,,ii ,cal5d> ,no4 #bfh #aah? ,,congress 
#a/ ,session  ,s4 #agih ,report ,no4    
#aah-abd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$
 ,,/ates  ,june #a1 #bjbc,mr4 ,pet]s 7= 
himself & ,mr4 ,cornyn7 introduc$ !     
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,homel& ,security &  
,gov]nm5tal ,affairs  ,decemb] #aa1     
#bjbc,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
 title2 table ( cont5ts  7a7 ,%ort title
 ,?is ,act may be cit$ z ! ,(fices (    
,c\nt]+ ,weapons ( ,mass ,de/ruction &  
,heal? ,security ,act ( #bjbc4  7b7     
,table ( cont5ts ,! table ( cont5ts =   
?is ,act is z foll[s3 ,sec4 #a4 ,%ort   
title2 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            
,confid5tiality ( m$ical quality        
assurance records4,sec4 #bjc4 ,te*nical 
& con=m+ am5dm5ts4  ,i ,c\nt]+ ,weapons 
( ,mass ,de/ruction ,(fice  #aja4       
,c\nt]+ ,weapons ( ,mass ,de/ruction    
,(fice  7a7 ,homel& ,security ,act (    
#bjjb ,title ,,xix ( ! ,homel& ,security
 ,act ( #bjjb 7#f ,u4,s4,c4 #eij et     
seq47 is am5d$-- 7#a7 9 section #aija   
7#f ,u4,s4,c4 #eia7-- 7,a7 9 subsection 
7c71 by /rik+ p>agraphs 7#a7 & 7#b7 &   
ins]t+ ! foll[+3  7#a7 matt]s &         
/rategies p]ta9+ to-- 7,a7 weapons (    
mass de/ruction2 &  7,b7 non-m$ical     
aspects ( *emical1 biological1          
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats2  7#b7 coord9at+ ! ef=ts ( !    
,dep>tm5t to c\nt]-- 7,a7 weapons ( mass
 de/ruction2 &  7,b7 non-m$ical aspects 
( *emical1 biological1 radiological1    
nucle>1 & o!r relat$ em]g+ ?reats2 &    
7#c7 enhanc+ ! ability ( ,f$]al1 ,/ate1 

local1 & ,tribal p>tn]s to prev5t1      
detect1 protect aga9/1 & mitigate !     
impacts ( t]rori/ attacks 9 ! ,unit$    
,/ates to c\nt]-- 7,a7 weapons ( mass   
de/ruction2 &  7,b7 non-m$ical aspects (
 use ( unau?oriz$ *emical1 biological1  
radiological1 & nucle> mat]ials1        
devices1 or ag5ts & 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 & ) o!r ,f$]al     
dep>tm5ts & ag5cies to c\nt]-- 7,a7     
weapons ( mass de/ruction2 &  7,b7      
*emical1 biological1 radiological1      
nucle>1 & o!r relat$ em]g+ ?reats2 &    
7#b7 enhanc+ ! ability ( ,f$]al1 ,/ate1 
local1 & ,tribal p>tn]s to prev5t1      
detect1 protect aga9/1 & mitigate !     
impacts ( attacks us+-- 7,a7 weapons (  
mass de/ruction aga9/ ! ,unit$ ,/ates2 &
  7,b7 unau?oriz$ *emical1 biological1  
radiological1 nucle> mat]ials1 devices1 

