[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4421 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 4421
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 Administration for Strategic Preparedness and
Response, 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 Administration for Strategic Preparedness and
Response, 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 ``Preparing for All
Hazards and Pathogens 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. National health security strategy.
Sec. 102. Protection of national security from threats.
Sec. 103. Public Health Emergency Medical Countermeasures Enterprise.
Sec. 104. Partnerships for State and regional hospital preparedness to
improve surge capacity.
Sec. 105. Guidelines for regional health care emergency preparedness
and response systems.
Sec. 106. Strategic National Stockpile.
Sec. 107. Diagnostic testing preparedness plan.
Sec. 108. Biomedical advanced research and development authority.
Sec. 109. Ensuring collaboration and coordination in medical
countermeasure development.
Sec. 110. Review of ASPR efforts to ensure supply chain resiliency and
accountability.
Sec. 111. Review of HHS efforts to ensure rapid production and domestic
manufacturing capacity of medical
countermeasures.
Sec. 112. Crisis standards of care.
TITLE II--ENSURING WORKFORCE TO PREPARE FOR AND RESPOND TO PUBLIC
HEALTH SECURITY THREATS
Sec. 201. Emergency system for advance registration of volunteer health
professional.
Sec. 202. Military and civilian partnership for trauma readiness.
Sec. 203. National advisory committees on disasters.
Sec. 204. National Disaster Medical System.
Sec. 205. Volunteer Medical Reserve Corps.
TITLE I--PREPARING FOR AND RESPONDING TO PUBLIC HEALTH SECURITY THREATS
SEC. 101. NATIONAL HEALTH SECURITY STRATEGY.
(a) Public Health Workforce.--Section 2802(a)(3) of the Public
Health Service Act (42 U.S.C. 300hh-1(a)(3)) is amended by striking
``In 2022, the'' and inserting ``The''.
(b) Medical and Public Health Community Preparedness Goal.--Section
2802(b)(8)(A) of the Public Health Service Act (42 U.S.C. 300hh-
1(b)(8)(A)) is amended by inserting before the semicolon the following:
``, including by protecting against cybersecurity threats''.
SEC. 102. PROTECTION OF NATIONAL SECURITY FROM THREATS.
Section 2811(f)(2)(A) of the Public Health Service Act (42 U.S.C.
300hh-10(f)(2)(A)) is amended by striking ``$250,000,000 for each of
fiscal years 2019 through 2023'' and inserting ``$327,991,000 for each
of fiscal years 2024 through 2028''.
SEC. 103. PUBLIC HEALTH EMERGENCY MEDICAL COUNTERMEASURES ENTERPRISE.
(a) Members.--Section 2811-1(b) of the Public Health Service Act
(42 U.S.C. 30hh-10a(b)) is amended by striking paragraph (11) and
inserting the following:
``(11) The Director of the Biomedical Advanced Research and
Development Authority.
``(12) The Director of the Strategic National Stockpile.
``(13) Representatives of any other Federal agency, which
may include the Director of the National Institute of Allergy
and Infectious Diseases and the Director of the Office of
Public Health Preparedness and Response, as the Secretary
determines appropriate.''.
(b) Functions.--Section 2811-1(c)(2) of the Public Health Service
Act (42 U.S.C. 30hh-10a(c)(2)) is amended to read as follows:
``(2) Input.--In carrying out this section, the PHEMCE
shall solicit and consider input from--
``(A) the PHEMCE Advisory Committee maintained
under subsection (d), as appropriate; and
``(B) State, local, Tribal, and territorial public
health departments or officials, as appropriate.''.
(c) Advisory Committee.--Section 2811-1 of the Public Health
Service Act (42 U.S.C. 30hh-10a) is amended by adding at the end the
following:
``(d) PHEMCE Advisory Committee.--
``(1) Establishment.--The Secretary shall--
``(A) establish and maintain an advisory committee
to be known as the PHEMCE Advisory Committee (in this
subsection referred to as the `Advisory Committee') to
seek input and ensure communication and transparency in
the functions of the PHEMCE; and
``(B) seek input from and consult with external
partners with divergent threat portfolios, including
chemical, biological, radiological, or nuclear agents
and emerging infectious diseases, to ensure the right
combination of threat-specific expertise on PHEMCE
functions under subsection (c)(1) and to ensure
appropriate capability and capacity to maintain overall
readiness.
