity aggregate  
/ati/ical in=mation reg>d+ ! results (  
m$ical quality assurance programs2 or   
7#b7 to au?orize ! )hold+ ( any m$ical  
quality assurance record ( ! ,dep>tm5t f
 a committee ( ei!r ,h\se ( ,congress1  
any jo9t committee ( ,congress1 or !    
,comptroll] ,g5]al ( ! ,unit$ ,/ates if 
! record p]ta9s to any matt] )9 _!      
respective jurisdictions4  7f7          
,prohibition on disclosure ( in=mation1 
record1 or te/imony ,a p]son or entity  
hav+ possession ( or access to a m$ical 
quality assurance record ( ! ,dep>tm5t  

or te/imony describ$ 9 ?is section may n
 disclose ! cont5ts ( ! record or       
te/imony 9 any mann] or = any purpose   
except z provid$ 9 ?is section4  7g7    
,exemption f ,fre$om ( ,in=mation ,act  
,a m$ical quality assurance record ( !  
,dep>tm5t %all be exempt f disclosure "u
 section #eeb7;b77#c7 ( title #e1 ,unit$
 ,/ates ,code 7commonly kn[n z ! ,fre$om
 ( ,in=mation ,act74  7h7 ,limitation on
 civil liability ,a p]son :o p>ticipates
 9 ! review or creation (1 or provides  
in=mation to a p]son or body t reviews  
or creates1 a m$ical quality assurance  
record ( ! ,dep>tm5t %all n be civilly  
liable = t p>ticipation or = provid+ t  
in=mation if ! p>ticipation or provision
 ( in=mation 0 provid$ 9 good fai? bas$ 
on prevail+ pr(essional /&>ds at ! "t ! 
m$ical quality assurance program        
activity took place4  7i7 ,application  
to in=mation 9 c]ta9 o!r records ,no?+ 9
 ?is section %all be con/ru$ z limit+   
access to ! in=mation 9 a record creat$ 
& ma9ta9$ outside a m$ical quality      

assurance program1 includ+ ! m$ical     
record ( a pati5t1 on ! gr\nds t !      
in=mation 0 pres5t$ dur+ meet+s ( a     
review body t are "p ( a m$ical quality 
assurance program4  7j7 ,p5alty ,any    
p]son :o willfully discloses a m$ical   
quality assurance record ( ! ,dep>tm5t  
o!r ?an z provid$ 9 ?is section1 kn[+ t 
! record is a m$ical quality assurance  
record ( ! ,dep>tm5t %all be f9$ n m ?an
 #c1jjj 9 ! case ( a fir/ (f5se & n m   
?an #bj1jjj 9 ! case ( a subsequ5t      
(f5se4  7k7 ,relation%ip to ,coa/ ,gu>d 
,! requirem5ts ( ?is section %all n     
apply to any m$ical quality assurance   
record ( ! ,dep>tm5t t is creat$ by or =
 ! ,coa/ ,gu>d z "p ( a m$ical quality  
assurance program4  4  #bjd4            
,portability ( lic5sure  7a7 ,transf]   
,section #afjje ( ! ,,c>es ,act 7#f     
,u4,s4,c4 #cbj note7 is r$esignat$ z    
section #bcjf ( ! ,homel& ,security ,act
 ( #bjjb & transf]r$ s z to appe> aft]  
section #bcje1 z add$ by section #bjc ( 
?is ,act4  7b7 ,repeal ,section #bcjf ( 

! ,homel& ,security ,act ( #bjjb1 z s   
r$esignat$ by subsection 7a71 is am5d$  
by /rik+ subsection 7c74  #bje4         
,te*nical & con=m+ am5dm5ts ,! ,homel&  
,security ,act ( #bjjb 7#f ,u4,s4,c4    
#aja et seq47 is am5d$-- 7#a7 9 ! table 
( cont5ts 9 section #a7;b7 7,public ,law
 #ajg-bif2 #aaf ,/at4 #bace7-- 7,a7 by  
/rik+ ! items relat+ to sections #ebh & 
#ebi & ins]t+ ! foll[+3  ,sec4 #ebh4    
,transf] ( equipm5t dur+ a public heal? 
em]g5cy4  2  7,b7 by /rik+ ! items      
relat+ to sections #gaj1 #gaa1 #gab1 &  
#gac & ins]t+ ! foll[+3  ,sec4 #gaj4    
,employee engagem5t4,sec4 #gaa4 ,annual 
employee aw>d program4,sec4 #gab4       
,acquisition pr(essional c>e] program4  
2  7,c7 by ins]t+ aft] ! item relat+ to 
section #aibh ! foll[+3  ,sec4 #aibi4   
,acc\ntability4  2  7,d7 by /rik+ !     
items relat+ to subtitle ,c ( title     
,,xix & sections #aica & #aicb2 &  7,e7 
by add+ at ! end ! foll[+3  ,,title     
,,xxiii--,(fice ( ,heal? ,security ,sec4
 #bcja4 ,(fice ( ,heal? ,security4 ,sec4

 #bcjb4 ,work=ce heal? & m$ical support4
 ,sec4 #bcjc4 ,coord9ation ( ,dep>tm5t (
 ,homel& ,security ef=ts relat$ to food1
 agriculture1 & vet]9>y def5se aga9/    
t]rorism4,sec4 #bcjd4 ,m$ical           
c\nt]measures program4,sec4 #bcje4      
,confid5tiality ( m$ical quality        
assurance records4,sec4 #bcjf4          
,portability ( lic5sure4  2  7#b7 by    
r$esignat+ section #ebi 7#f ,u4,s4,c4   
#cbar7 z section #ebh2  7#c7 9 section  
#gjd7;e77#d7 7#f ,u4,s4,c4              
#cdd7;e77#d771 by /rik+ section #gaa7;a7
 & ins]t+ section #gaj7;a772  7#d7 by   
r$esignat+ sections #gaa1 #gab1 & #gac z
 sections #gaj1 #gaa1 & #gab1           
respectively2  7#e7 9 section           
#aibc7;b77#c7 7#f ,u4,s4,c4             
#eib7;b77#c77-- 7,a7 9 ! p>agraph head+1
 by /rik+ ,hawaiian native-s]v+ & ins]t+
 ,native ,hawaiian-s]v+2 &  7,b7 by     
/rik+ ,hawaiian native-s]v+ & ins]t+    
#8,native ,hawaiian-s]v+2  7#f7 by /rik+
 ! subtitle head+ = subtitle ,c ( title 
,,xix2  7#g7 by /rik+ section #aicb 7#f 

,u4,s4,c4 #eig;a72 &  7#h7 9 section    
#bcjf1 z s r$esignat$ by section #bjd ( 
?is ,act-- 7,a7 by ins]t+ ,portability (
 lic5sure4 aft] #bcjf42 &  7,b7 9       
subsection 7a71 by /rik+ 7a7 ,not)/&+ & 
ins]t+ ! foll[+3  7a7 ,9 g5]al ,not)/&+ 
4  #a4 ,%ort title1 table ( cont5ts  7a7
 ,%ort title ,?is ,act may be cit$ z !  
,(fices ( ,c\nt]+ ,weapons ( ,mass      
,de/ruction & ,heal? ,security ,act (   
#bjbb4  7b7 ,table ( cont5ts ,! table ( 
cont5ts = ?is ,act is z foll[s3 ,sec4   
#a4 ,%ort title1 table ( cont5ts4,,title
 ,i--,c\nt]+ ,weapons ( ,mass           
,de/ruction ,office,sec4 #aja4 ,c\nt]+  
,weapons ( ,mass ,de/ruction            
,(fice4,sec4 #ajb4 ,rule (              
con/ruction4,,title ,,ii--,(fice (      
,heal? ,security,sec4 #bja4 ,(fice (    
,heal? ,security4,sec4 #bjb4 ,m$ical    
c\nt]measures program4,sec4 #bjc4       
,confid5tiality ( m$ical quality        
assurance records4,sec4 #bjd4           
,portability ( lic5sure4,sec4 #bje4     
,te*nical & con=m+ am5dm5ts4  ,i ,c\nt]+