or ag5ts & 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 non-m$ical      
aspects ( *emical1 biological1          
radiological1 nucle>1 & o!r relat$ 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$]al1      
,/ate1 local1 & ,tribal p>tn]s by       
provid+ intellig5ce & in=mation analysis
 & reports on weapons ( mass de/ruction 
& *emical1 biological1 radiological1    
nucle>1 & o!r relat$ 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 & *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 capabilities to c\nt] weapons (  
mass de/ruction & *emical1 biological1  
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats1 & 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$]al1 ,/ate1 local1 &    
,tribal p>tn]s on *emical1 biological1  
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats heal? matt]s2  7,j7 provide     
exp]tise on weapons ( mass de/ruction & 
non-m$ical aspects ( *emical1           
biological1 radiological1 nucle>1 & o!r 
relat$ em]g+ ?reats to ,dep>tm5tal &    
,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 & ,tribal   
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+ ?reats1 9 coord9ation ) o!r
 ,f$]al ag5cies1 z appropriate1 &       
e/abli% p]=mance metrics to evaluate !  
effectiv5ess ( individual detectors &   
detection sy/ems 9 detect+ ^? weapons ( 
mass de/ruction or *emical1 biological1 
radiological1 nucle>1 or o!r relat$     
em]g+ ?reats-- 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+ ?reats1 &    
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 9 support ( ,f$]al1 ,/ate1      
local1 & ,tribal gov]nm5ts2  7,e7       
support & enhance ! effective %>+ & use 
( appropriate in=mation on weapons (    
mass de/ruction & *emical1 biological1  
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats 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$]al ag5cies1 ,/ate1     
local1 & ,tribal gov]nm5ts1 & =eign     
gov]nm5ts1 z well z provide appropriate 
in=mation to ^? entities2  7,f7 consult1
 z appropriate1 ) relevant ,dep>tm5tal  
compon5ts & (fices1 ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices1 & o!r ,f$]al p>tn]s1
 on weapons ( mass de/ruction &         
non-m$ical aspects ( *emical1           
biological1 radiological1 nucle>1 & o!r 
relat$ 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$esignat+ p>agraphs 7#aa7 & 7#ab7 z    
p>agraphs 7#f7 & 7#g71 respectively2    
7v7 9 p>agraph 7#f71 z s r$esignat$--   
7,i7 by /rik+ subp>agraph 7,b72  7,,ii7 
by /rik+ activities-- & all t foll[s    
?r\gh to ensure & ins]t+ activities to  
ensure2 &  7,,iii7 by /rik+ attacks2 & &
 ins]t+ attacks2  7vi7 9 p>agraph       
7#g77;,c77v71 z s r$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 mitigate1 & protect     
aga9/ ! importation1 possession1 /orage1
 transportation1 developm5t1 or use (   
unau?oriz$ *emical & biological         
mat]ials1 devices1 or ag5ts aga9/ !     
,unit$ ,/ates2 &  7#b7 %all-- 7,a7 s]ve 
z a prim>y entity responsible = ! ef=ts 
( ! ,dep>tm5t to develop1 acquire1      
deploy1 & support ! op]ations ( a       
national biological detection sy/em &   
improve t sy/em ov] "t2  7,b7 enhance ! 
*emical & biological detection ef=ts (  
,f$]al1 ,/ate1 local1 & ,tribal         
gov]nm5ts & provide guidance1 tools1 &  
tra9+ to help ensure a manag$1 coord9at$
 response2 &  7,c7 collaborate ) !      
,dep>tm5t ( ,heal? & ,human ,s]vices1 ! 
,(fice ( ,heal? ,security ( ! ,dep>tm5t1
 ! ,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 7a71 by     
/rik+ high-risk urban areas & ins]t+    
jurisdictions designat$ "u subsection   
7c72  7,b7 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,c7 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 ( #bjbc1 ! ,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 ( #bjbc1 & 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 ( #bjbc1 !        
,secret>y1 9 consultation ) appropriate 
/akehold]s repres5t+ ,f$]al1 ,/ate1     
local1 ,tribal1 academic1 private       
sector1 & nongov]nm5tal entities1 %all  
conduct a ,dep>tm5twide review (        
biodef5se activities & /rategies4  7#b7 
,review ,! review requir$ "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$]al ag5cies1 national    
laboratories & sites1 & ,/ate1 local1 & 
,tribal entities1 ) specificity reg>d+ !
 frequ5cy & nature ( su* engagem5t by   
,dep>tm5t compon5ts & (fices ) ,/ate1   
local1 & ,tribal entities2 &  7v7       
include in=mation relat+ to-- 7,i7      
mile/ones & p]=mance metrics t are      
specific to ! biodef5se mission & role (
 ! ,dep>tm5t describ$ 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 ( #bjbc1 ! ,(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 (   
#bjbc1 ! ,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  
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 (   
#bjbc1 ! ,secret>y %all e/abli% an      
advisory body to advise on ! ongo+      
coord9ation ( ! ef=ts ( ! ,dep>tm5t to  
c\nt] weapons ( mass de/ruction &       
*emical1 biological1 radiological1      
nucle>1 & o!r relat$ em]g+ ?reats1 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> mat]ials1        
devices1 or ag5ts2  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/ruction & *emical1 biological1       
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats2  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/ruction & *emical1 biological1  
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats2 &  7,c7 provide advice on      
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 ( ,(fice 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$-- 7#a7 9 section #a7;b7  
7,public ,law #aji-cdg2 #abj ,/at       
#ahhd71 by /rik+ ! item relat+ to       
section #ejb2 &  7#b7 by /rik+ section  
#ejb 7#f ,u4,s4,c4 #eib;a74  #ajb4 ,rule
 ( con/ruction ,no?+ 9 ?is ,act or !    
am5dm5ts made by ?is ,act may be con/ru$
 z modify+ any exi/+ au?ority "u any    

