,,ii  #aai? ,,congress  #a/ ,session    
,s4 #iii  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #ab1 #bjbe,mr4    
,s*mitt 7= himself & ,mr4 ,lee7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to re=m ! ,c5t]s = ,disease 
,control & ,prev5tion1 limit ! scope (  
public heal? au?orities1 & = o!r        
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,public ,heal? ,improvem5t 
,act4  #b4 ,t]ms ( ,,cdc & ,,nih        
directors  7a7 ,t]m ( ,,cdc director    
,section #cje7;a7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bdb;c7a77  
is am5d$ by add+ at ! end ! foll[+3 ,no 
individual may s]ve z ,director = a     
total p]iod ( m ?an #ab ye>s44  7b7 ,t]m
 ( ,,nih director ,section #djb7;a7 ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhb7;a77 is am5d$ by add+ at 
! end ! foll[+3 ,no individual may s]ve 
z ,director ( ,,nih = a total p]iod ( m 
?an #ab ye>s44  #c4 ,limit+ ! ,,cdc     

/rategic plan ,section #cje7;c77#b77;,a7
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bdb;c7c77#b77;,a77 is am5d$--
 7#a7 9 clause 7i71 by /rik+ &          
noncommunicable diseases or conditions1 
& address+ injuries1 & occupational &   
environm5tal haz>ds & ins]t+ diseases2  
7#b7 9 clause 7ii71 by /rik+ or         
conditions2  7#c7 9 clause 7iii71 by    
add+ & at ! end2  7#d7 9 clause 7iv71 by
 /rik+ 2 & & ins]t+ a semicolon2 &  7#e7
 by /rik+ clause 7v74  #d4 ,advisory    
committee to ! ,,cdc ,director ,section 
#cje;,a7c7 ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bdb;c-#a7;c77 is   
am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+  
by ! ,secret>y "u & ins]t+ z describ$ 92
 &  7#b7 9 p>agraph 7#c71 by /rik+      
subp>agraphs 7,a7 & 7,b7 & ins]t+ !     
foll[+3  7,a7 ,?ree memb]s %all be      
appo9t$ by ! ,secret>y ( ,heal? & ,human
 ,s]vices-- 7i7 #a ( :om %all be appo9t$
 to repres5t ! ,dep>tm5t ( ,heal? &     
,human ,s]vices2 &  7ii7 #a ( :om %all  
be a public heal? (ficial4  7,b7 ,two   

memb]s %all be appo9t$ by ! majority    
lead] ( ! ,s5ate4  7,c7 ,two memb]s %all
 be appo9t$ by ! m9ority lead] ( !      
,s5ate4  7,d7 ,two memb]s %all be       
appo9t$ by ! ,speak] ( ! ,h\se (        
,repres5tatives4  7,e7 ,two memb]s %all 
be appo9t$ by ! m9ority lead] ( ! ,h\se 
( ,repres5tatives4  7,f7 ,f\r memb]s    
%all be appo9t$ by ! ,comptroll] ,g5]al 
( ! ,unit$ ,/ates4  4  #e4 ,limit+ !    
scope ( regulations ( ! ,dep>tm5t (     
,heal? & ,human ,s]vices to control     
communicable diseases ,section #cfa7;a7 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bfd7;a77 is am5d$ to read z  
foll[s3  7a7 ,to prev5t ! introduction1 
transmission1 or spread ( communicable  
diseases f =eign c\ntries into ! ,/ates 
or possessions1 or f "o ,/ate or        
possession into any o!r ,/ate or        
possession1 ! ,secret>y may make & en=ce
 regulations = ! inspection1 fumigation1
 dis9fection1 sanitation1 pe/           
ext]m9ation1 or de/ruction ( animals or 
articles f\nd to be s infect$ or        

contam9at$ z to be s\rces ( dang]\s     
infection to human be+s4  4  #f4        
,congressional approval = public heal?  
em]g5cies ,section #cai7;a7 ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;d7a77 is am5d$ by /rik+ ! ?ird &   
f\r? s5t5ces & ins]t+ ! foll[+3         
,det]m9ations t t]m9ate "u ! prec$+     
s5t5ce may be r5ew$ by a majority vote 9
 bo? *amb]s ( ,congress1 & su* a r5ewal 
p]iod t]m9ates ^u ! ,secret>y decl>+ t !
 em]g5cy no long] exi/s or ! expiration 
( ! #ij-;day p]iod beg9n+ on ! date on  
:i* bo? *amb]s ( ,congress h vot$ 9     
favor ( su* r5ewal1 :i*ev] occurs fir/4 
,n lat] ?an #dh h\rs aft] mak+ a        
det]m9ation "u ?is subsection ( a public
 heal? em]g5cy1 ! ,secret>y %all submit 
to ! ,congress writt5 notification ( !  
det]m9ation44  #g4 ,transf] ( (fices to 
,,nih  7a7 ,9 g5]al ,effective on ! date
 t is #b ye>s aft] ! date ( enactm5t (  
?is ,act1 not)/&+ any o!r provision (   
law1 ! au?orities1 functions1 p]sonnel1 
& assets ( ! (fices describ$ 9          

subsection 7b7 %all be transf]r$ f !    
,c5t]s = ,disease ,control & ,prev5tion 
to ! ,national ,in/itutes ( ,heal?4  7b7
 ,(fices describ$ ,! (fices describ$ 9  
?is subsection are ! foll[+3 7#a7 ,!    
,national ,c5t] on ,bir? ,defects &     
,developm5tal ,disabilities4  7#b7 ,!   
,national ,c5t] = ,*ronic ,disease      
,prev5tion & ,heal? ,promotion4  7#c7 ,!
 ,national ,c5t] = ,environm5tal ,heal?4
  7#d7 ,! ,ag5cy = ,toxic ,sub/ances &  
,disease ,regi/ry4  7#e7 ,! ,national   
,c5t] = ,heal? ,/ati/ics4  7#f7 ,!      
,national ,c5t] = ,,hiv1 ,viral         
,hepatitis1 ,,/d1 & ,tub]culosis        
,prev5tion4  7#g7 ,! ,national ,c5t] =  
,injury ,prev5tion & ,control4  7#h7 ,! 
,national ,in/itute = ,occupational     
,safety & ,heal?4  #h4 ,regulations ,n  
lat] ?an #ij days aft] ! date ( enactm5t
 ( ?is ,act1 ! ,secret>y ( ,heal? &     
,human ,s]vices %all issue su* new or   
revis$ regulations z are necess>y to    
c>ry out ?is ,act 7includ+ ! am5dm5ts   
made by ?is ,act74  #i4 ,preemption ,!  

provisions ( ?is ,act 7includ+ !        
am5dm5ts made by ?is ,act7 %all sup]s$e 
any provision ( ,f$]al1 ,/ate1 ,tribal1 
t]ritorial1 or local law1 decl>ation1   
guidance1 or directive to ! ext5t t su* 
law1 decl>ation1 guidance1 or directive 
is inconsi/5t ) ?is ,act 7includ+ su*   
am5dm5ts74