 ,weapons ( ,mass ,de/ruction ,(fice    
#aja4 ,c\nt]+ ,weapons ( ,mass          
,de/ruction ,(fice  7a7 ,homel&         
,security ,act ( #bjjb ,title ,,xix ( ! 
,homel& ,security ,act ( #bjjb 7#f      
,u4,s4,c4 #eij et seq47 is am5d$-- 7#a7 
9 section #aija 7#f ,u4,s4,c4 #eia7--   
7,a7 9 subsection 7c71 by am5d+         
p>agraphs 7#a7 & 7#b7 to read z foll[s3 
7#a7 matt]s & /rategies p]ta9+ to-- 7,a7
 weapons ( mass de/ruction2 &  7,b7     
*emical1 biological1 radiological1      
nucle>1 & o!r relat$ em]g+ ?reats2 &    
7#b7 coord9at+ ! ef=ts ( ! ,dep>tm5t to 
c\nt]-- 7,a7 weapons ( mass de/ruction2 
&  7,b7 *emical1 biological1            
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats4  2 &  7,b7 by /rik+ subsection 
7e72  7#b7 by am5d+ section #aiba 7#f   
,u4,s4,c4 #eia;g7 to read z foll[s3     
#aiba4 ,mission ( ! ,(fice ,! ,(fice    
%all be responsible =-- 7#a7 coord9at+ !
 ef=ts ( ! ,dep>tm5t to c\nt]-- 7,a7    
weapons ( mass de/ruction2 &  7,b7      
*emical1 biological1 radiological1      

nucle>1 & o!r relat$ em]g+ ?reats2 &    
7#b7 enhanc+ ! ability ( ,f$]al1 ,/ate1 
local1 ,tribal1 & t]ritorial p>tn]s to  
prev5t1 detect1 protect aga9/1 &        
mitigate ! impacts ( attacks us+-- 7,a7 
weapons ( mass de/ruction aga9/ ! ,unit$
 ,/ates2 &  7,b7 *emical1 biological1   
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats aga9/ ! ,unit$ ,/ates4  2  7#c7 
9 section #aibb 7#f ,u4,s4,c4 #eia;h7-- 
7,a7 by /rik+ subsection 7b72 &  7,b7 by
 r$esignat+ subsection 7c7 z subsection 
7b72  7#d7 9 section #aibc 7#f ,u4,s4,c4
 #eib7-- 7,a7 by r$esignat+ subsections 
7a7 & 7b7 z subsections 7b7 & 7d71      
respectively2  7,b7 by ins]t+ be=e      
subsection 7b71 z s r$esignat$1 !       
foll[+3  7a7 ,(fice responsibilities    
7#a7 ,9 g5]al ,= ! purposes ( coord9at+ 
! ef=ts ( ! ,dep>tm5t to c\nt] weapons (
 mass de/ruction & *emical1 biological1 
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats1 ! ,(fice %all-- 7,a7 provide   
exp]tise & guidance to ,dep>tm5t        
lead]%ip & compon5ts on *emical1        

biological1 radiological1 nucle>1 & o!r 
relat$ em]g+ ?reats1 subject to !       
rese>*1 developm5t1 te/+1 & evaluation  
coord9ation requirem5t describ$ 9       
subp>agraph 7,g72  7,b7 9 coord9ation ) 
! ,(fice = ,/rategy1 ,policy1 & ,plans1 
lead developm5t ( policies & /rategies  
to c\nt] weapons ( mass de/ruction &    
*emical1 biological1 radiological1      
nucle>1 & o!r relat$ em]g+ ?reats on    
behalf ( ! ,dep>tm5t2  7,c7 id5tify1    
assess1 & prioritize capability gaps    
relat+ to ! /rategic & mission          
objectives ( ! ,dep>tm5t = weapons (    
mass de/ruction & *emical1 biological1  
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats2  7,d7 9 coord9ation ) ! ,(fice 
( ,intellig5ce & ,analysis1 support     
compon5ts ( ! ,dep>tm5t1 & ,f$]al1      
,/ate1 local1 ,tribal1 & t]ritorial     
p>tn]s1 provide intellig5ce & in=mation 
analysis & reports on weapons ( mass    
de/ruction & *emical1 biological1       
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats2  7,e7 9 consultation ) !       

,sci5ce & ,te*nology ,directorate1      
assess risk to ! ,unit$ ,/ates f weapons
 ( mass de/ruction & *emical1           
biological1 radiological1 nucle>1 & o!r 
relat$ em]g+ ?reats2  7,f7 lead         
developm5t & prioritization ( ,dep>tm5t 
requirem5ts to c\nt] weapons ( mass     
de/ruction & *emical1 biological1       
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats1 subject to ! rese>*1           
developm5t1 te/+1 & evaluation          
coord9ation requirem5t describ$ 9       
subp>agraph 7,g71 :i* requirem5ts %all  
be-- 7i7 develop$ 9 coord9ation ) end   
us]s2 &  7ii7 review$ by ! ,jo9t        
,requirem5ts ,c\ncil1 z direct$ by !    
,secret>y2  7,g7 9 coord9ation ) !      
,sci5ce & ,te*nology ,directorate1      
direct1 fund1 & coord9ate capability    
developm5t activities to c\nt] weapons (
 mass de/ruction & all *emical1         
biological1 radiological1 nucle>1 & o!r 
relat$ em]g+ ?reats rese>*1 developm5t1 
te/1 & evaluation matt]s1 includ+       
rese>*1 developm5t1 te/+1 & evaluation  

exp]tise1 ?reat *>act]ization1 te*nology
 maturation1 prototyp+1 & te*nology     
transition2  7,h7 acquire1 procure1 &   
deploy c\nt] weapons ( mass de/ruction  
capabilities1 & s]ve z ! lead advisor ( 
! ,dep>tm5t on compon5t acquisition1    
procurem5t1 & deploym5t ( c\nt]-weapons 
( mass de/ruction capabilities2  7,i7 9 
coord9ation ) ! ,(fice ( ,heal?         
,security1 support compon5ts ( !        
,dep>tm5t1 & ,f$]al1 ,/ate1 local1      
,tribal1 & t]ritorial p>tn]s on *emical1
 biological1 radiological1 nucle>1 & o!r
 relat$ em]g+ ?reats heal? matt]s2  7,j7
 provide exp]tise on weapons ( mass     
de/ruction & *emical1 biological1       
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats to ,dep>tm5t & ,f$]al p>tn]s to 
support engagem5ts & ef=ts )            
int]national p>tn]s subject to ! rese>*1
 developm5t1 te/+1 & evaluation         
coord9ation requirem5t "u subp>agraph   
7,g72 &  7,k7 c>ry out any o!r duties   
assign$ to ! ,(fice by ! ,secret>y4     
7#b7 ,detection & report+ ,= purposes ( 

! detection & report+ responsibilities (
 ! ,(fice = weapons ( mass de/ruction & 
*emical1 biological1 radiological1      
nucle>1 & o!r relat$ em]g+ ?reats1 !    
,(fice %all-- 7,a7 9 coord9ation ) end  
us]s1 includ+ ,/ate1 local1 ,tribal1 &  
t]ritorial p>tn]s1 z appropriate-- 7i7  
c>ry out a program to te/ & evaluate    
te*nology1 9 consultation ) ! ,sci5ce & 
,te*nology ,directorate1 to detect &    
report on weapons ( mass de/ruction &   
*emical1 biological1 radiological1      
nucle>1 & o!r relat$ em]g+ ?reats       
weapons or unau?oriz$ mat]ial1 9        
coord9ation ) o!r ,f$]al ag5cies1 z     
appropriate1 & e/abli% p]=mance metrics 
to evaluate ! effectiv5ess ( individual 
detectors & detection sy/ems 9 detect+  
^? weapons or mat]ial-- 7,i7 "u reali/ic
 op]ational & environm5tal conditions2 &
  7,,ii7 aga9/ reali/ic adv]s>y tactics 
& c\nt]measures2  7,b7 9 coord9ation )  
end us]s1 conduct1 support1 coord9ate1 &
 enc\rage a trans=mational program (    
rese>* & developm5t to g5]ate & improve 

te*nologies to detect1 protect aga9/1 & 
report on ! illicit entry1 transport1   
assembly1 or pot5tial use )9 ! ,unit$   
,/ates ( weapons ( mass de/ruction &    
*emical1 biological1 radiological1      
nucle>1 & o!r relat$ em]g+ ?reats       
weapons or unau?oriz$ mat]ial1 &        
coord9ate ) ! ,"u ,secret>y = ,sci5ce & 
,te*nology on rese>* & developm5t ef=ts 
relevant to ! mission ( ! ,(fice & ! ,"u
 ,secret>y = ,sci5ce & ,te*nology2  7,c7
 be=e c>ry+ out op]ational te/+ "u      
subp>agraph 7,a71 develop a te/+ &      
evaluation plan t articulates !         
requirem5ts = ! us] & describes h[ ^!   
capability ne$s w be te/$ 9 developm5tal
 te/ & evaluation & op]ational te/ &    
evaluation2  7,d7 z appropriate1        
develop1 acquire1 & deploy equipm5t to  
detect & report on weapons ( mass       
de/ruction & *emical1 biological1       
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats weapons or unau?oriz$ mat]ial 9 
support ( ,f$]al1 ,/ate1 local1 ,tribal1
 & t]ritorial gov]nm5ts2  7,e7 support &