provision ( law n expressly am5d$ by ?is
 ,act4  ,,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+ m$ical activities ( ! ,dep>tm5t &
 all work=ce-focus$ heal? & safety      
activities ( ! ,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$ical activities ( !  
,dep>tm5t1 includ+ ! deliv]y1 advisem5t1
 & support ( direct pati5t c>e & !      
organization1 managem5t1 & /aff+ (      
compon5t op]ations t deliv] direct      
pati5t c>e2  7#f7 advis+ ! head ( ea*   
compon5t ( ! ,dep>tm5t t deliv]s direct 
pati5t c>e reg>d+ ! recruitm5t &        
appo9tm5t ( a compon5t *ief m$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 9 coord9ation ) ! ,*ief   
,privacy ,(fic] ( ! ,dep>tm5t & ! ,*ief 
,in=mation ,(fic] ( ! ,dep>tm5t1 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    
prioritiz+1 z appropriate1 exp]tise 9 ! 
provision ( psy*ological heal? c\nsel+ &
 assi/ance = c]ta9 populations ( !      
work=ce1 su* z employees s]v+ 9         
positions )9 law en=cem5t1 to help      
improve outcomes = ^? employees receiv+ 
t c\nsel+ or assi/ance2 &  7,h7 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>y1 ,f$]al ag5cies  
includ+ ! ,dep>tm5t ( ,agriculture1 !   
,dep>tm5t ( ,heal? & ,human ,s]vices1 ! 
,dep>tm5t ( ,/ate1 & ! ,dep>tm5t (      
,transportation1 ,/ate1 local1 & ,tribal
 gov]nm5ts1 & ! m$ical community2 &  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 activities ( !       
,dep>tm5t1 may-- 7#a7 provide te*nical  
assi/ance1 tra9+1 & in=mation to ,/ate1 
local1 & ,tribal gov]nm5ts &            
nongov]nm5tal organizations2  7#b7 ent] 
into agreem5ts ) o!r ,f$]al ag5cies2 &  
7#c7 accept s]vices f p]sonnel (        
compon5ts ( ! ,dep>tm5t & o!r ,f$]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 ( ! ,*ief ,privacy ,(fic] ( !  
,dep>tm5t to ! ext5t consi/5t ) !       
au?ority ( ! ,*ief ,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 m$ical    
activities (1 & ! work=ce heal? & safety
 matt]s "u ! purview (1 ! ,dep>tm5t4    
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$2     
7#h7 9 section #bcjc1 z s r$esignat$--  
7,a7 9 subsection 7a71 by /rik+         

,assi/ant ,secret>y = ! ,c\nt]+ ,weapons
 ( ,mass ,de/ruction ,(fice & ins]t+    
,*ief ,m$ical ,(fic]2 &  7,b7 9         
subsection 7b7-- 7i7 9 p>agraph 7#a71 by
 /rik+ ,homel& ,security ,presid5tial   
,directive #i-;,def5se ( ! ,unit$ ,/ates
 ,agriculture & ,food & ins]t+ ,national
 ,security ,memor&um #af--,/r5g!n+ !    
,security & ,resili5ce ( ! ,unit$ ,/ates
 ,food & ,agriculture2 &  7ii7 9        
p>agraph 7#f71 by ins]t+ ! ,dep>tm5t (  
,agriculture & o!r be=e appropriate2    
7#i7 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$2  7#aj7 9 
section #bcjd7;f77#b77;,b71 z s         
r$esignat$1 by /rik+ ,(fice ( !         
,assi/ant ,secret>y = ,prep>$ness &     
,response & ins]t+ ,adm9i/ration =      
,/rategic ,prep>$ness & ,response2 &    
7#aa7 by ins]t+ aft] section #bcjd1 z s 
r$esignat$1 ! foll[+3  #bcje4 ,rules (  
con/ruction ,no?+ 9 ?is title %all be   
con/ru$ to-- 7#a7 ov]ride or o!rwise    

affect ! requirem5ts describ$ 9 section 
#hhh2  7#b7 require ! advice ( ! ,*ief  
,m$ical ,(fic] on ! appo9tm5t ( ,coa/   
,gu>d (fic]s or ! (fic] f ! ,public     
,heal? ,s]vice ( ! ,dep>tm5t ( ,heal? & 
,human ,s]vices assign$ to ! ,coa/      
,gu>d2  7#c7 provide ! ,*ief ,m$ical    
,(fic] ) au?ority to take any action t  
w\ld dim9i% ! int]op]ability ( ! ,coa/  
,gu>d m$ical sy/em ) ! m$ical sy/ems ( !
 o!r bran*es ( ! ,arm$ ,=ces ( ! ,unit$ 
,/ates2 or  7#d7 affect or dim9i% !     
au?ority ( ! ,secret>y ( ,heal? & ,human
 ,s]vices or to grant to ! ,*ief ,m$ical
 ,(fic] any au?ority t is ve/$ 91 or    
delegat$ to1 ! ,secret>y ( ,heal? &     
,human ,s]vices4  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 
,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          
,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  #bcjf4 ,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 on or aft] ! date (  
enactm5t ( ?is section 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$5tials1 infection control1 incid5t   
report+1 ! deliv]y1 advisem5t1 & support
 ( direct pati5t c>e & assessm5t        
7includ+ treatm5t proc$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 !  
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 su* record or ) respect to   
any f9d+1 recomm5dation1 evaluation1    
op9ion1 or action tak5 by su* individual
 9 connection ) su* 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$]al ag5cy or     
private organization1 if su* m$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 su* m$ical  
quality assurance record ( ! ,dep>tm5t  
or te/imony is ne$$ by ! bo>d1 ag5cy1   
society1 or organization to p]=m lic5s+1
 cr$5tial+1 or ! monitor+ ( pr(essional 
/&>ds ) respect to any heal? c>e provid]
 :o is or 0 a heal? c>e provid] = !     
,dep>tm5t4  7,d7 ,to a hospital1 m$ical 
c5t]1 or o!r in/itution t provides heal?
 c>e s]vices1 if su* m$ical quality     
assurance record ( ! ,dep>tm5t or       
te/imony is ne$$ by su* 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$ = su* 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 su* 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$-- 7#a7 to au?orize or require ! 
)hold+ f any p]son or entity de-id5tifi$
 aggregate /ati/ical in=mation reg>d+ ! 
results ( m$ical quality assurance      
programs1 "u de-id5tification /&>ds     
develop$ by ! ,secret>y 9 consultation )
 ! ,secret>y ( ,heal? & ,human ,s]vices1
 z appropriate1 t is releas$ 9 a mann] 9
 accordance ) all o!r applicable legal  
requirem5ts2 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 ,code4  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$ical quality assurance  
record ( ! ,dep>tm5t %all n be civilly  
liable "u ?is section = t p>ticipation  
or = provid+ t in=mation if !           
p>ticipation or provision ( in=mation   
0-- 7#a7 provid$ 9 good fai? bas$ on    