``(2) Duties.--The Advisory Committee shall--
``(A) provide advice to the PHEMCE in carrying out
its functions;
``(B) solicit and incorporate the input of the
private sector, non-Federal partners, and stakeholders
to increase communication and transparency, identify
gaps of preparedness, and coordinate improvements in
PHEMCE decision-making;
``(C) aid in the PHEMCE's strategic planning and
decision-making regarding medical countermeasure
research, advanced research, development, procurement,
stockpiling, replenishment, deployment, and
distribution;
``(D) aid in interactions among the PHEMCE's
members listed in subsection (b) and other government
entities; and
``(E) aid in the PHEMCE's communication of
decisions related to the PHEMCE's functions.
``(3) Membership.--The Secretary, in consultation with the
members of the PHEMCE listed in subsection (b), shall appoint
to the Advisory Committee at least 9, and not more than 15,
individuals, including--
``(A) at least 3 non-Federal professionals with
expertise in medical countermeasure development,
including medical countermeasures for chemical,
biological, radiological, or nuclear agents and
emerging infectious diseases;
``(B) at least 2 non-Federal professionals with
expertise in medical countermeasure stockpiling and
replenishment;
``(C) at least 2 non-Federal professionals with
expertise in the medical countermeasure supply chain,
including medical countermeasure manufacturing and
distribution;
``(D) at least 2 non-Federal professionals with
expertise in medical disaster planning, preparedness,
response, or recovery;
``(E) 1 non-Federal professional appointed by the
Speaker of the House of Representatives;
``(F) 1 non-Federal professional appointed by the
minority leader of the House of Representatives;
``(G) 1 non-Federal professional appointed by the
majority leader of the Senate; and
``(H) 1 non-Federal professional appointed by the
minority leader of the Senate.
``(4) Term of appointment.--Each member of the Advisory
Committee shall be appointed for a term of 2 years and may be
reappointed for two additional terms of 2 years, for a total of
not more than 6 years. The first and second such terms may be
consecutive. The third such term may not be consecutive.
``(5) Meetings.--The Advisory Committee shall--
``(A) meet not less than 4 times in each calendar
year that begins after the establishment of the
Advisory Committee;
``(B) hold all meetings in-person;
``(C) for purposes of ensuring transparency,
provide adequate advance notice of the date of each
meeting, including by publicly posting the meeting date
30 days before the date on which the meeting is to be
held;
``(D) not later than 60 days after each meeting,
communicate the activities carried out and decisions
made during, and minutes of, such meeting to the
appropriate congressional committees; and
``(E) not later than 30 days after each meeting,
communicate the activities carried out and decisions
made during, and minutes of, such meeting to the
PHEMCE.''.
SEC. 104. PARTNERSHIPS FOR STATE AND REGIONAL HOSPITAL PREPAREDNESS TO
IMPROVE SURGE CAPACITY.
(a) Authorization of Appropriations.--Section 319C-2(j)(1)(A) of
the Public Health Service Act (42 U.S.C. 247d-3b(j)(1)(A)) is amended
by striking ``2019 through 2023'' and inserting ``2024 through 2028''.
(b) Sunset.--Section 319C-2(j)(1)(B)(iii) of the Public Health
Service Act (42 U.S.C. 247d-3b(j)(1)(B)(iii)) is amended by striking
``2023'' and inserting ``2028''.
SEC. 105. GUIDELINES FOR REGIONAL HEALTH CARE EMERGENCY PREPAREDNESS
AND RESPONSE SYSTEMS.
(a) Guidelines.--Section 319C-3(b)(3) of the Public Health Service
Act (42 U.S.C. 247d-3c(b)(3)) is amended by striking ``the Pandemic and
All-Hazards Preparedness and Advancing Innovation Act of 2019
(including any amendments made by such Act)'' and inserting ``the
Pandemic and All-Hazards Preparedness and Advancing Innovation Act of
2019, the PREVENT Pandemics Act (title II of division FF of Public Law
117-328), and the Preparing for All Hazards and Pathogens
Reauthorization Act''.