 enhance ! effective %>+ & use (        
appropriate in=mation on weapons ( mass 
de/ruction & *emical1 biological1       
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats & relat$ em]g+ issues g5]at$ by 
elem5ts ( ! intellig5ce community 7z    
def9$ 9 section #c ( ! ,national        
,security ,act ( #aidg 7#ej ,u4,s4,c4   
#cjjc771 law en=cem5t ag5cies1 o!r      
,f$]al ag5cies1 ,/ate1 local1 ,tribal1 &
 t]ritorial gov]nm5ts1 & =eign          
gov]nm5ts1 z well z provide appropriate 
in=mation to ^? entities2  7,f7 consult1
 z appropriate1 ) ! ,f$]al ,em]g5cy     
,managem5t ,ag5cy & o!r dep>tm5tal      
compon5ts1 on weapons ( mass de/ruction 
& *emical1 biological1 radiological1    
nucle>1 & o!r relat$ em]g+ ?reats &     
ef=ts to mitigate1 prep>e1 & respond to 
all ?reats 9 support ( ! ,/ate1 local1 &
 ,tribal communities2 &  7,g7 p]=m o!r  
duties z assign$ by ! ,secret>y4  2     
7,c7 9 subsection 7b71 z s r$esignat$-- 
7i7 9 ! subsection head+1 by /rik+      
,mission & ins]t+ ,radiological & nucle>

 responsibilities2  7ii7 9 p>agraph     
7#a7-- 7,i7 by ins]t+ deploy1 aft]      
acquire12 &  7,,ii7 by /rik+ deploym5t &
 ins]t+ op]ations2  7iii7 by /rik+      
p>agraphs 7#f7 ?r\gh 7#aj72  7iv7       
r$esignat+ p>agraphs 7#aa7 & 7#ab7 z    
p>agraphs 7#f7 & 7#g71 respectively2    
7v7 9 p>agraph 7#f77;,b71 z s           
r$esignat$1 by /rik+ national /rategic  
five-ye> plan ref]r$ to 9 p>agraph 7#aj7
 & ins]t+ ,unit$ ,/ates national        
te*nical nucle> =5sics /rategic plann+2 
7vi7 9 p>agraph 7#g77;,c77v71 z s       
r$esignat$-- 7,i7 9 ! matt] prec$+      
subclause 7,i71 by ins]t+ except z      
o!rwise provid$1 be=e require2 &  7,,ii7
 9 subclause 7,,ii7-- 7aa7 9 ! matt]    
prec$+ item 7aa71 by /rik+ dea? or      
disability & ins]t+ dea?1 disability1 or
 a f9d+ ( good cause z det]m9$ by !     
,assi/ant ,secret>y 7includ+ extreme    
h>d%ip1 extreme ne$1 or ! ne$s ( !      
,(fice7 & = :i* ! ,assi/ant ,secret>y   
may grant a waiv] ( ! repaym5t          
obligation2 &  7bb7 9 item 7bb71 by add+

 & at ! end2  7vii7 by /rik+ p>agraph   
7#ac72 &  7viii7 by r$esignat+ p>agraph 
7#ad7 z p>agraph 7#h72 &  7,d7 by ins]t+
 aft] subsection 7b71 z s r$esignat$1 ! 
foll[+3  7c7 ,*emical & biological      
responsibilities ,! ,(fice-- 7#a7 %all  
be responsible = coord9at+ ) o!r ,f$]al 
ef=ts to enhance ! ability ( ,f$]al1    
,/ate1 local1 & ,tribal gov]nm5ts to    
prev5t1 detect1 protect aga9/1 &        
mitigate ! impacts ( *emical &          
biological ?reats aga9/ ! ,unit$ ,/ates2
 &  7#b7 %all-- 7,a7 s]ve z a prim>y    
entity ( ! ,f$]al ,gov]nm5t to fur!r    
develop1 acquire1 deploy1 & support !   
op]ations ( a national biosurveillance  
sy/em 9 support ( ,f$]al1 ,/ate1 local1 
,tribal1 & t]ritorial gov]nm5ts1 &      
improve t sy/em ov] "t2  7,b7 enhance ! 
*emical & biological detection ef=ts (  
,f$]al1 ,/ate1 local1 ,tribal1 &        
t]ritorial gov]nm5ts & provide guidance1
 tools1 & tra9+ to help ensure a manag$1
 coord9at$ response2 &  7,c7 collaborate
 ) ! ,biom$ical ,advanc$ ,rese>* &      

,developm5t ,au?ority1 ! ,(fice ( ,heal?
 ,security1 ! ,def5se ,advanc$ ,rese>*  
,projects ,ag5cy1 & ! ,national         
,a]onautics & ,space ,adm9i/ration1 &   
o!r relevant ,f$]al /akehold]s1 &       
receive input f indu/ry1 academia1 & !  
national laboratories on *emical &      
biological surveillance ef=ts4  2  7#e7 
9 section #aibd 7#f ,u4,s4,c4 #eic71 by 
/rik+ section #aajaa ( ! ,/rom ,?urmond 
,national ,def5se ,au?orization ,act =  
,fiscal ,ye> #aiii 7#e ,u4,s4,c4 #cajd  
note74 & ins]t+ section #djib ( title   
#aj1 ,unit$ ,/ates ,code1 except t !    
au?ority %all be limit$ to facilitate ! 
recruitm5t ( exp]ts 9 ! *emical1        
biological1 radiological1 or nucle>     
specialties42  7#f7 9 section           
#aibg7;a77#a77;,c7 7#f ,u4,s4,c4        
#eif;a7a77#a77;,c77-- 7,a7 9 clause 7i71
 by /rik+ requir$ "u section #ajcf ( !  
,national ,def5se ,au?orization ,act =  
,fiscal ,ye> #bjaj2  7,b7 9 clause 7ii71
 by /rik+ & at ! end2  7,c7 9 clause    
7iii71 by /rik+ ! p]iod at ! end &      

ins]t+ 2 &2 &  7,d7 by add+ at ! end !  
foll[+3  7iv7 includes any o!r in=mation
 reg>d+ national te*nical nucle> =5sics 
activities c>ri$ out "u section #aibc4  
2  7#g7 9 section #aibh 7#f ,u4,s4,c4   
#eif;b7-- 7,a7 9 subsection 7c77#a71 by 
/rik+ f among high-risk urban areas "u  
section #bjjc & ins]t+ bas$ on !        
capability & capacity ( ! jurisdiction1 
z well z ! relative ?reat1 vuln]ability1
 & consequ5ces f t]rori/ attacks & o!r  
high-consequ5ce ev5ts utiliz+ nucle> or 
o!r radiological mat]ials2 &  7,b7 by   
/rik+ subsection 7d7 & ins]t+ ! foll[+3 
7d7 ,report ,n lat] ?an #b ye>s aft] !  
date ( enactm5t ( ! ,(fices ( ,c\nt]+   
,weapons ( ,mass ,de/ruction & ,heal?   
,security ,act ( #bjbb1 ! ,secret>y %all
 submit to ! appropriate congressional  
committees an update on ! ,,/c program4 
2 &  7#h7 by add+ at ! end ! foll[+3    
#aibi4 ,acc\ntability  7a7 ,dep>tm5twide
 /rategy  7#a7 ,9 g5]al ,n lat] ?an #ahj
 days aft] ! date ( enactm5t ( ,(fices (
 ,c\nt]+ ,weapons ( ,mass ,de/ruction & 

,heal? ,security ,act ( #bjbb1 & e #d   
ye>s !reaft]1 ! ,secret>y %all create a 
,dep>tm5twide /rategy & implem5tation   
plan to c\nt] weapons ( mass de/ruction 
& *emical1 biological1 radiological1    
nucle>1 & o!r relat$ em]g+ ?reats1 :i*  
%\ld-- 7,a7 h cle>ly id5tifi$           
au?orities1 specifi$ roles1 objectives1 
b5*m>ks1 acc\ntability1 & timel9es2     
7,b7 incorporate ! p]spectives (        
non-,f$]al & private sector p>tn]s2 &   
7,c7 articulate h[ ! ,dep>tm5t w        
contribute to relevant national-level   
/rategies & "w ) o!r ,f$]al ag5cies4    
7#b7 ,consid]ation ,! ,secret>y %all    
appropriately consid] weapons ( mass    
de/ruction & *emical1 biological1       
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats :5 creat+ ! /rategy &           
implem5tation plan requir$ "u p>agraph  
7#a74  7#c7 ,report ,! ,(fice %all      
submit to ! appropriate congressional   
committees a report on ! updat$         
,dep>tm5twide /rategy & implem5tation   
plan requir$ "u p>agraph 7#a74  7b7     