prevail+ pr(essional /&>ds at ! "t !    
m$ical quality assurance program        
activity took place2 &  7#b7 made 9     
accordance ) any o!r applicable legal   
requirem5t1 includ+ ,f$]al privacy laws 
& regulations4  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$ical quality  
assurance program4  7l7 ,cont9u$        
protection ,disclosure "u subsection 7d7
 does n p]mit r$isclosure except to !   
ext5t ! fur!r disclosure is au?oriz$ "u 
subsection 7d7 or is o!rwise au?oriz$ to
 be disclos$ "u ?is section4  7m7       
,relation%ip to o!r law ,?is section    
%all cont9ue 9 =ce & effect1 except z   
o!rwise specifically provid$ 9 any      
,f$]al law enact$ aft] ! date ( enactm5t
 ( ?is ,act4  7n7 ,rule ( con/ruction   
,no?+ 9 ?is section %all be con/ru$ to  
sup]s$e ! requirem5ts (-- 7#a7 ! ,heal? 
,insurance ,portability & ,acc\ntability
 ,act ( #aiif 7,public ,law #ajd-aia2   
#aaj ,/at4 #aicf7 & its implem5t+       
regulations2  7#b7 ! ,heal? ,in=mation  
,te*nology = ,economic & ,cl9ical ,heal?
 ,act7#db ,u4,s4,c4 #agica et seq47 &   
its implem5t+ regulations2 or  7#c7     
sections #iba ?r\gh #ibf ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bii;b-#ba ?r\gh #bii;b-#bf7 & _!       

implem5t+ regulations4  4  #bjc4        
,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$ical           
c\nt]measures4,sec4 #bcje4 ,rules (     
con/ruction4,sec4 #bcjf4 ,confid5tiality
 ( m$ical quality assurance records4  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;d77#c7 7#f ,u4,s4,c4             
#eib7;d77#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 ,,xix4  #a4 ,%ort title2 table (  
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,(fices ( ,c\nt]+ ,weapons (
 ,mass ,de/ruction & ,heal? ,security   

,act ( #bjbc4  7b7 ,table ( cont5ts ,!  
table ( cont5ts = ?is ,act is z foll[s3 
,sec4 #a4 ,%ort title2 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            
,confid5tiality ( m$ical quality        
assurance records4,sec4 #bjc4 ,te*nical 
& con=m+ am5dm5ts4  ,i ,c\nt]+ ,weapons 
( ,mass ,de/ruction ,(fice  #aja4       
,c\nt]+ ,weapons ( ,mass ,de/ruction    
,(fice  7a7 ,homel& ,security ,act (    
#bjjb ,title ,,xix ( ! ,homel& ,security
 ,act ( #bjjb 7#f ,u4,s4,c4 #eij et     
seq47 is am5d$-- 7#a7 9 section #aija   
7#f ,u4,s4,c4 #eia7-- 7,a7 9 subsection 
7c71 by /rik+ p>agraphs 7#a7 & 7#b7 &   
ins]t+ ! foll[+3  7#a7 matt]s &         
/rategies p]ta9+ to-- 7,a7 weapons (    
mass de/ruction2 &  7,b7 non-m$ical     
aspects ( *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 non-m$ical aspects 
( *emical1 biological1 radiological1    
nucle>1 & o!r relat$ em]g+ ?reats2 &    
7#c7 enhanc+ ! ability ( ,f$]al1 ,/ate1 
local1 & ,tribal p>tn]s to prev5t1      
detect1 protect aga9/1 & mitigate !     
impacts ( t]rori/ attacks 9 ! ,unit$    
,/ates to c\nt]-- 7,a7 weapons ( mass   
de/ruction2 &  7,b7 non-m$ical aspects (
 use ( unau?oriz$ *emical1 biological1  
radiological1 & nucle> mat]ials1        
devices1 or ag5ts & 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 & ) o!r ,f$]al     
dep>tm5ts & ag5cies to c\nt]-- 7,a7     
weapons ( mass de/ruction2 &  7,b7      
*emical1 biological1 radiological1      
nucle>1 & o!r relat$ em]g+ ?reats2 &    

