[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4420 Introduced in House (IH)]
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118th CONGRESS
1st Session
H. R. 4420
To reauthorize certain programs under the Public Health Service Act
with respect to public health security and all-hazards preparedness and
response related to the Centers for Disease Control and Protection, and
for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
June 30, 2023
Mr. Hudson introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To reauthorize certain programs under the Public Health Service Act
with respect to public health security and all-hazards preparedness and
response related to the Centers for Disease Control and Protection, and
for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Preparedness and
Response Reauthorization Act''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
Sec. 1. Short title; table of contents.
TITLE I--PREPARING FOR AND RESPONDING TO PUBLIC HEALTH SECURITY THREATS
Sec. 101. Improving State and local public health security.
Sec. 102. Facilities and capacities of the Centers for Disease Control
and Prevention to combat public health
security threats.
Sec. 103. Monitoring and distribution of certain medical
countermeasures.
Sec. 104. Enhanced control of dangerous biological agents and toxins.
Sec. 105. Mosquito-borne diseases.
Sec. 106. Epidemiology-laboratory capacity.
Sec. 107. Review of Federal public health data collection and sharing.
TITLE II--ENSURING WORKFORCE TO PREPARE FOR AND RESPOND TO PUBLIC
HEALTH SECURITY THREATS
Sec. 201. Temporary reassignment of State and local personnel during a
public health emergency.
Sec. 202. Epidemic Intelligence Service.
TITLE I--PREPARING FOR AND RESPONDING TO PUBLIC HEALTH SECURITY THREATS
SEC. 101. IMPROVING STATE AND LOCAL PUBLIC HEALTH SECURITY.
(a) Authorization of Appropriations.--Section 319C-1(h)(1)(A) of
the Public Health Service Act (42 U.S.C. 247d-3a(h)(1)(A)) is amended
by striking ``$685,000,000 for each of fiscal years 2019 through 2023''
and inserting ``$735,000,000 for each of fiscal years 2024 through
2028''.
(b) Elimination of Deadwood.--Section 319C-1(h) of the Public
Health Service Act (42 U.S.C. 247d-3a(h)) is amended--
(1) by striking paragraphs (4) and (5); and
(2) by redesignating paragraphs (6) and (7) as paragraphs
(4) and (5).
SEC. 102. FACILITIES AND CAPACITIES OF THE CENTERS FOR DISEASE CONTROL
AND PREVENTION TO COMBAT PUBLIC HEALTH SECURITY THREATS.
(a) Study.--Section 319D(a)(4) of the Public Health Service Act (42
U.S.C. 247d-4(a)(4)) is amended by striking ``Not later than June 1,
2022, the Comptroller General of the United States shall conduct a
study on Federal spending in fiscal years 2013 through 2018'' and
inserting ``Not later than June 1, 2027, the Comptroller General of the
United States shall conduct a study on Federal spending in fiscal years
2021 through 2026''.
(b) Authorization of Appropriations.--Section 319D(h) of the Public
Health Service Act (42 U.S.C. 247d-4(h)) is amended--
(1) in paragraph (1), by striking ``$25,000,000 for each of
fiscal years 2022 and 2023'' and inserting ``$40,000,000 for
each of fiscal years 2024 through 2028''; and
(2) in paragraph (2), by striking ``2022 and 2023'' and
inserting ``2024 through 2028''.
SEC. 103. MONITORING AND DISTRIBUTION OF CERTAIN MEDICAL
COUNTERMEASURES.
Section 319A(e) of the Public Health Service Act (42 U.S.C. 247d-
1(e)) is amended by striking ``2019 through 2023'' and inserting ``2024
through 2028''.
SEC. 104. ENHANCED CONTROL OF DANGEROUS BIOLOGICAL AGENTS AND TOXINS.
Section 351A(m) of the Public Health Service Act (42 U.S.C.
262a(m)) is amended by striking ``2027'' and inserting ``2028''.
SEC. 105. MOSQUITO-BORNE DISEASES.
Section 317S(f) of the Public Health Service Act (42 U.S.C. 247b-
21(f)) is amended--
(1) in paragraph (1), by striking ``2019 through 2023'' and
inserting ``2024 through 2028''; and
(2) by striking paragraph (3).