,dep>tm5twide biodef5se review & /rategy
  7#a7 ,9 g5]al ,n lat] ?an #ahj days   
aft] ! date ( enactm5t ( ! ,(fices (    
,c\nt]+ ,weapons ( ,mass ,de/ruction &  
,heal? ,security ,act ( #bjbb1 !        
,secret>y1 9 consultation ) appropriate 
/akehold]s repres5t+ ,f$]al1 ,/ate1     
,tribal1 t]ritorial1 academic1 private  
sector1 & nongov]nm5tal entities1 %all  
conduct a ,dep>tm5twide review (        
biodef5se activities & /rategies4  7#b7 
,review ,! review requir$ "u p>agraph   
7#a7 %all-- 7,a7 id5tify ) specificity !
 biodef5se l9es ( ef=t ( ! ,dep>tm5t1   
includ+ relat+ to biodef5se roles1      
responsibilities1 & capabilities (      
compon5ts & (fices ( ! ,dep>tm5t2  7,b7 
assess h[ su* compon5ts & (fices        
coord9ate int]nally & ) public & private
 p>tn]s 9 ! biodef5se ent]prise2  7,c7  
id5tify any policy1 res\rce1 capability1
 or o!r gaps 9 ! ,dep>tm5t's ability to 
assess1 prev5t1 protect aga9/1 & respond
 to biological ?reats2 &  7,d7 id5tify  
any organizational *anges or re=ms      

necess>y = ! ,dep>tm5t to effectively   
execute its biodef5se mission & role1   
includ+ ) respect to public & private   
p>tn]s 9 ! biodef5se ent]prise4  7#c7   
,/rategy ,n lat] ?an #a ye> aft]        
completion ( ! review requir$ "u        
p>agraph 7#a71 ! ,secret>y %all issue a 
biodef5se /rategy = ! ,dep>tm5t t-- 7,a7
 is in=m$ by su* review & is align$ )   
section #ajhf ( ! ,national ,def5se     
,au?orization ,act = ,fiscal ,ye> #bjag 
7#f ,u4,s4,c4 #ajd2 relat+ to !         
developm5t ( a national biodef5se       
/rategy & associat$ implem5tation plan1 
includ+ a review & assessm5t ( biodef5se
 policies1 practices1 programs1 &       
initiatives7 or any successor /rategy2 &
  7,b7 %all-- 7i7 describe ! biodef5se  
mission & role ( ! ,dep>tm5t1 z well z  
h[ su* mission & role relates to !      
biodef5se l9es ( ef=t ( ! ,dep>tm5t2    
7ii7 cl>ify1 z necess>y1 biodef5se      
roles1 responsibilities1 & capabilities 
( ! compon5ts & (fices ( ! ,dep>tm5t    
involv$ 9 ! biodef5se l9es ( ef=t ( !   

,dep>tm5t2  7iii7 e/abli% h[ biodef5se  
l9es ( ef=t ( ! ,dep>tm5t are to be     
coord9at$ )9 ! ,dep>tm5t2  7iv7 e/abli% 
h[ ! ,dep>tm5t engages ) public &       
private p>tn]s 9 ! biodef5se ent]prise1 
includ+ o!r ,f$]al ag5cies1 national    
laboratories & sites1 & ,/ate1 local1   
,tribal1 & t]ritorial entities1 )       
specificity reg>d+ ! frequ5cy & nature (
 su* engagem5t by ,dep>tm5t compon5ts & 
(fices ) ,/ate1 local1 ,tribal &        
t]ritorial entities2 &  7v7 include     
in=mation relat+ to-- 7,i7 mile/ones &  
p]=mance metrics t are specific to !    
biodef5se mission & role ( ! ,dep>tm5t  
describ$ 9 clause 7i72 &  7,,ii7        
implem5tation ( any op]ational *anges   
necess>y to c>ry out clauses 7iii7 &    
7iv74  7#d7 ,p]iodic update ,beg9n+ n   
lat] ?an #e ye>s aft] ! issuance ( !    
biodef5se /rategy & implem5tation plans 
requir$ "u p>agraph 7#c71 & n less (t5  
?an once e #e ye>s !reaft]1 ! ,secret>y 
%all review & update1 z necess>y1 su*   
/rategy & plans4  7#e7 ,congressional   

ov]sight ,n lat] ?an #cj days aft] !    
issuance ( ! biodef5se /rategy &        
implem5tation plans requir$ "u p>agraph 
7#c71 ! ,secret>y %all brief !          
,committee on ,homel& ,security &       
,gov]nm5tal ,affairs ( ! ,s5ate & !     
,committee on ,homel& ,security ( !     
,h\se ( ,repres5tatives reg>d+ su*      
/rategy & plans4  7c7 ,employee morale  
,n lat] ?an #ahj days aft] ! date (     
enactm5t ( ! ,(fices ( ,c\nt]+ ,weapons 
( ,mass ,de/ruction & ,heal? ,security  
,act ( #bjbb1 ! ,(fice %all submit to & 
brief ! appropriate congressional       
committees on a /rategy & plan to       
cont9u\sly improve morale )9 ! ,(fice4  
7d7 ,comptroll] ,g5]al ,n lat] ?an #a   
ye> aft] ! date ( enactm5t ( ! ,(fices (
 ,c\nt]+ ,weapons ( ,mass ,de/ruction & 
,heal? ,security ,act ( #bjbb1 !        
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all conduct a review ( & brief !       
appropriate congressional committees    
on-- 7#a7 ! ef=ts ( ! ,(fice to         
prioritize ! programs & activities t    

c>ry out ! mission ( ! ,(fice1 includ+  
rese>* & developm5t2  7#b7 ! consi/5cy &
 effectiv5ess ( /akehold] coord9ation   
across ! mission ( ! ,dep>tm5t1 includ+ 
op]ational & support compon5ts ( !      
,dep>tm5t & ,/ate & local entities2 &   
7#c7 ! ef=ts ( ! ,(fice to manage &     
coord9ate ! lifecycle ( rese>* &        
developm5t )9 ! ,(fice & ) o!r compon5ts
 ( ! ,dep>tm5t1 includ+ ! ,sci5ce &     
,te*nology ,directorate4  7e7 ,national 
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e  7#a7 ,/udy ,! ,secret>y %all   
ent] into an agreem5t ) ! ,national     
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e to conduct a cons5sus /udy &    
report to ! ,secret>y & ! appropriate   
congressional committees on-- 7,a7 !    
role ( ! ,dep>tm5t 9 prep>+1 detect+1 & 
respond+ to biological & heal? security 
?reats to ! homel&2  7,b7 recomm5dations
 to improve dep>tm5tal biosurveillance  
ef=ts aga9/ biological ?reats1 includ+  
any relevant biological detection me?ods
 & te*nologies2 &  7,c7 ! feasibility ( 

diff]5t te*nological advances =         
biodetection comp>$ to ! co/1 risk      
r$uction1 & timel9ess ( ^? advances4    
7#b7 ,brief+ ,n lat] ?an #a ye> aft] !  
date on :i* ! ,secret>y receives !      
report requir$ "u p>agraph 7#a71 !      
,secret>y %all brief ! appropriate      
congressional committees on-- 7,a7 !    
implem5tation ( ! recomm5dations includ$
 9 ! report2 &  7,b7 ! /atus (          
biological detection at ! ,dep>tm5t1 &1 
if applicable1 timel9es = ! transition f
 ,bi[at* to updat$ te*nology4  7f7      
,advisory ,c\ncil  7#a7 ,e/abli%m5t ,n  
lat] ?an #ahj days aft] ! date (        
enactm5t ( ! ,(fices ( ,c\nt]+ ,weapons 
( ,mass ,de/ruction & ,heal? ,security  
,act ( #bjbb1 ! ,secret>y %all e/abli%  
an advisory body to advise on ! ongo+   
coord9ation ( ! ef=ts ( ! ,dep>tm5t to  
c\nt] weapons ( mass de/ruction1 to be  
kn[n z ! ,advisory ,c\ncil = ,c\nt]+    
,weapons ( ,mass ,de/ruction 79 ?is     
subsection ref]r$ to z ! ,advisory      
,c\ncil74  7#b7 ,memb]%ip ,! memb]s ( ! 