7#b7 enhanc+ ! ability ( ,f$]al1 ,/ate1 
local1 & ,tribal p>tn]s to prev5t1      
detect1 protect aga9/1 & mitigate !     
impacts ( attacks us+-- 7,a7 weapons (  
mass de/ruction aga9/ ! ,unit$ ,/ates2  
or  7,b7 unau?oriz$ *emical1 biological1
 radiological1 nucle> mat]ials1 devices1
 or ag5ts or 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 non-m$ical      

aspects ( *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$]al1      
,/ate1 local1 & ,tribal p>tn]s by       
provid+ intellig5ce & in=mation analysis
 & reports on weapons ( mass de/ruction 
& *emical1 biological1 radiological1    
nucle>1 & o!r relat$ 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 & *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 capabilities to c\nt] weapons (  
mass de/ruction & *emical1 biological1  
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats1 & 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$]al1 ,/ate1 local1 &    
,tribal p>tn]s on *emical1 biological1  
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats heal? matt]s2  7,j7 provide     
exp]tise on weapons ( mass de/ruction & 
non-m$ical aspects ( *emical1           
biological1 radiological1 nucle>1 & o!r 
relat$ em]g+ ?reats to ,dep>tm5tal &    
,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 & ,tribal   
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+ ?reats1 9 coord9ation ) o!r
 ,f$]al ag5cies1 z appropriate1 &       
e/abli% p]=mance metrics to evaluate !  
effectiv5ess ( individual detectors &   
detection sy/ems 9 detect+ ^? weapons ( 
mass de/ruction or *emical1 biological1 
radiological1 nucle>1 or o!r relat$     
em]g+ ?reats-- 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+ ?reats1 &    
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 9 support ( ,f$]al1 ,/ate1      

local1 & ,tribal 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 g5]at$ by elem5ts ( !           
intellig5ce community1 law en=cem5t     
ag5cies1 o!r ,f$]al ag5cies1 ,/ate1     
local1 & ,tribal gov]nm5ts1 & =eign     
gov]nm5ts1 z well z provide appropriate 
in=mation to ^? entities2  7,f7 consult1
 z appropriate1 ) relevant ,dep>tm5tal  
compon5ts & (fices1 ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices1 & o!r ,f$]al p>tn]s1
 on weapons ( mass de/ruction &         
non-m$ical aspects ( *emical1           
biological1 radiological1 nucle>1 & o!r 
relat$ 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]ation2  7iii7 by /rik+       
p>agraphs 7#f7 ?r\gh 7#aj72  7iv7       
r$esignat+ p>agraphs 7#aa7 & 7#ab7 z    
p>agraphs 7#f7 & 7#g71 respectively2    
7v7 9 p>agraph 7#f71 z s r$esignat$--   
7,i7 by /rik+ subp>agraph 7,b72  7,,ii7 
by /rik+ activities-- & all t foll[s    
?r\gh to ensure & ins]t+ activities to  
ensure2 &  7,,iii7 by /rik+ attacks2 & &
 ins]t+ attacks22  7vi7 9 p>agraph      
7#g77;,c77v71 z s r$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$]al1    
,/ate1 local1 & ,tribal gov]nm5ts to    
prev5t1 detect1 mitigate1 & protect     
aga9/ ! importation1 possession1 /orage1
 transportation1 developm5t1 or use (   
unau?oriz$ *emical & biological         
mat]ials1 devices1 or ag5ts aga9/ !     
,unit$ ,/ates2 &  7#b7 %all-- 7,a7 s]ve 
z a prim>y entity responsible = ! ef=ts 
( ! ,dep>tm5t to develop1 acquire1      
deploy1 & support ! op]ations ( a       
national biological detection sy/em &   
improve t sy/em ov] "t2  7,b7 enhance ! 
*emical & biological detection ef=ts (  
,f$]al1 ,/ate1 local1 & ,tribal         
gov]nm5ts & provide guidance1 tools1 &  
tra9+ to help ensure a manag$1 coord9at$
 response2 &  7,c7 collaborate ) !      

