,i #aai? ,,congress #b;d ,session ,h4 ,r4 #hddg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #bb1 #bjbf,mr4 ,l>s5 ( ,wa%+ton 7= himself1 ,ms4 ,ross1 ,ms4 ,/ansbury1 ,ms4 ,norton1 ,ms4 ,b>ragn1 & ,mr4 ,?an$>7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ! ,budget1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to protect aga9/ seasonal & p&emic influ5za1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,protect+ ,am]ica f ,seasonal & ,p&emic ,influ5za ,act ( #bjbf4 #b4 ,f9d+s ,! ,congress f9ds ! foll[+3 7#a7 ,influ5za occurs seasonally ea* ye>1 & ?r\gh\t hi/ory1 has caus$ deva/at+ p&emics4 ,! #aiah influ5za p&emic kill$ an e/imat$ #fge1jjj ,am]icans4 7#b7 ,9 an av]age season1 influ5za results 9 #f1cjj to #eb1jjj dea?s 9 ! ,unit$ ,/ates1 includ+ ov] #ajj p$iatric dea?s4 ,additionally1 influ5za causes hundr$s ( ?\s&s ( hospitalizations & millions ( illnesses4 7#c7 ,! ,c\ncil ( ,economic ,advisors issu$ a report 9 #bjai e/imat+ t seasonal influ5za co/s ! ,unit$ ,/ates approximately #cfa1jjj1jjj1jjj p] ye>1 & t an influ5za p&emic has ! pot5tial to cause up to #c1gij1jjj1jjj1jjj 9 losses4 ,?is report 0 issu$ prior to ! ,,covid-#ai p&emic1 :i* w co/ ! ,unit$ ,/ates an e/imat$ #af1jjj1jjj1jjj1jjj4 7#d7 ,/rategies t increase seasonal influ5za vacc9ation rates w also improve p&emic read9ess4 7#e7 ,! ,national ,influ5za ,vacc9e ,mod]nization ,/rategy ( #bjbj-bjcj1 e/abli%$ pursuant to ,executive ,ord] #achhg1 titl$ ,mod]niz+ ,influ5za ,vacc9es 9 ! ,unit$ ,/ates to ,promote ,national ,security & ,public ,heal?1 %\ld be fully implem5t$ to ensure ! ,nation's vacc9e ent]prise is highly responsive1 flexible1 scalable1 & effective at r$uc+ ! impact ( seasonal & p&emic influ5za viruses4 7#f7 ,critical ,unit$ ,/ates ph>maceutical supply *a9s are dang]\sly reliant on ,*9a1 & ! ,unit$ ,/ates mu/ take actions to /r5g!n its position z ! global lead] 9 biote*nology rese>* & developm5t4 7#g7 ,vacc9e hesitancy 9 ! ,unit$ ,/ates repres5ts a ?reat to ! ,nation's national security & public heal?4 ,ef=ts mu/ be tak5 to re/ore tru/ & confid5ce 9 sci5tific data & public heal? messag+4 7#h7 ,support = communication1 outrea*1 & adm9i/ration across public heal? & heal? c>e sett+s is critical to ensure aw>5ess ( & access to influ5za vacc9es1 treatm5ts1 & m$ical c\nt]measures4 #c4 ,/r5g!n+ & div]sify+ influ5za vacc9e1 !rapeutics1 & diagno/ics developm5t1 manufactur+1 & supply *a9 7a7 ,timely deliv]y ( fir/ doses ( f9i%$ influ5za vacc9e 7#a7 ,national goal ,x is a national goal = ! ,unit$ ,/ates1 n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 to h ! capacity to deliv] fir/ doses ( f9i%$ influ5za vacc9e )9 #ab weeks ( em]g5ce ( an influ5za /ra9 ) p&emic pot5tial4 7#b7 ,plan ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,assi/ant ,secret>y = ,prep>$ness & ,response1 & ! ,director ( ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority %all publi% a plan to a*ieve ! goal specifi$ 9 p>agraph 7#a74 7b7 ,univ]sal influ5za vacc9e 7#a7 ,national goal ,x is a national goal = ! ,unit$ ,/ates1 n lat] ?an #aj ye>s aft] ! date ( enactm5t ( ?is ,act1 to h develop$ a univ]sal influ5za vacc9e4 7#b7 ,plan 7,a7 ,publication ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,director ( ! ,national ,in/itutes ( ,heal?1 & ! ,director ( ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority %all publi% a plan to a*ieve ! goal