,advisory ,c\ncil %all-- 7,a7 be appo9t$
 by ! ,assi/ant ,secret>y2 &  7,b7 to ! 
ext5t practicable1 repres5t a geographic
 7includ+ urban & rural7 & sub/antive   
cross section ( (ficials1 f ,/ate1      
local1 & ,tribal gov]nm5ts1 academia1 ! 
private sector1 national laboratories1 &
 nongov]nm5tal organizations1 includ+1 z
 appropriate-- 7i7 memb]s select$ f !   
em]g5cy managem5t field & em]g5cy       
response provid]s2  7ii7 ,/ate1 local1 &
 ,tribal gov]nm5t (ficials2  7iii7      
exp]ts 9 ! public & private sectors )   
exp]tise 9 *emical1 biological1         
radiological1 & nucle> ag5ts & weapons2 
7iv7 repres5tatives f ! national        
laboratories2 &  7v7 su* o!r individuals
 z ! ,assi/ant ,secret>y det]m9es to be 
appropriate4  7#c7 ,responsibilities ,! 
,advisory ,c\ncil %all-- 7,a7 advise !  
,assi/ant ,secret>y on all aspects (    
c\nt]+ weapons ( mass de/ruction2  7,b7 
incorporate ,/ate1 local1 & ,tribal     
gov]nm5t1 national laboratories1 &      
private sector input 9 ! developm5t ( ! 

/rategy & implem5tation plan ( !        
,dep>tm5t = c\nt]+ weapons ( mass       
de/ruction2 &  7,c7 e/abli% p]=mance    
crit]ia = a national biological         
detection sy/em & review ! te/+ protocol
 = biological detection prototypes4     
7#d7 ,consultation ,to ensure input f & 
coord9ation ) ,/ate1 local1 & ,tribal   
gov]nm5ts1 ! ,assi/ant ,secret>y %all   
regul>ly consult & "w ) ! ,advisory     
,c\ncil on ! adm9i/ration ( ,f$]al      
assi/ance provid$ by ! ,dep>tm5t1       
includ+ ) respect to ! developm5t (     
requirem5ts = c\nt]+ weapons ( mass     
de/ruction programs1 z appropriate4     
7#e7 ,volunt>y s]vice ,! memb]s ( !     
,advisory ,c\ncil %all s]ve on !        
,advisory ,c\ncil on a volunt>y basis4  
7#f7 ,,faca ,! ,f$]al ,advisory         
,committee ,act 7#e ,u4,s4,c4 ,app47    
%all n apply to ! ,advisory ,c\ncil4  4 
7b7 ,c\nt]+ ,weapons ( ,mass ,de/ruction
 ,act ( #bjah ,section #b ( ! ,c\nt]+   
,weapons ( ,mass ,de/ruction ,act (     
#bjah 7,public ,law #aae-chg2 #acb ,/at4

 #eafb7 is am5d$-- 7#a7 9 subsection    
7b77#b7 7#f ,u4,s4,c4 #eia note71 by    
/rik+ #aibg & ins]t+ #aibf2 &  7#b7 9   
subsection 7g7 7#f ,u4,s4,c4 #eia       
note7-- 7,a7 9 ! matt] prec$+ p>agraph  
7#a71 by /rik+ "o ye> aft] ! date ( !   
enactm5t ( ?is ,act1 & annually !reaft]1
 & ins]t+ ,june #cj ( ea* ye>12 &  7,b7 
9 p>agraph 7#b71 by /rik+ ,security1    
includ+ rese>* & developm5t activities &
 ins]t+ ,security4  7c7 ,security &     
,acc\ntability = ,e ,port ,act ( #bjjf  
,! ,security & ,acc\ntability = ,e ,port
 ,act ( #bjjf 7#f ,u4,s4,c4 #ija et     
seq47 is am5d$-- 7#a7 9 section #a7;b7  
7,public ,law #aji-cdg2 #abj ,/at       
#ahhd71 by /rik+ ! item relat+ to       
section #ejb2 &  7#b7 by /rik+ section  
#ejb 7#f ,u4,s4,c4 #eib;a74  #ajb4 ,rule
 ( con/ruction ,no?+ 9 ?is title or !   
am5dm5ts made by ?is title %all be      
con/ru$ to affect or dim9i% ! au?orities
 or responsibilities ( ! ,"u ,secret>y =
 ,sci5ce & ,te*nology4  ,,ii ,(fice (   
,heal? ,security  #bja4 ,(fice ( ,heal? 

,security  7a7 ,e/abli%m5t ,! ,homel&   
,security ,act ( #bjjb 7#f ,u4,s4,c4    
#aja et seq47 is am5d$-- 7#a7 9 section 
#ajc 7#f ,u4,s4,c4 #aac7-- 7,a7 9       
subsection 7a77#b7-- 7i7 by /rik+ !     
,assi/ant ,secret>y = ,heal? ,affairs12 
&  7ii7 by /rik+ ,affairs1 or & ins]t+  
,affairs or2 &  7,b7 9 subsection 7d71  
by add+ at ! end ! foll[+3  7#f7 ,a     
,*ief ,m$ical ,(fic]4  2  7#b7 by add+  
at ! end ! foll[+3  ,,xxiii ,(fice (    
,heal? ,security  2  7#c7 by r$esignat+ 
section #aica 7#f ,u4,s4,c4 #eig7 z     
section #bcja & transf]r+ su* section to
 appe> aft] ! head+ = title ,,xxiii1 z  
add$ by p>agraph 7#b72 &  7#d7 9 section
 #bcja1 z s r$esignat$-- 7,a7 9 !       
section head+1 by /rik+ ,*ief ,m$ical   
,(fic] & ins]t+ ,(fice ( ,heal?         
,security2  7,b7 by /rik+ subsections   
7a7 & 7b7 & ins]t+ ! foll[+3  7a7 ,9    
g5]al ,!re is e/abli%$ 9 ! ,dep>tm5t an 
,(fice ( ,heal? ,security4  7b7 ,head ( 
,(fice ( ,heal? ,security ,! ,(fice (   
,heal? ,security %all be head$ by a *ief

 m$ical (fic]1 :o %all-- 7#a7 be !      
,assi/ant ,secret>y = ,heal? ,security &
 ! ,*ief ,m$ical ,(fic] ( ! ,dep>tm5t2  
7#b7 be a lic5s$ physician possess+ a   
demon/rat$ ability 9 & k ( m$ic9e &     
public heal?2  7#c7 be appo9t$ by !     
,presid5t2 &  7#d7 report directly to ! 
,secret>y4  2  7,c7 9 subsection 7c7--  
7i7 9 ! matt] prec$+ p>agraph 7#a71 by  
/rik+ m$ical issues relat$ to natural   
disa/]s1 acts ( t]rorism1 & o!r man-made
 disa/]s & ins]t+ ov]sight ( all m$ical1
 public heal?1 & work=ce heal? & safety 
matt]s ( ! ,dep>tm5t2  7ii7 9 p>agraph  
7#a71 by /rik+ 1 ! ,adm9i/rator ( !     
,f$]al ,em]g5cy ,managem5t ,ag5cy1 !    
,assi/ant ,secret>y1 & o!r ,dep>tm5t    
(ficials & ins]t+ & all o!r ,dep>tm5t   
(ficials2  7iii7 9 p>agraph 7#d71 by    
/rik+ & at ! end2  7iv7 by r$esignat+   
p>agraph 7#e7 z p>agraph 7#ac72 &  7v7  
by ins]t+ aft] p>agraph 7#d7 ! foll[+3  
7#e7 ov]see+ all m$ical & public heal?  
activities ( ! ,dep>tm5t1 includ+ !     
deliv]y1 advisem5t1 & ov]sight ( direct 

pati5t c>e & ! organization1 managem5t1 
& /aff+ ( compon5t op]ations t deliv]   
direct pati5t c>e2  7#f7 advis+ ! head (
 ea* compon5t ( ! ,dep>tm5t t deliv]s   
direct pati5t c>e reg>d+ ! recruitm5t & 
appo9tm5t ( a compon5t *ief m$ical (fic]
 & deputy *ief m$ical (fic] or !        
employee :o functions 9 ! capacity (    
*ief m$ical (fic] & deputy *ief m$ical  
(fic]2  7#g7 advis+ ! ,secret>y & ! head
 ( ea* compon5t ( ! ,dep>tm5t t deliv]s 
direct pati5t c>e reg>d+ k & skill /&>ds
 = m$ical p]sonnel & ! assessm5t ( t k &
 skill2  7#h7 advis+ ! ,secret>y & !    
head ( ea* compon5t ( ! ,dep>tm5t t     
deliv]s pati5t c>e reg>d+ ! collection1 
/orage1 & ov]sight ( m$ical records2    
7#i7 ) respect to any psy*ological heal?
 c\nsel+ or assi/ance program ( !       
,dep>tm5t1 includ+ su* a program ( a law
 en=cem5t1 op]ational1 or support       
compon5t ( ! ,dep>tm5t1 advis+ ! head ( 
ea* su* compon5t ) su* a program        
reg>d+-- 7,a7 ensur+ su* program        
includes safegu>ds aga9/ adv]se action1 