,dep>tm5t ( ,heal? & ,human ,s]vices1 ! 
,(fice ( ,heal? ,security ( ! ,dep>tm5t1
 ! ,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 7a71 by /rik+ high-risk urban
 areas & ins]t+ jurisdictions designat$ 
"u subsection 7c72  7,b7 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,c7 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 (   
#bjbc1 ! ,secret>y %all submit to !     
appropriate congressional committees an 
update on ! ,,/c program4  2 &  7#h7 by 
ins]t+ aft] section #aibh 7#f ,u4,s4,c4 

#eif;b7 ! 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 ( #bjbc1 & 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 ( #bjbc1 !        
,secret>y1 9 consultation ) appropriate 
/akehold]s repres5t+ ,f$]al1 ,/ate1     
local1 ,tribal1 academic1 private       
sector1 & nongov]nm5tal entities1 %all  
conduct a ,dep>tm5twide review (        
biodef5se activities & /rategies4  7#b7 
,review ,! review requir$ "u p>agraph   
7#a7 %all-- 7,a7 id5tify ) specificity !
 biodef5se l9es ( ef=t ( ! ,dep>tm5t1   
includ+ biodef5se l9es ( ef=t 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]prise2 &  7,e7 assess ! risk (      
high-risk ga9-(-function rese>* to !    
homel& security ( ! ,unit$ ,/ates &     
id5tify ! gaps 9 ! response ( !         
,dep>tm5t to t risk4  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$]al ag5cies1 national    
laboratories & sites1 & ,/ate1 local1 & 
,tribal entities1 ) specificity reg>d+ !
 frequ5cy & nature ( su* engagem5t by   
,dep>tm5t compon5ts & (fices ) ,/ate1   
local1 & ,tribal entities2 &  7v7       
include in=mation relat+ to-- 7,i7      
mile/ones & p]=mance metrics t are      
specific to ! biodef5se mission & role (
 ! ,dep>tm5t describ$ 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 ( #bjbc1 ! ,(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 (   
#bjbc1 ! ,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 ( ! ,(fice1 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  
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 (   
#bjbc1 ! ,secret>y %all e/abli% an      
advisory body to advise on ! ongo+      
coord9ation ( ! ef=ts ( ! ,dep>tm5t to  
c\nt] weapons ( mass de/ruction &       
*emical1 biological1 radiological1      
nucle>1 & o!r relat$ em]g+ ?reats1 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 ( (ficials 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 or nucle> mat]ials1       
devices1 or ag5ts2  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/ruction & *emical1 biological1       
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats2  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/ruction & *emical1 biological1  
radiological1 nucle>1 & o!r relat$ em]g+
 ?reats2 &  7,c7 provide advice on      
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 ( ,(fice 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 ,*apt] #aj ( title  
#e1 ,unit$ ,/ates ,code1 %all n apply to
 ! ,advisory ,c\ncil4  7#g7             
,qualifications ,ea* memb] ( ! ,advisory
 ,c\ncil %all-- 7,a7 be imp>tial 9 any  
advice provid$ to ! ,advisory ,c\ncil2 &
  7,b7 n seek to advance any political  
position or pr$et]m9$ conclusion z a    
memb] ( ! ,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,public ,law #aji-cdg2   
#abj ,/at #ahhd7 is am5d$-- 7#a7 9      
section #a7;b71 by /rik+ ! item relat+  
to section #ejb2 &  7#b7 by /rik+       
section #ejb 7#f ,u4,s4,c4 #eib;a74     
#ajb4 ,rule ( con/ruction ,no?+ 9 ?is   
title or ! am5dm5ts made by ?is title   
may be con/ru$ z modify+ any exi/+      
au?ority "u any provision ( law n       
expressly am5d$ by ?is title4  ,,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+ m$ical activities ( ! ,dep>tm5t &
 all work=ce-focus$ heal? & safety      
activities ( ! ,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 activities ( !  
,dep>tm5t1 includ+ ! deliv]y1 advisem5t1
 & support ( 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 !        
employees :o function 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$ical p]sonnel & ! assessm5t ( t k &
 skill2  7#h7 9 coord9ation ) ! ,*ief   
,privacy ,(fic] ( ! ,dep>tm5t & ! ,*ief 
,in=mation ,(fic] ( ! ,dep>tm5t1 advis+ 
! ,secret>y & ! head ( ea* compon5t ( ! 
,dep>tm5t t deliv]s pati5t c>e reg>d+ ! 
collection1 /orage1 & ov]sight ( m$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 actions
 by su* compon5t ) respect to any       
employee solely because ! employee      
id5tifies a ne$ = psy*ological heal?    

c\nsel+ or assi/ance or receives su*    
assi/ance2  7,b7 ensur+ su* program     
includes safegu>ds reg>d+ automatic     
ref]rals = employm5t-relat$ exam9ations 
or inquires t are bas$ solely on an     
employee :o self id5tifies a ne$ =      
psy*ological heal? c\nsel+ or assi/ance 
or receives su* c\nsel+ or assi/ance1   
except t su* safegu>ds %all n prev5t a  
compon5t ref]ral to evaluate ! ability (
 an employee to meet e/abli%$ m$ical or 
psy*ological /&>ds by su* compon5t or to
 evaluate ! national security           
eligibility ( ! employee2  7,c7 increas+
 ! availability & numb] ( local         
psy*ological heal? pr(essionals )       
exp]i5ce provid+ psy*ological support   
s]vices to p]sonnel2  7,d7 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,e7 e/abli%+      
p]iodic managem5t tra9+ on crisis       
int]v5tion & su* compon5t's psy*ological
 heal? c\nsel+ or assi/ance program2    