(b) Demonstration Project for Regional Health Care Preparedness and
Response Systems.--Section 319C-3(e)(2) of the Public Health Service
Act (42 U.S.C. 247d-3c(e)(2)) is amended by striking ``2023'' and
inserting ``2028''.
SEC. 106. STRATEGIC NATIONAL STOCKPILE.
(a) Responsibility for Administering the Strategic National
Stockpile.--
(1) Transfer.--
(A) In general.--Section 319F-2(a)(1) of the Public
Health Service Act (42 U.S.C. 247d-6b(a)(1)) is amended
by striking ``The Secretary, in collaboration with the
Assistant Secretary for Preparedness and Response and
the Director of the Centers for Disease Control and
Prevention, and in coordination with the Secretary of
Homeland Security'' and inserting ``The Secretary,
acting through the Assistant Secretary for Preparedness
and Response, in coordination with the Director of the
Centers for Disease Control and Prevention and the
Secretary of Homeland Security''.
(B) Conforming amendment.--Section 319F-2(a)(3)(E)
of the Public Health Service Act (42 U.S.C. 247d-
6b(a)(3)(E)) is amended by striking ``the Assistant
Secretary for Preparedness and Response,''.
(C) Pilot program to support state medical
stockpiles.--Section 319F-2(i)(1) of the Public Health
Service Act (42 U.S.C. 247d-6b(i)(1)) is amended by
striking ``The Secretary, in consultation with the
Assistant Secretary for Preparedness and Response and
the Director of the Centers for Disease Control and
Prevention'' and inserting ``The Secretary, acting
through the Assistant Secretary for Preparedness and
Response, in consultation with the Director of the
Centers for Disease Control and Prevention''.
(D) Transition.--The Secretary of Health and Human
Services shall take such actions as may be necessary to
ensure that, not later than 180 days after the date of
enactment of this Act, the amendments made by this
subsection are fully implemented, including any
necessary transfer of personnel and resources.
(2) ASPR authorities.--
(A) Additional coordination duty.--Section
2811(b)(4) of the Public Health Service Act (42 U.S.C.
247d-6b(b)) is amended by adding at the end the
following:
``(K) Strategic national stockpile.--Coordinate
with the Director of the Centers for Disease Control
and Prevention and the Secretary of Homeland Security
regarding the maintenance and operation of, and
procurement and contracting related to, the Strategic
National Stockpile under section 319F-2.''.
(B) Additional responsibility.--
(i) In general.--Section 2811(c)(2) of the
Public Health Service Act (42 U.S.C. 247d-
6b(c)(2)) is amended--
(I) by redesignating subparagraphs
(E) and (F) as subparagraphs (F) and
(G), respectively; and
(II) by inserting after
subparagraph (D) the following:
``(E) the Strategic National Stockpile pursuant to
section 319F-2;''.
(ii) Conforming changes.--Section
2811(c)(3) of the Public Health Service Act (42
U.S.C. 247d-6b(c)(3)) is amended--
(I) in subparagraph (A), by
inserting ``and'' after the semicolon;
(II) by striking subparagraph (B);
and
(III) by redesignating subparagraph
(C) as subparagraph (B).
(b) Vendor-Managed Inventory and Warm-Based Surge Capacity
Contracts and Cooperative Agreements With Clinical Laboratories.--
Section 319F-2(a)(5)(A) of the Public Health Service Act (42 U.S.C.
247d-6b(a)(5)(A)) is amended--
(1) by inserting after ``contracts or cooperative
agreements with vendors, which may include manufacturers or
distributors of medical products,'' the following: ``as well as
clinical laboratories,''; and
(2) in clause (ii), by striking ``domestic manufacturing
capacity'' and inserting ``domestic manufacturing and
laboratory capacity''.
(c) Contract Notification.--Section 319F-2(a) of the Public Health
Service Act (42 U.S.C. 247d-6b(a)) is amended by adding at the end the
following:
``(8) Procurement contract duration.--
``(A) In general.--A contract for the procurement
of a drug, vaccine or other biological product, medical
device, or other supplies for the stockpile under
paragraph (1) shall be for a period not to exceed five
years, except that, in first awarding the contract, the
Secretary may provide for a longer duration, not
exceeding 10 years, if the Secretary determines that
complexities or other difficulties in performance under
the contract justify such a period. The contract shall
be renewable for additional periods, none of which
shall exceed five years.