includ+ automatic ref]rals = a fitness =
 duty exam9ation1 by su* compon5t )     
respect to any employee solely because  
su* employee self-id5tifies a ne$ =     
psy*ological heal? c\nsel+ or assi/ance 
or receives su* c\nsel+ or assi/ance2   
7,b7 increas+ ! availability & numb] (  
local psy*ological heal? pr(essionals ) 
exp]i5ce provid+ psy*ological support   
s]vices to p]sonnel2  7,c7 e/abli%+ a   
behavioral heal? curriculum = employees 
at ! beg9n+ ( _! c>e]s to provide       
res\rces e>ly reg>d+ ! importance (     
psy*ological heal?2  7,d7 e/abli%+      
p]iodic managem5t tra9+ on crisis       
int]v5tion & su* compon5t's psy*ological
 heal? c\nsel+ or assi/ance program2    
7,e7 improv+ any associat$ exi/+        
employee pe] support programs1 includ+  
by mak+ additional tra9+ & res\rces     
available = pe] support p]sonnel 9 !    
workplace across su* compon5t2  7,f7    
develop+ & implem5t+ a volunt>y alcohol 
treatm5t program t includes a safe h>bor
 = employees :o seek treatm5t2  7,g7    

includ+1 :5 appropriate1 collaborat+ &  
p>tn]+ ) key employee /akehold]s &1 = ^?
 compon5ts ) employees ) an exclusive   
repres5tative1 ! exclusive repres5tative
 ) respect to su* a program2  7#aj7 9   
consultation ) ! ,*ief ,in=mation ,(fic]
 ( ! ,dep>tm5t-- 7,a7 id5tify+ me?ods & 
te*nologies = manag+1 updat+1 & ov]see+ 
pati5t records2 &  7,b7 sett+ /&>ds =   
te*nology us$ by ! compon5ts ( !        
,dep>tm5t reg>d+ ! collection1 /orage1 &
 ov]sight ( m$ical records2  7#aa7      
advis+ ! ,secret>y & ! head ( ea*       
compon5t ( ! ,dep>tm5t t deliv]s direct 
pati5t c>e reg>d+ contracts = ! deliv]y 
( direct pati5t c>e1 o!r m$ical s]vices1
 & m$ical supplies2  7#ab7 coord9at+ ) !
 ,c\nt]+ ,weapons ( ,mass ,de/ruction   
,(fice & o!r compon5ts ( ! ,dep>tm5t z  
direct$ by ! ,secret>y to enhance !     
ability ( ,f$]al1 ,/ate1 local1 ,tribal1
 & t]ritorial gov]nm5ts to prev5t1      
detect1 protect aga9/1 & mitigate !     
heal? effects ( *emical1 biological1    
radiological1 & nucle> issues2 &  2 &   

7,d7 by add+ at ! end ! foll[+3  7d7    
,assi/ance & agreem5ts ,! ,secret>y1    
act+ ?r\gh ! ,*ief ,m$ical ,(fic]1 9    
support ( ! m$ical & public heal?       
activities ( ! ,dep>tm5t1 may-- 7#a7    
provide te*nical assi/ance1 tra9+1 &    
in=mation & di/ribute funds ?r\gh grants
 & coop]ative agreem5ts to ,/ate1 local1
 ,tribal1 & t]ritorial gov]nm5ts &      
nongov]nm5tal organizations2  7#b7 ent] 
into o!r transactions2  7#c7 ent] into  
agreem5ts ) o!r ,f$]al ag5cies2 &  7#d7 
accept s]vices f p]sonnel ( compon5ts ( 
! ,dep>tm5t & o!r ,f$]al ag5cies on a   
reimbursable or nonreimbursable basis4  
7e7 ,(fice ( ,heal? ,security ,privacy  
,(fic] ,!re %all be a ,privacy ,(fic] 9 
! ,(fice ( ,heal? ,security ) prim>y    
responsibility = privacy policy &       
compliance )9 ! ,(fice1 :o %all-- 7#a7  
report directly to ! ,*ief ,m$ical      
,(fic]2 &  7#b7 ensure privacy          
protections are integrat$ into all      
,(fice ( ,heal? ,security activities1   
subject to ! review & approval ( !      

,privacy ,(fic] ( ! ,dep>tm5t to ! ext5t
 consi/5t ) ! au?ority ( ! ,privacy     
,(fic] ( ! ,dep>tm5t "u section #bbb4   
7f7 ,acc\ntability  7#a7 ,/rategy &     
implem5tation plan ,n lat] ?an #ahj days
 aft] ! date ( enactm5t ( ?is section1 &
 e #d ye>s !reaft]1 ! ,secret>y %all    
create a ,dep>tm5twide /rategy &        
implem5tation plan to address heal?     
?reats4  7#b7 ,brief+ ,n lat] ?an #ij   
days aft] ! date ( enactm5t ( ?is       
section1 ! ,secret>y %all brief !       
appropriate congressional committees on 
! organizational trans=mations ( !      
,(fice ( ,heal? ,security1 includ+ h[   
be/ practices 7 us$ 9 ! creation ( !    
,(fice ( ,heal? ,security4  2  7#e7 by  
r$esignat+ section #gaj 7#f ,u4,s4,c4   
#cej7 z section #bcjb & transf]r+ su*   
section to appe> aft] section #bcja1 z s
 r$esignat$2  7#f7 9 section #bcjb1 z s 
r$esignat$-- 7,a7 9 ! section head+1 by 
/rik+ m$ical support & ins]t+ safety2   
7,b7 9 subsection 7a71 by /rik+ ,"u     
,secret>y = ,managem5t ea* place t t]m  

appe>s & ins]t+ ,*ief ,m$ical ,(fic]2 & 
7,c7 9 subsection 7b7-- 7i7 9 ! matt]   
prec$+ p>agraph 7#a71 by /rik+ ,"u      
,secret>y = ,managem5t1 9 coord9ation ) 
! ,*ief ,m$ical ,(fic]1 & ins]t+ ,*ief  
,m$ical ,(fic]2 &  7ii7 9 p>agraph 7#c71
 by /rik+ z deem$ appropriate by ! ,"u  
,secret>y12  7#g7 by r$esignat+ section 
#ebh 7#f ,u4,s4,c4 #cbaq7 z section     
#bcjc & transf]r+ su* section to appe>  
aft] section #bcjb1 z s r$esignat$2 &   
7#h7 9 section #bcjc7;a71 z s           
r$esignat$1 by /rik+ ,assi/ant ,secret>y
 = ! ,c\nt]+ ,weapons ( ,mass           
,de/ruction ,(fice & ins]t+ ,*ief       
,m$ical ,(fic]4  7b7 ,transition &      
transf]s  7#a7 ,transition ,! individual
 appo9t$ pursuant to section #aica ( !  
,homel& ,security ,act ( #bjjb 7#f      
,u4,s4,c4 #eig7 ( ! ,dep>tm5t ( ,homel& 
,security1 z 9 effect on ! day be=e !   
date ( enactm5t ( ?is ,act1 & s]v+ z !  
,*ief ,m$ical ,(fic] ( ! ,dep>tm5t (    
,homel& ,security on ! day be=e ! date (
 enactm5t ( ?is ,act1 %all cont9ue to   

s]ve z ! ,*ief ,m$ical ,(fic] ( !       
,dep>tm5t on & aft] ! date ( enactm5t ( 
?is ,act )\t ! ne$ = reappo9tm5t4  7#b7 
,rule ( con/ruction ,! rule (           
con/ruction describ$ 9 section #b7;hh7 (
 ! ,presid5tial ,appo9tm5t ,effici5cy & 
,/reaml9+ ,act ( #bjaa 7#e ,u4,s4,c4    
#cacb note7 %all n apply to ! ,*ief     
,m$ical ,(fic] ( ! ,dep>tm5t ( ,homel&  
,security1 includ+ ! incumb5t :o holds !
 position on ! day be=e ! date (        
enactm5t ( ?is ,act1 & su* (fic] %all be
 paid pursuant to section #cacb7;a77#b7 
or #ecae ( title #e1 ,unit$ ,/ates      
,code4  7#c7 ,transf] ,! ,secret>y (    
,homel& ,security %all transf] to !     
,*ief ,m$ical ,(fic] ( ! ,dep>tm5t (    
,homel& ,security-- 7,a7 all functions1 
p]sonnel1 budget au?ority1 & assets ( ! 
,"u ,secret>y = ,managem5t relat+ to    
work=ce heal? & safety1 z 9 exi/5ce on !
 day be=e ! date ( enactm5t ( ?is ,act2 
7,b7 all functions1 p]sonnel1 budget    
au?ority1 & assets ( ! ,assi/ant        
,secret>y = ! ,c\nt]+ ,weapons ( ,mass  