7,f7 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,g7    
develop+ & implem5t+ a volunt>y alcohol 
treatm5t program t includes a safe h>bor
 = employees :o seek treatm5t2  7,h7    
prioritiz+1 z appropriate1 exp]tise 9 ! 
provision ( psy*ological heal? c\nsel+ &
 assi/ance = c]ta9 populations ( !      
work=ce1 su* z employees s]v+ 9         
positions )9 law en=cem5t1 to help      
improve outcomes = ^? employees receiv+ 
t c\nsel+ or assi/ance2 &  7,i7 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$ical supplies2  7#ab7 coord9at+ )--
 7,a7 ! ,c\nt]+ ,weapons ( ,mass        
,de/ruction ,(fice2  7,b7 o!r compon5ts 
( ! ,dep>tm5t z direct$ by ! ,secret>y2 
7,c7 ,f$]al ag5cies1 includ+ ! ,dep>tm5t
 ( ,agriculture1 ! ,dep>tm5t ( ,heal? & 
,human ,s]vices1 ! ,dep>tm5t ( ,/ate1 & 
! ,dep>tm5t ( ,transportation2  7,d7    
,/ate1 local1 & ,tribal gov]nm5ts2 &    
7,e7 ! m$ical community2 &  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 activities ( ! ,dep>tm5t1 may--  
7#a7 provide te*nical assi/ance1 tra9+1 
& in=mation to ,/ate1 local1 & ,tribal  
gov]nm5ts & nongov]nm5tal organizations2
  7#b7 ent] into agreem5ts ) o!r ,f$]al 
ag5cies2 &  7#c7 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 ( ! ,*ief ,privacy ,(fic] ( !  
,dep>tm5t to ! ext5t consi/5t ) !       
au?ority ( ! ,*ief ,privacy ,(fic] ( !  
,dep>tm5t "u section #bbb4  7f7         
,acc\ntability  7#a7 ,/rategy &         
implem5tation plan ,n lat] ?an #ahj days
 aft] ! date ( enactm5t ( ?is           
subsection1 & e #d ye>s !reaft]1 !      
,secret>y %all create a ,dep>tm5twide   
/rategy & implem5tation plan to address 
m$ical activities (1 & ! work=ce heal? &
 safety matt]s "u ! purview (1 !        
,dep>tm5t4  7#b7 ,brief+ ,n lat] ?an #ij

 days aft] ! date ( enactm5t ( ?is      
subsection1 ! ,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$2     
7#h7 9 section #bcjc1 z s r$esignat$--  
7,a7 9 subsection 7a71 by /rik+         
,assi/ant ,secret>y = ! ,c\nt]+ ,weapons
 ( ,mass ,de/ruction ,(fice & ins]t+    
,*ief ,m$ical ,(fic]2 &  7,b7 9         
subsection 7b7-- 7i7 9 p>agraph 7#a71 by
 /rik+ ,homel& ,security ,presid5tial   
,directive #i-;,def5se ( ! ,unit$ ,/ates
 ,agriculture & ,food & ins]t+ ,national
 ,security ,memor&um #af--,/r5g!n+ !    
,security & ,resili5ce ( ! ,unit$ ,/ates
 ,food & ,agriculture2 &  7ii7 9        
p>agraph 7#f71 by ins]t+ ! ,dep>tm5t (  
,agriculture & o!r be=e appropriate2    
7#i7 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$2  7#aj7 9 
section #bcjd7;f77#b77;,b71 z s         
r$esignat$1 by /rik+ ,(fice ( !         
,assi/ant ,secret>y = ,prep>$ness &     
,response & ins]t+ ,adm9i/ration =      
,/rategic ,prep>$ness & ,response2 &    
7#aa7 by ins]t+ aft] section #bcjd1 z s 