specifi$ 9 p>agraph 7#a7 9 p>tn]%ip ) vacc9e manufactur]s4 7,b7 ,int]im support ,! plan "u subp>agraph 7,a7 %all include provisions1 z necess>y to a*ieve su* goal1 = support ov] ! p]iod ( #e ye>s foll[+ ! publication ( su* plan ( ! foll[+3 7i7 ,increm5tal vacc9e efficacy improvem5ts4 7ii7 ,! rese>* work=ce4 7c7 ,/r5g!n+ ! vacc9e supply *a9 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7,a7 e/abli% public-private p>tn]%ips to /r5g!n ! dome/ic vacc9e supply *a92 & 7,b7 evaluate ! capabilities1 capacity1 & utilization ( su* p>tn]%ips1 includ+ by assess+ & te/+ relevant logi/ical & int]op]able te*nology ) /akehold]s 9 ! supply *a94 7#b7 ,dome/ic vacc9e supply *a9 ,= purposes ( ?is subsection1 ! t]m dome/ic vacc9e supply *a9 includes ! full dome/ic supply *a91 includ+-- 7,a7 production ( +r$i5ts & manufactur+ & di/ribution ( f9i%$ vacc9es2 7,b7 fill-f9i% capacity2 & 7,c7 ! supply *a9 ( ancill>y supplies su* z ne$les & syr+es4 7d7 ,national ,influ5za ,vacc9e ,mod]nization ,/rategy ,! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 fully implem5t ! portions ( ! ,national ,influ5za ,vacc9e ,mod]nization ,/rategy #bjbj-bjcj t are )9 ! au?ority ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices to c>ry out 7"u o!r applicable provisions ( law72 & 7#b7 by ,june #ae ea* cal5d> ye> ?r\gh #bjcj1 submit to ! ,congress a report on su* implem5tation4 7e7 ,assi/ant ,secret>y = ,prep>$ness & ,response ,section #bhaa ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#aj7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#c71 by ins]t+ 1 includ+ ! p&emic influ5za m$ical c\nt]measures program "u p>agraphs 7#b77;,e7 & 7#d77;,h7 ( section #cai,l7c7 aft] qualifi$ p&emic or epidemic products 7z def9$ 9 section #cai;,f-#c72 & 7,b7 9 p>agraph 7#g71 by ins]t+ 1 includ+ ?r\gh ! p&emic influ5za m$ical c\nt]measures program "u p>agraphs 7#b77;,e7 & 7#d77;,h7 ( section #cai,l7c7 aft] = ea* su* ?reat2 & 7#b7 9 subsection 7d77#b7-- 7,a7 9 subp>agraph 7,j71 by /rik+ & at ! end2 7,b7 by r$esignat+ subp>agraph 7,k7 z subp>agraph 7,l72 & 7,c7 by ins]t+ aft] subp>agraph 7,j7 ! foll[+3 7,k7 evaluate progress ) respect to implem5t+ ! ,national ,influ5za ,vacc9e ,mod]nization ,/rategy1 issu$ 9 ,june #bjbj1 or any successor /rategy2 & 4 7f7 ,biom$ical advanc$ rese>* & developm5t au?ority 7#a7 ,prep>$ness activities ,section #cai,l7c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#g;e7c77 is am5d$-- 7,a7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,c71 by /rik+ & at ! end2 7ii7 9 subp>agraph 7,d71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7iii7 by add+ at ! end ( ! foll[+3 7,e7 support+ p&emic influ5za c\nt]measure prep>$ness4 2 & 7,b7 9 p>agraph 7#d71 by add+ at ! end ( ! foll[+3 7,h7 ,p&emic influ5za m$ical c\nt]measures program ,9 c>ry+ out p>agraph 7#b77;,e71 ! ,secret>y %all e/abli% & implem5t a program t-- 7i7 supports rese>* & developm5t activities = qualifi$ p&emic or epidemic products 7z def9$ 9 section #cai;,f-#c71 includ+ by-- 7,i7 develop+ innovative te*nologies to enhance rapid response to p&emic influ5za ?reats2 7,,ii7 develop+ influ5za vacc9es ) pot5tial univ]sal vacc9ation capability2 7,,iii7 develop+ influ5za vacc9es ) long] la/+ broad spectrum protective immunity aga9/ a wid] range ( antig5ically div]g5t influ5za /ra9s2 7,,iv7 develop+ alt]native vacc9e deliv]y approa*es2 7,v7 develop+ novel small- & l>ge-molecule