,de/ruction ,(fice relat+ to ! ,*ief    
,m$ical ,(fic]1 includ+ ! ,m$ical       
,op]ations ,directorate ( ! ,c\nt]+     
,weapons ( ,mass ,de/ruction ,(fice1 z 9
 exi/5ce on ! day be=e ! date ( enactm5t
 ( ?is ,act2 &  7,c7 all functions1     
p]sonnel1 budget au?ority1 & assets ( ! 
,assi/ant ,secret>y = ! ,c\nt]+ ,weapons
 ( ,mass ,de/ruction ,(fice associat$ ) 
! ef=ts p]ta9+ to ! program coord9ation 
activities relat+ to def5d+ ! food1     
agriculture1 & vet]9>y def5ses ( !      
,(fice1 z 9 exi/5ce on ! day be=e ! date
 ( enactm5t ( ?is ,act4  #bjb4 ,m$ical  
c\nt]measures program ,! ,homel&        
,security ,act ( #bjjb 7#f ,u4,s4,c4    
#aja et seq47 is am5d$ by r$esignat+    
section #aicb 7#f ,u4,s4,c4 #eig;a7 z   
section #bcjd & transf]r+ su* section to
 appe> aft] section #bcjc1 z s          
r$esignat$ by section #bja ( ?is ,act4  
#bjc4 ,confid5tiality ( m$ical quality  
assurance records ,title ,,xxiii ( !    
,homel& ,security ,act ( #bjjb1 z add$  
by ?is ,act1 is am5d$ by add+ at ! end !

 foll[+3  #bcje4 ,confid5tiality (      
m$ical quality assurance records  7a7   
,def9itions ,9 ?is section3 7#a7 ,heal? 
c>e provid] ,! t]m heal? c>e provid]    
means an individual :o-- 7,a7 is-- 7i7  
an employee ( ! ,dep>tm5t2  7ii7 a      
detailee to ! ,dep>tm5t f ano!r ,f$]al  
ag5cy2  7iii7 a p]sonal s]vices         
contractor ( ! ,dep>tm5t2 or  7iv7 hir$ 
"u a contract = s]vices2  7,b7 p]=ms    
heal? c>e s]vices z "p ( duties ( !     
individual 9 t capacity2 &  7,c7 has a  
curr5t1 valid1 & unre/rict$ lic5se or   
c]tification-- 7i7 t is issu$ by a      
,/ate1 ! ,di/rict ( ,columbia1 or a     
commonweal?1 t]ritory1 or possession ( !
 ,unit$ ,/ates2 &  7ii7 t is = !        
practice ( m$ic9e1 o/eopa?ic m$ic9e1    
d5ti/ry1 nurs+1 em]g5cy m$ical s]vices1 
or ano!r heal? pr(ession4  7#b7 ,m$ical 
quality assurance program ,! t]m m$ical 
quality assurance program means any     
activity c>ri$ out by ! ,dep>tm5t to    
assess ! quality ( m$ical c>e1 includ+  
activities conduct$ by individuals1     

committees1 or o!r review bodies        
responsible = quality assurance1        
cr$5tials1 infection control1 incid5t   
report+1 ! deliv]y1 advisem5t1 &        
ov]sight ( direct pati5t c>e & assessm5t
 7includ+ treatm5t proc$ures1 blood1    
drugs1 & !rapeutics71 m$ical records1   
heal? res\rces managem5t review1 &      
id5tification & prev5tion ( m$ical1     
m5tal heal?1 or d5tal incid5ts & risks4 
7#c7 ,m$ical quality assurance record ( 
! ,dep>tm5t ,! t]m m$ical quality       
assurance record ( ! ,dep>tm5t means all
 in=mation1 includ+ ! proce$+s1 records 
7includ+ pati5t records t ! ,dep>tm5t   
creates & ma9ta9s z "p ( a sy/em (      
records71 m9utes1 & reports t-- 7,a7    
emanate f quality assurance program     
activities describ$ 9 p>agraph 7#b72 &  
7,b7 are produc$ or compil$ by !        
,dep>tm5t z "p ( a m$ical quality       
assurance program4  7b7 ,confid5tiality 
( records ,a m$ical quality assurance   
record ( ! ,dep>tm5t t is creat$ z "p ( 
a m$ical quality assurance program--    

7#a7 is confid5tial & privileg$2 &  7#b7
 except z provid$ 9 subsection 7d71 may 
n be disclos$ to any p]son or entity4   
7c7 ,prohibition on disclosure &        
te/imony ,except z o!rwise provid$ 9 ?is
 section-- 7#a7 no "p ( any m$ical      
quality assurance record ( ! ,dep>tm5t  
may be subject to discov]y or admitt$   
into evid5ce 9 any judicial or          
adm9i/rative proce$+2 &  7#b7 an        
individual :o reviews or creates a      
m$ical quality assurance record ( !     
,dep>tm5t or :o p>ticipates 9 any       
proce$+ t reviews or creates a m$ical   
quality assurance record ( ! ,dep>tm5t  
may n be p]mitt$ or requir$ to te/ify 9 
any judicial or adm9i/rative proce$+ )  
respect to ! record or ) respect to any 
f9d+1 recomm5dation1 evaluation1 op9ion1
 or action tak5 by t individual 9       
connection ) ! record4  7d7 ,au?oriz$   
disclosure & te/imony  7#a7 ,9 g5]al    
,subject to p>agraph 7#b71 a m$ical     
quality assurance record ( ! ,dep>tm5t  
may be disclos$1 & a p]son describ$ 9   

subsection 7c77#b7 may give te/imony 9  
connection ) ! record1 only z foll[s3   
7,a7 ,to a ,f$]al ag5cy or private      
organization1 if ! m$ical quality       
assurance record ( ! ,dep>tm5t or       
te/imony is ne$$ by ! ,f$]al ag5cy or   
private organization to-- 7i7 p]=m      
lic5s+ or accr$itation functions relat$ 
to ,dep>tm5t heal? c>e facilities1 a    
facility affiliat$ ) ! ,dep>tm5t1 or any
 o!r location au?oriz$ by ! ,secret>y = 
! p]=mance ( heal? c>e s]vices2 or  7ii7
 p]=m monitor+1 requir$ by law1 (       
,dep>tm5t heal? c>e facilities1 a       
facility affiliat$ ) ! ,dep>tm5t1 or any
 o!r location au?oriz$ by ! ,secret>y = 
! p]=mance ( heal? c>e s]vices4  7,b7   
,to an adm9i/rative or judicial proce$+ 
conc]n+ an adv]se action relat$ to !    
cr$5tial+ ( or heal? c>e provid$ by a   
pres5t or =m] heal? c>e provid] by !    
,dep>tm5t4  7,c7 ,to a gov]nm5tal bo>d  
or ag5cy or to a pr(essional heal? c>e  
society or organization1 if ! m$ical    
quality assurance record ( ! ,dep>tm5t  

or te/imony is ne$$ by ! bo>d1 ag5cy1   
society1 or organization to p]=m lic5s+1
 cr$5tial+1 or ! monitor+ ( pr(essional 
/&>ds ) respect to any heal? c>e provid]
 :o is or 0 a heal? c>e provid] = !     
,dep>tm5t4  7,d7 ,to a hospital1 m$ical 
c5t]1 or o!r in/itution t provides heal?
 c>e s]vices1 if ! m$ical quality       
assurance record ( ! ,dep>tm5t or       
te/imony is ne$$ by ! in/itution to     
assess ! pr(essional qualifications (   
any heal? c>e provid] :o is or 0 a heal?
 c>e provid] = ! ,dep>tm5t & :o has     
appli$ = or be5 grant$ au?ority or      
employm5t to provide heal? c>e s]vices 9
 or on behalf ( ! in/itution4  7,e7 ,to 
an employee1 a detailee1 or a contractor
 ( ! ,dep>tm5t :o has a ne$ = ! m$ical  
quality assurance record ( ! ,dep>tm5t  
or te/imony to p]=m (ficial duties or   
duties )9 ! scope ( _! contract4  7,f7  
,to a crim9al or civil law en=cem5t     
ag5cy or in/rum5tality *>g$ "u          
applicable law ) ! protection ( ! public
 heal? or safety1 if a qualifi$         