r$esignat$1 ! foll[+3  #bcje4 ,rules (  
con/ruction ,no?+ 9 ?is title %all be   
con/ru$ to-- 7#a7 ov]ride or o!rwise    
affect ! requirem5ts describ$ 9 section 
#hhh2  7#b7 require ! advice ( ! ,*ief  
,m$ical ,(fic] on ! appo9tm5t ( ,coa/   
,gu>d (fic]s or ! (fic] f ! ,public     
,heal? ,s]vice ( ! ,dep>tm5t ( ,heal? & 
,human ,s]vices assign$ to ! ,coa/      
,gu>d2  7#c7 provide ! ,*ief ,m$ical    
,(fic] ) au?ority to take any action t  
w\ld dim9i% ! int]op]ability ( ! ,coa/  
,gu>d m$ical sy/em ) ! m$ical sy/ems ( !
 o!r bran*es ( ! ,arm$ ,=ces ( ! ,unit$ 
,/ates2 or  7#d7 affect or dim9i% !     
au?ority ( ! ,secret>y ( ,heal? & ,human
 ,s]vices or to grant to ! ,*ief ,m$ical
 ,(fic] any au?ority t is ve/$ 91 or    
delegat$ to1 ! ,secret>y ( ,heal? &     
,human ,s]vices4  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 
,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          
,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  #bcjf4 ,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]vices ) ! ,dep>tm5t2  
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 ,/ate2 &  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 on or aft] ! date ( enactm5t (
 ?is section 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$5tials1 infection        
control1 incid5t report+1 ! deliv]y1    
advisem5t1 & support ( direct pati5t c>e
 & assessm5t 7includ+ treatm5t          
proc$ures1 blood1 drugs1 & !rapeutics71 
m$ical records1 heal? res\rces managem5t
 review1 or id5tification & prev5tion ( 
m$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 ! 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 su* record or ) respect to   
any f9d+1 recomm5dation1 evaluation1    
op9ion1 or action tak5 by su* individual
 9 connection ) su* 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$]al ag5cy or     
private organization1 if su* m$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 su* m$ical  
quality assurance record ( ! ,dep>tm5t  
or te/imony is ne$$ by ! bo>d1 ag5cy1   
society1 or organization to p]=m lic5s+1
 cr$5tial+1 or ! monitor+ ( pr(essional 
/&>ds ) respect to any heal? c>e provid]
 :o is or 0 a heal? c>e provid] = !     
,dep>tm5t4  7,d7 ,to a hospital1 m$ical 
c5t]1 or o!r in/itution t provides heal?
 c>e s]vices1 if su* m$ical quality     
assurance record ( ! ,dep>tm5t or       
te/imony is ne$$ by su* 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$ = su* m$ical
 quality assurance record ( ! ,dep>tm5t 
or te/imony to p]=m (ficial duties or   
duties )9 ! scope ( _! employm5t or     
contract4  7,f7 ,to a crim9al or civil  
law en=cem5t ag5cy or in/rum5tality *>g$
 "u applicable law ) ! protection ( !   
public heal? or safety1 if a qualifi$   
repres5tative ( ! ag5cy or in/rum5tality
 makes a writt5 reque/ t su* 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$-- 7#a7 to au?orize or require ! 
)hold+ f any p]son or entity de-id5tifi$
 aggregate /ati/ical in=mation reg>d+ ! 
results ( m$ical quality assurance      
programs1 "u de-id5tification /&>ds     
develop$ by ! ,secret>y 9 consultation )
 ! ,secret>y ( ,heal? & ,human ,s]vices1
 z appropriate1 t is releas$ 9 a mann] 9
 accordance ) all o!r applicable legal  
requirem5ts2 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 records1 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 ,code4  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$ical quality assurance  
record ( ! ,dep>tm5t %all n be civilly  
liable "u ?is section = t p>ticipation  
or = provid+ t in=mation if !           
p>ticipation or provision ( in=mation   
0-- 7#a7 provid$ 9 good fai? bas$ on    

prevail+ pr(essional /&>ds at ! "t !    
m$ical quality assurance program        
activity took place2 &  7#b7 made 9     
accordance ) any o!r applicable legal   
requirem5t1 includ+ ,f$]al privacy laws 
& regulations4  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$ical quality  
assurance program4  7l7 ,cont9u$        
protection ,disclosure "u subsection 7d7
 does n p]mit r$isclosure except to !   
ext5t ! fur!r disclosure is au?oriz$ "u 
subsection 7d7 or is o!rwise au?oriz$ to
 be disclos$ "u ?is section4  7m7       
,relation%ip to o!r law ,?is section    
%all cont9ue 9 =ce & effect1 except z   
o!rwise specifically provid$ 9 any      
,f$]al law enact$ aft] ! date ( enactm5t
 ( ?is ,act4  7n7 ,rule ( con/ruction   
,no?+ 9 ?is section %all be con/ru$ to  
sup]s$e ! requirem5ts (-- 7#a7 ! ,heal? 
,insurance ,portability & ,acc\ntability
 ,act ( #aiif 7,public ,law #ajd-aia2   
#aaj ,/at4 #aicf7 & its implem5t+       
regulations2  7#b7 "p #a ( subtitle ,d (
 title ,,xiii ( ! ,heal? ,in=mation     
,te*nology = ,economic & ,cl9ical ,heal?
 ,act 7#db ,u4,s4,c4 #agica et seq47 &  
its implem5t+ regulations2 or  7#c7     
sections #iba ?r\gh #ibf ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      

#bii;b-#ba ?r\gh #bii;b-#bf7 & _!       
implem5t+ regulations4  4  #bjc4        
,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$ical           
c\nt]measures4,sec4 #bcje4 ,rules (     
con/ruction4,sec4 #bcjf4 ,confid5tiality
 ( m$ical quality assurance records4  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 subsection
 7d77#c7 ( section #aibc7;d77#c7 7#f    
,u4,s4,c4 #eib71 z s r$esignat$-- 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    
,,xix4  ,decemb] #aa1 #bjbc,report$ ) an
 am5dm5t