novel influ5za antivirals1 monoclonal antibodies1 & o!r products t provide bett] influ5za treatm5t & prev5tion2 7,,vi7 develop+ innovative te*nologies to enhance rapid diagnosis ( influ5za2 & 7,,vii7 implem5t+ ! ,national ,influ5za ,vacc9e ,mod]nization ,/rategy1 issu$ 9 ,june #bjbj1 or any successor /rategy2 7ii7 ensures read9ess to respond to qualifi$ p&emic & epidemic ?reats1 includ+ by-- 7,i7 support+ developm5t & manufactur+ ( influ5za virus se$s1 cl9ical trial lots1 & /ockpiles ( novel influ5za /ra9s2 7,,ii7 support+ ! /ockpile ( influ5za antivirals ?r\gh div]sify+ & repl5i%+ ! exi/+ /ockpile ( influ5za antivirals2 7,,iii7 support+ manufactur+ & fill-f9i% rapid response infra/ructure2 7,,iv7 support+ ! /ockpile ( influ5za te/+ equipm5t & supplies2 & 7,v7 te/+ & evaluat+ p&emic ?reat rapid response capabilities ?r\gh regul> prep>$ness drills ) key public & private sector p>tn]s t exam9e ! range ( activities 7includ+ production & cl9ical te/+ ( influ5za diagno/ics1 vacc9es1 & !rapeutics7 requir$ to effectively respond to novel ?reats2 & 7iii7 builds1 su/a9s1 & repl5i%es qualifi$ p&emic & epidemic /ockpiles ( bulk antig5 & adjuvant mat]ial1 includ+ by-- 7,i7 annually te/+ ! pot5cy & %elflife pot5tial ( all exi/+ p&emic & epidemic /ockpiles held by ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 & 7,,ii7 develop+1 & dissem9at+ to key public & private sector p>tn]s1 a life cycle managem5t plan4 4 7g7 ,au?orization ( appropriations ,section #cai,l7d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#g;e7d77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,p&emic influ5za ,to c>ry out ?is section & section #bhaa ) respect to p&emic influ5za1 9 addition to am\nts au?oriz$ to be appropriat$ by p>agraph 7#b7 & any am\nts au?oriz$ to be appropriat$ by section #bhaa1 !re is au?oriz$ to be appropriat$ #cce1jjj1jjj = ea* ( ! fiscal ye>s #bjbg ?r\gh #bjca1 to rema9 available until exp5d$4 4 #d4 ,promot+ innovative approa*es & use ( new te*nologies to detect1 prev5t1 & respond to influ5za 7a7 ,prioritiz+ influ5za1 influ5za comb9ation1 & pa?og5 agno/ic tools 7#a7 ,,nih ,! ,director ( ! ,national ,in/itutes ( ,heal? may conduct or support basic rese>* prioritiz+ ! developm5t (-- 7,a7 agno/ic tools to detect influ5za & o!r pa?og5s2 & 7,b7 te*nologies t automate sample prep>ation = su* tools4 7#b7 ,,b>da ,! ,director ( ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority may conduct or support advanc$ developm5t ( novel sequ5c+ modalities prioritiz+ tools describ$ 9 p>agraph 7#a77;,a7 & te*nologies describ$ 9 p>agraph 7#a77;,b74 7b7 ,developm5t ( po9t-(-,c>e & self-,te/+ diagno/ics ,! ,director ( ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority1 9 collaboration ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,director ( ! ,national ,in/itutes ( ,heal?1 & ! ,commission] ( ,food & ,drugs1 may conduct or support developm5t ( rapid1 accurate1 easily accessible1 self-adm9i/rable diagno/ic te/s t are readable at ! po9t ( c>e or at home4 7c7 ,incorporat+ diagno/ics supply *a9 resili5cy into influ5za p&emic plann+ ,! ,assi/ant ,secret>y = ,prep>$ness & ,response1 9 collaboration ) ! ,commission] ( ,food & ,drugs1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,secret>y ( ,comm]ce1 & ! ,secret>y ( ,transportation1 %all-- 7#a7 incorporate diagno/ics supply *a9 resili5cy into influ5za p&emic plann+ t supports a heal? c>e sy/em t te/s to treat & bol/]s te/+ & vacc9e deliv]y supply *a9s2 & 7#b7 n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 publi% a plan = rapidly exp&+ public & private diagno/ic te/+ capacity 7includ+ at cl9ical laboratories1 at public heal? dep>tm5t laboratories1 & by means ( self-te/+7 9 an influ5za p&emic1 includ+ address+ transportation infra/ructure1 ! ne$ = /]ilization1 & s\rc+ critical raw mat]ials1 compon5ts1 & p>ts4 7d7 ,scal+ ,up prophylactic influ5za antibody products t address gaps 9 cov]age ,! ,director ( ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority may conduct or support prev5tive approa*es1 includ+ ^? /ill 9 precl9ical & cl9ical /ages1 to rapidly scale up preexposure prophylactic influ5za antibody products t address influ5za infection4 7e7 ,mod]niz+ pot5cy assays ,! ,commission] ( ,food & ,drugs %all "w ) vacc9e manufactur]s to mod]nize pot5cy assays across a v>iety ( manufactur+ te*nologies s z to r$uce by #f weeks ! p]iod requir$ to fir/ evaluate new vacc9e c&idates dur+ a p&emic4 7f7 ,improv$ influ5za !rapeutics ,! ,director ( ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority may conduct or support improv$ influ5za !rapeutics t-- 7#a7 are m broadly protective2 & 7#b7 meet ! ne$s ( high-risk & high-exposure pati5ts4 #e4 ,increas+ influ5za vacc9e1 !rapeutics1 & te/+ access & cov]age across all populations 7a7 ,annual report on public communication /rategy ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion %all submit an annual report to ! ,congress on ! public communication /rategy ( ! ,c5t]s to increase public confid5ce 9 ! safety & effectiv5ess ( vacc9es4 7b7 ,s5se ( ,congress ,x is ! s5se ( ,congress t ! ,national ,in/itutes ( ,heal?1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,secret>y ( ,def5se1 ! ,secret>y ( ,vet]ans ,affairs1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 & ! ,commission] ( ,food & ,drugs %\ld support rese>* us+ l>ge data sets f multiple s\rces ( heal? data to fur!r support & evaluate vacc9e safety & effectiv5ess ov] multiple influ5za seasons4 7c7 ,address+ mis9=mation & dis9=mation 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all create p>tn]%ips to educate individuals ab\t ! safety & efficacy ( influ5za vacc9es & ! pot5tial h>ms ( influ5za1 p>ticul>ly = unvacc9at$ individuals4 7#b7 ,requirem5t ,! p>tn]%ips "u p>agraph 7#a7 %all all[ = dissem9ation ( be/ practices & lessons le>n$ betwe5 p>tn]+ organizations4 7#c7 ,memb]s ,! memb]s ( ! p>tn]%ips "u p>agraph 7#a7 %all include repres5tatives ( organizations ) exp]i5ce work+ ) vuln]able populations1 includ+-- 7,a7 individuals ) *ronic heal? conditions2 7,b7 old] ,am]icans2 7,c7 p>5ts ( "y *ildr52 7,d7 pregnant wom52 7,e7 ,tribal communities2 7,f7 racial & e?nic m9orities2 & 7,g7 rural communities4 7#d7 ,conf]r+ ) p>tn]+ organizations ,! ,secret>y ( ,heal? & ,human ,s]vices %all conf] ) organizations repres5t$ 9 p>tn]%ips "u p>agraph 7#a7-- 7,a7 9 advance ( ea* seasonal influ5za season1 on messag+ & communications2 & 7,b7 at ! end ( ea* seasonal influ5za season1 on be/ practices & lessons le>n$4 7#e7 ,report to ,congress ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all report to ! ,congress on ! p>tn]%ips creat$1 & activities conduct$1 "u ?is section4 7d7 ,communications public-,private p>tn]%ip 7#a7 ,9 g5]al ,n lat] ?an six mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all implem5t a t>get$ demon/ration project t provides = ! e/abli%m5t ( a communications public-private p>tn]%ip initiative = increas+ vacc9e confid5ce4 7#b7 ,requirem5ts ,! demon/ration project "u p>agraph 7#a7 %all-- 7,a7 be implem5t$ ?r\gh an indep5d5t1 nongov]nm5tal1 nonpr(it entity2 7,b7 focus on individuals ) *ronic illness or o!r comorbidities :o t5d to h worse cl9ical outcomes f influ5za 7su* z individuals ) he>t disease or diabetes1 & racial & e?nic m9orities72 7,c7 support behavioral rese>* ar\nd s\rces ( vacc9e hesitancy2 & 7,d7 develop & implem5t a t>get$1 multimodal communications campaign1 us+ int]net plat=ms1 television1 & nontraditional t>get$ social m$ia & community outrea* 9 an ef=t to rea* individuals :o may be especially vacc9e hesitant4 7#c7 ,report ,n lat] ?an six mon?s aft] completion ( ! demon/ration project "u p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7,a7 prep>e a report on ! demon/ration project1 includ+ an evaluation ( ! project's me?ods1 f9d+s1 & results2 & 7,b7 make su* report publicly available on ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7e7 ,incorporat+ heal? outrea* into seasonal & p&emic influ5za plann+ & response ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,assi/ant ,secret>y = ,prep>$ness & ,response %all-- 7#a7 incorporate heal? outrea* into ! seasonal & p&emic influ5za plann+ & response programs ov]se5 by su* (ficials2 & 7#b7 include 9 su* programs /rategies to rea* rural communities1 communities ) l[] socioeconomic /atus1 racial & e?nic m9orities1 s5iors1 & individuals ) disabilities1 includ+ address+ b>ri]s to vacc9ations1 !rapeutics1 & diagno/ics 9 ! po9t-(-c>e & at-home1 self-te/+ sett+s4 7f7 ,exp&+ access to influ5za treatm5t ?r\gh a te/-,to-,treat demon/ration program 7#a7 ,demon/ration project 7,a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all initiate an influ5za te/-to-treat demon/ration project4 7,b7 ,l5g?2 locations ,?is demon/ration project "u subp>agraph 7,a7 %all run = ! l5g? ( "o seasonal influ5za season & be bas$ 9 "o or m ( ! foll[+ locations3 7i7 ,facilities t s]ve vuln]able populations1 su* z populations :o are 9 long-t]m c>e facilities1 are #fe ye>s ( age or old]1 may h o!r m$ical conditions1 & w be 9 unavoidable close contact ) o!rs4 7ii7 ,f$]al heal? c>e facilities t s]ve at-risk & vuln]able communities1 su* z ,indian ,heal? ,s]vice cl9ics1 f$]ally qualifi$ heal? c5t]s 7z def9$ 9 section #ahfa7;aa7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa7771 & facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7iii7 ,o!r appropriate locations id5tifi$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ext]nal /akehold] organizations1 to te/ ! op]ational feasibility & impact ( influ5za te/-to-treat programs4 7#b7 ,report ,n lat] ?an #f mon?s aft] completion ( ! demon/ration project1 ! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7,a7 prep>e a report on ! demon/ration project "u p>agraph 7#a71 includ+ an evaluation ( ! project's me?ods1 f9d+s1 & results2 & 7,b7 make su* report publicly available on ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7g7 ,creat+ adm9i/ration pa?ways ,! ,secret>y ( ,heal? & ,human ,s]vices may aw>d grants to ,/ates to create adm9i/ration pa?ways = ph>macy p]sonnel to adm9i/] influ5za vacc9es1 te/s1 & !rapeutics1 9 ord] to increase vacc9ation1 