SEC. 106. EPIDEMIOLOGY-LABORATORY CAPACITY.
Section 2821(b) (42 U.S.C. 300hh-31(b)) is amended by striking
``2019 through 2023'' and inserting ``2024 through 2028''.
SEC. 107. REVIEW OF FEDERAL PUBLIC HEALTH DATA COLLECTION AND SHARING.
(a) In General.--The Comptroller General of the United States shall
evaluate the Federal Government's collection and sharing of public
health data to respond to public health emergencies involving
infectious disease outbreaks or biological threats, such as the COVID-
19 pandemic, and provide as appropriate recommendations to address the
collection and sharing of public health data.
(b) Topics.--The evaluation under subsection (a) shall include a
review of what is known about--
(1) the authorities, policies, and operational tools used
by the Secretary of Health and Human Services to collect public
health data from, and share public health data with, other
Federal agencies, State, local, territorial, and Tribal
governments, and other partners, including--
(A) how those authorities, policies, and tools were
used during the COVID-19 public health emergency;
(B) how Federal funds were expended for the purpose
of public health data collection and sharing during the
COVID-19 public health emergency;
(C) any challenges posed by redundant data
reporting requirements placed on State, local,
territorial, and Tribal governments and other partners
during the COVID-19 public health emergency, including
whether these requirements conflicted with the needs of
State, local, territorial, or Tribal communities or
other partners; and
(D) any publicly available resources to track how
public health data is being collected, shared, and used
with other Federal agencies, State, local, territorial,
and Tribal governments, and other partners;
(2) any limitations on the authorities, policies, and tools
used during declared public health emergencies, including
throughout the COVID-19 public health emergency, that affect
the Federal Government's ability to respond to declared public
health emergencies;
(3) any redundancy or overutilization in the authorities,
policies, and tools used during declared public health
emergencies, including throughout the COVID-19 public health
emergency, including whether any redundant data reporting
requirements conflicted with the needs of State, local,
territorial, or Tribal communities or other partners; and
(4) the Federal Government's data collection, sharing, and
epidemiological modeling during the COVID-19 public health
emergency compared with the data collection, sharing, and
epidemiological modeling of nonprofit and private sector
stakeholders, including how the Secretary developed tools, or
used already existing tools, to collect, share, model, and
disseminate public health data in comparison to the development
of tools and use of existing tools for such purposes by the
nonprofit and private sectors.
(c) Report to Congress.--Not later than 18 months after the date of
enactment of this Act, the Comptroller General of the United States
shall submit a report to the Congress on the results of the evaluation
under subsection (a).
(d) Definition.--In this section, the term ``other partners''
includes--
(1) hospitals and physician practices;
(2) health systems and health plans;
(3) manufacturers and distributors; and
(4) clinical laboratories.
TITLE II--ENSURING WORKFORCE TO PREPARE FOR AND RESPOND TO PUBLIC
HEALTH SECURITY THREATS
SEC. 201. TEMPORARY REASSIGNMENT OF STATE AND LOCAL PERSONNEL DURING A
PUBLIC HEALTH EMERGENCY.
(a) Report to Congress.--Section 319(e)(6) of the Public Health
Service Act (42 U.S.C. 247d(e)(6)) is amended by striking ``Not later
than 4 years after the date of enactment of the Pandemic and All-
Hazards Preparedness Reauthorization Act of 2013, the Comptroller
General of the United States shall'' and inserting ``Not later than 4
years after the date of enactment of the Preparedness and Response
Reauthorization Act, the Comptroller General of the United States
shall''.
(b) Sunset.--Section 319(e)(8) of the Public Health Service Act (42
U.S.C. 247d(e)(8)) is amended by striking ``2023'' and inserting
``2028''.
SEC. 202. EPIDEMIC INTELLIGENCE SERVICE.
Section 317F(c)(2) of the Public Health Service Act (42 U.S.C.
247b-7(c)(2)) is amended by striking ``2019 through 2023'' and
inserting ``2024 through 2028''.
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