repres5tative ( ! ag5cy or in/rum5tality
 makes a writt5 reque/ t ! m$ical       
quality assurance record ( ! ,dep>tm5t  
or te/imony be provid$ = a purpose      
au?oriz$ by law4  7,g7 ,9 an            
adm9i/rative or judicial proce$+ comm5c$
 by a crim9al or civil law en=cem5t     
ag5cy or in/rum5tality describ$ 9       
subp>agraph 7,f71 b only ) respect to ! 
subject ( ! proce$+4  7#b7 ,p]sonally   
id5tifiable in=mation  7,a7 ,9 g5]al ,) 
! exception ( ! subject ( a quality     
assurance action1 p]sonally id5tifiable 
in=mation ( any p]son receiv+ heal? c>e 
s]vices f ! ,dep>tm5t or ( any o!r p]son
 associat$ ) ! ,dep>tm5t = purposes ( a 
m$ical quality assurance program t is   
disclos$ 9 a m$ical quality assurance   
record ( ! ,dep>tm5t %all be delet$ f t 
record be=e any disclosure ( ! record is
 made outside ! ,dep>tm5t4  7,b7        
,application ,! requirem5t "u           
subp>agraph 7,a7 %all n apply to !      
release ( in=mation t is p]missible "u  
section #eeb;a ( title #e1 ,unit$ ,/ates

 ,code 7commonly kn[n z ! ,privacy ,act 
( #aigd74  7e7 ,disclosure = c]ta9      
purposes ,no?+ 9 ?is section %all be    
con/ru$-- 7#a7 to au?orize or require ! 
)hold+ f any p]son or entity aggregate  
/ati/ical in=mation reg>d+ ! results (  
m$ical quality assurance programs2 or   
7#b7 to au?orize ! )hold+ ( any m$ical  
quality assurance record ( ! ,dep>tm5t f
 a committee ( ei!r ,h\se ( ,congress1  
any jo9t committee ( ,congress1 or !    
,comptroll] ,g5]al ( ! ,unit$ ,/ates if 
! record p]ta9s to any matt] )9 _!      
respective jurisdictions4  7f7          
,prohibition on disclosure ( in=mation1 
record1 or te/imony ,a p]son or entity  
hav+ possession ( or access to a m$ical 
quality assurance record ( ! ,dep>tm5t  
or te/imony describ$ 9 ?is section may n
 disclose ! cont5ts ( ! record or       
te/imony 9 any mann] or = any purpose   
except z provid$ 9 ?is section4  7g7    
,exemption f ,fre$om ( ,in=mation ,act  
,a m$ical quality assurance record ( !  
,dep>tm5t %all be exempt f disclosure "u

 section #eeb7;b77#c7 ( title #e1 ,unit$
 ,/ates ,code 7commonly kn[n z ! ,fre$om
 ( ,in=mation ,act74  7h7 ,limitation on
 civil liability ,a p]son :o p>ticipates
 9 ! review or creation (1 or provides  
in=mation to a p]son or body t reviews  
or creates1 a m$ical quality assurance  
record ( ! ,dep>tm5t %all n be civilly  
liable = t p>ticipation or = provid+ t  
in=mation if ! p>ticipation or provision
 ( in=mation 0 provid$ 9 good fai? bas$ 
on prevail+ pr(essional /&>ds at ! "t ! 
m$ical quality assurance program        
activity took place4  7i7 ,application  
to in=mation 9 c]ta9 o!r records ,no?+ 9
 ?is section %all be con/ru$ z limit+   
access to ! in=mation 9 a record creat$ 
& ma9ta9$ outside a m$ical quality      
assurance program1 includ+ ! m$ical     
record ( a pati5t1 on ! gr\nds t !      
in=mation 0 pres5t$ dur+ meet+s ( a     
review body t are "p ( a m$ical quality 
assurance program4  7j7 ,p5alty ,any    
p]son :o willfully discloses a m$ical   
quality assurance record ( ! ,dep>tm5t  

o!r ?an z provid$ 9 ?is section1 kn[+ t 
! record is a m$ical quality assurance  
record ( ! ,dep>tm5t %all be f9$ n m ?an
 #c1jjj 9 ! case ( a fir/ (f5se & n m   
?an #bj1jjj 9 ! case ( a subsequ5t      
(f5se4  7k7 ,relation%ip to ,coa/ ,gu>d 
,! requirem5ts ( ?is section %all n     
apply to any m$ical quality assurance   
record ( ! ,dep>tm5t t is creat$ by or =
 ! ,coa/ ,gu>d z "p ( a m$ical quality  
assurance program4  4  #bjd4            
,portability ( lic5sure  7a7 ,transf]   
,section #afjje ( ! ,,c>es ,act 7#f     
,u4,s4,c4 #cbj note7 is r$esignat$ z    
section #bcjf ( ! ,homel& ,security ,act
 ( #bjjb & transf]r$ s z to appe> aft]  
section #bcje1 z add$ by section #bjc ( 
?is ,act4  7b7 ,repeal ,section #bcjf ( 
! ,homel& ,security ,act ( #bjjb1 z s   
r$esignat$ by subsection 7a71 is am5d$  
by /rik+ subsection 7c74  #bje4         
,te*nical & con=m+ am5dm5ts ,! ,homel&  
,security ,act ( #bjjb 7#f ,u4,s4,c4    
#aja et seq47 is am5d$-- 7#a7 9 ! table 
( cont5ts 9 section #a7;b7 7,public ,law

 #ajg-bif2 #aaf ,/at4 #bace7-- 7,a7 by  
/rik+ ! items relat+ to sections #ebh & 
#ebi & ins]t+ ! foll[+3  ,sec4 #ebh4    
,transf] ( equipm5t dur+ a public heal? 
em]g5cy4  2  7,b7 by /rik+ ! items      
relat+ to sections #gaj1 #gaa1 #gab1 &  
#gac & ins]t+ ! foll[+3  ,sec4 #gaj4    
,employee engagem5t4,sec4 #gaa4 ,annual 
employee aw>d program4,sec4 #gab4       
,acquisition pr(essional c>e] program4  
2  7,c7 by ins]t+ aft] ! item relat+ to 
section #aibh ! foll[+3  ,sec4 #aibi4   
,acc\ntability4  2  7,d7 by /rik+ !     
items relat+ to subtitle ,c ( title     
,,xix & sections #aica & #aicb2 &  7,e7 
by add+ at ! end ! foll[+3  ,,title     
,,xxiii--,(fice ( ,heal? ,security ,sec4
 #bcja4 ,(fice ( ,heal? ,security4 ,sec4
 #bcjb4 ,work=ce heal? & safety4 ,sec4  
#bcjc4 ,coord9ation ( ,dep>tm5t (       
,homel& ,security ef=ts relat$ to food1 
agriculture1 & vet]9>y def5se aga9/     
t]rorism4,sec4 #bcjd4 ,m$ical           
c\nt]measures program4,sec4 #bcje4      
,confid5tiality ( m$ical quality        

assurance records4,sec4 #bcjf4          
,portability ( lic5sure4  2  7#b7 by    
r$esignat+ section #ebi 7#f ,u4,s4,c4   
#cbar7 z section #ebh2  7#c7 9 section  
#gjd7;e77#d7 7#f ,u4,s4,c4              
#cdd7;e77#d771 by /rik+ section #gaa7;a7
 & ins]t+ section #gaj7;a772  7#d7 by   
r$esignat+ sections #gaa1 #gab1 & #gac z
 sections #gaj1 #gaa1 & #gab1           
respectively2  7#e7 9 section           
#aibc7;b77#c7 7#f ,u4,s4,c4             
#eib7;b77#c77-- 7,a7 9 ! p>agraph head+1
 by /rik+ ,hawaiian native-s]v+ & ins]t+
 ,native ,hawaiian-s]v+2 &  7,b7 by     
/rik+ ,hawaiian native-s]v+ & ins]t+    
#8,native ,hawaiian-s]v+2  7#f7 by /rik+
 ! subtitle head+ = subtitle ,c ( title 
,,xix2  7#g7 by /rik+ section #aicb 7#f 
,u4,s4,c4 #eig;a72 &  7#h7 9 section    
#bcjf1 z s r$esignat$ by section #bjd ( 
?is ,act-- 7,a7 by ins]t+ ,portability (
 lic5sure4 aft] #bcjf42 &  7,b7 9       
subsection 7a71 by /rik+ 7a7 ,not)/&+ & 
ins]t+ ! foll[+3  7a7 ,9 g5]al ,not)/&+ 
4  ,decemb] #ai1 #bjbb,report$ ) an     

am5dm5t