te/+1 & relevant treatm5t z ne$$ = adults & *ildr54 7h7 ,/rategic ,national ,/ockpile & security c\nt]measure procurem5ts 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all incorporate into ! ,/rategic ,national ,/ockpile "u section #cai;,f-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b7 products ne$$ to respond to p&emic influ5za1 includ+ ?r\gh-- 7,a7 dynamic managem5t ( antivirals2 7,b7 v5dor-manag$ inv5tory ( te/+ equipm5t & supplies2 7,c7 repl5i%m5t ( ag+ antivirals1 te/+ equipm5t1 supplies1 & o!r products2 & 7,d7 div]sification ( /ockpil$ products4 7#b7 ,m$ical c\nt]measures prep>$ness review ,! ,assi/ant ,secret>y = ,prep>$ness & ,response %all incorporate into ! annual ,m$ical ,c\nt]measures ,prep>$ness ,review "u section #cai;,f-#b ( ! ,public ,heal? ,s]vice 7#db ,u4,s4,c4 #bdg;d-#f;b7 an assessm5t ( ! supplies available = an influ5za p&emic1 includ+ repl5i%m5t ( us$ & expir$ m$ical c\nt]measures & an assessm5t ( exi/+ ,/ate-level /ockpiles4 7#c7 ,,gao /udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy ( exi/+ ,/ate-level p&emic /ockpiles1 guidance provid$ by ,/rategic ,national ,/ockpile to ,/ate /ockpiles1 & ! suffici5cy ( su* guidance4 7i7 ,monitor+ & di/ribut+ influ5za antiviral supplies ,! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 monitor influ5za antiviral supplies ?r\gh\t ! c\ntry & publicly report *all5ges 9 availability 9 any region1 ,/ate1 c\nty1 or metropolitan area2 & 7#b7 e/abli% a process1 to be us$ 9 ! case ( a p&emic or dur+ times :5 influ5za antiviral supply availability is *all5g$1 to ensure rapid & effective di/ribution ( products to areas ( urg5t ne$ 9 close coord9ation ) manufactur]s1 di/ributors1 & ,/ate & local heal? (ficials4 7j7 ,plan = ensur+ access to appropriate influ5za !rapeutics1 preexposure prophylaxis1 & diagno/ics 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all publi% a plan = ensur+ access to appropriate influ5za !rapeutics1 preexposure prophylaxis influ5za antibody products1 & influ5za diagno/ics1 includ+ dur+ times :5 availability is *all5g$ 9 c]ta9 regions or localities1 =-- 7,a7 high-risk pati5ts1 su* z nurs+ home & p$iatric pati5ts2 7,b7 high-exposure pati5ts1 su* z fir/ respond]s & heal? c>e work]s2 & 7,c7 l[-income individuals1 individuals cov]$ by ,m$icaid1 un9sur$ individuals1 ,tribal communities1 & o!r und]s]v$ populations4 7#b7 ,communications ef=ts ,! plan requir$ by p>agraph 7#a7 %all include communications ef=ts to educate ! public ab\t ! b5efits ( e>ly use ( influ5za diagno/ics1 !rapeutics1 & preexposure prophylaxis products4 #f4 ,au?oriz+ su/a9able fund+ = ! influ5za ecosy/em 7a7 ,influ5za ,plann+ & ,response ,program ,!re is au?oriz$ to be appropriat$ #bca1ceh1jjj = fiscal ye> #bjbg & ea* subsequ5t fiscal ye> = programs & activities ( ! ,c5t]s = ,disease ,control & ,prev5tion relat+ to influ5za plann+ & response4 7b7 ,/rategic ,national ,/ockpile ,!re is au?oriz$ to be appropriat$ #a1jjj1jjj1jjj = fiscal ye> #bjbg & ea* subsequ5t fiscal ye> = ! ,/rategic ,national ,/ockpile "u section #cai;,f-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;b74 7c7 ,indu/rial base managem5t & supply *a9 ,!re is au?oriz$ #aj1jj1jjjj = fiscal ye> #bjbg & ea* subsequ5t fiscal ye> = ! ,c5t] = ,indu/rial ,base ,managem5t & ,supply ,*a9 ( ! ,adm9i/ration = ,/rategic ,prep>$ness & ,response4 7d7 ,hospital ,prep>$ness ,program ,!re is au?oriz$ to be appropriat$ #cjg1jjj1jjj = fiscal ye> #bjbg & ea* subsequ5t fiscal ye> = ! ,hospital ,prep>$ness ,program ( ! ,adm9i/ration = ,/rategic ,prep>$ness & ,response4 7e7 ,univ]sal ,flu ,vacc9e ,rese>* ,!re is au?oriz$ to be appropriat$ #bgj1jjj1jjj = fiscal ye> #bjbg & ea* subsequ5t fiscal ye> = rese>* ( ! ,national ,in/itutes ( ,heal? to develop a univ]sal flu vacc9e4 7f7 ,immunization ,program ,!re is au?oriz$ to be appropriat$ #fha1icc1jjj = fiscal ye> #bjbg & ea* subsequ5t fiscal ye> = ! immunization program ( ! ,c5t]s = ,disease ,control & ,prev5tion "u section #cag ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b74 7g7 ,public ,heal? ,em]g5cy ,prep>$ness ,program ,!re is au?oriz$ to be appropriat$ #gce1jjj1jjj = fiscal ye> #bjbg & ea* subsequ5t fiscal ye> = ! ,public ,heal? ,em]g5cy ,prep>$ness ,program ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7h7 ,data ,mod]nization ,initiative ,!re is au?oriz$ to be appropriat$ #ahe1jjj1jjj = fiscal ye> #bjbg & ea* subsequ5t fiscal ye> = ! ,public ,heal? ,data ,mod]nization ,initiative ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7i7 ,advanc$ ,molecul> ,detection ,program ,!re is au?oriz$ to be appropriat$ #dc1jjj1jjj = fiscal ye> #bjbg & ea* subsequ5t fiscal ye> = ! ,advanc$ ,molecul> ,detection ,program at ! ,c5t]s = ,disease ,control & ,prev5tion4 7j7 ,heal? def5se op]ations budget matt]s 7#a7 ,designation ,section #bea7;b77#b7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe 7#b ,u4,s4,c4 #ija7;b77#b77 is am5d$ by add+ at ! end ! foll[+3 7,h7 ,heal? def5se op]ations 7i7 ,if1 = any fiscal ye>1 appropriations = discretion>y acc\nts are enact$ t ! ,congress designates 9 /atute on an acc\nt-by-acc\nt basis z be+ = heal? def5se op]ations1 !n ! adju/m5t = t fiscal ye> %all be ! total ( su* appropriations = t fiscal ye>4 7ii7 ,any report or explanatory /atem5t accompany+ an appropriations ,act t conta9s an acc\nt ) am\nts t are designat$ z be+ = heal? def5se op]ations pursuant to clause 7i7 %all specify ea* program1 project1 or activity t w be fund$ by su* am\nts1 & a specific doll> am\nt provid$ = ea* su* program1 project1 or activity4 4 7#b7 ,pr(essional bypass budget ,title ,,iv ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bha et seq47 is am5d$ by ins]t+ aft] section #djb;,b ! foll[+3 #djb;,c4 ,heal? def5se op]ations pr(essional bypass budget 7a7 ,9 g5]al ,= fiscal ye> #bjbh & ea* fiscal ye> !reaft]1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,director ( ! ,national ,in/itutes ( ,heal?1 & ! ,assi/ant ,secret>y = ,prep>$ness & ,response %all prep>e & submit directly to ! ,presid5t = review & transmittal to ,congress1 aft] reasonable opportunity = comm5t1 b )\t *ange1 by ! ,secret>y ( ,heal? & ,human ,s]vices1 an annual budget e/imate 7includ+ an e/imate ( ! numb] & type ( p]sonnel ne$s = ! ,in/itutes7 = am\nts to be designat$ z be+ = heal? def5se op]ations pursuant to subp>agraph 7,h7 ( section #bea7;b77#b7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 7b7 ,programs1 projects1 & activities ,any budget e/imate submitt$ pursuant to subsection 7a7 by ! ,director %all include any program1 project1 or activity t receiv$ funds designat$ "u su* subp>agraph 7,h7 = ! fiscal ye> dur+ :i* su* budget is submitt$1 except t ! ,director may modify ! programs1 projects1 or activities conta9$ 9 su* budget e/imate z circum/ances w>rant4 4