``(B) Notification.--The Secretary shall notify--
``(i) the Committee on Appropriations and
the Committee on Energy and Commerce of the
House of Representatives and the Committee on
Appropriations and the Committee on Health,
Education, Labor, and Pensions of the Senate
upon a determination by the Secretary to
modify, renew, extend, or terminate a contract
referred to in subparagraph (A); and
``(ii) the relevant vendor within 90 days
of a determination by the Secretary to modify,
renew, extend, or terminate such a contract.''.
(d) Authorization of Appropriations.--
(1) In general.--Section 319F-2(f) of the Public Health
Service Act (42 U.S.C. 247d-6b(f)) is amended--
(A) in paragraph (1), by striking ``$610,000,000
for each of fiscal years 2019 through 2021, and
$750,000,000 for each of fiscal years 2022 and 2023''
and inserting ``$965,000,000 for each of fiscal years
2024 through 2028'';
(B) by striking paragraph (2); and
(C) by striking ``Authorization of Appropriations''
and all that follows through ``For the purpose of
carrying out subsection (a), there are authorized to be
appropriated'' and inserting ``Authorization of
Appropriations.--For the purpose of carrying out
subsection (a), there is authorized to be
appropriated''.
(2) Pilot program to support state medical stockpiles.--
Section 319F-2(i)(9) of the Public Health Service Act (42
U.S.C. 247d-6b(i)(9)) is amended by striking ``2024'' and
inserting ``2028''.
SEC. 107. DIAGNOSTIC TESTING PREPAREDNESS PLAN.
The Public Health Service Act (42 U.S.C. 201 et seq.) is amended by
inserting after section 319F-5 of such Act (42 U.S.C. 247d-6f) the
following:
``SEC. 319F-6. DIAGNOSTIC TESTING PREPAREDNESS PLAN.
``(a) In General.--The Secretary, acting through the Assistant
Secretary for Preparedness and Response, and in consultation with the
heads of relevant Federal agencies, shall develop not later than 1 year
after the date of enactment of this section and update not less than
every 3 years thereafter a plan for rapid development, authorization,
scaling, procurement, and distribution of diagnostics and clinical and
diagnostic laboratory testing capacity during a public health emergency
declared under section 319.
``(b) Purposes.--The purposes of the plan under subsection (a)
shall be--
``(1) to facilitate the development and utilization of
diagnostics for use with respect to a novel chemical,
biological, radiological, or nuclear threat or an emerging
infectious disease, including any such high-throughput
laboratory diagnostic, point-of-care diagnostic, or rapid at-
home or point-of-use diagnostic; and
``(2) to describe the processes for rapid development,
authorization, scaling, procurement, and distribution of
diagnostics and clinical and diagnostic laboratory testing
capacity.
``(c) Public-Private Coordination.--
``(1) In general.--The Secretary, acting through the
Assistant Secretary for Preparedness and Response, shall
include within the plan under subsection (a) a plan for public-
private coordination on national diagnostic testing during a
public health emergency.
``(2) Contents.--The plan under paragraph (1) shall be
designed to facilitate coordination and collaboration among--
``(A) government agencies; and
``(B) critical private-sector diagnostic testing
stakeholders, including private-sector clinical and
diagnostic laboratories, diagnostic manufacturers,
health care product distributors, and research
laboratories.
``(d) Public Availability.--The Secretary, acting through the
Assistant Secretary for Preparedness and Response, shall make the plan
under subsection (a) publicly available.
``(e) Reports to Congress.--Not later than 1 year after commencing
implementation of the plan under subsection (a) for a public health
emergency, the Secretary, acting through the Assistant Secretary for
Preparedness and Response, shall submit to the Congress a report
evaluating the effectiveness of activities implemented under the
plan.''.
SEC. 108. BIOMEDICAL ADVANCED RESEARCH AND DEVELOPMENT AUTHORITY.
(a) Medical Countermeasures for Viral Threats With Pandemic
Potential.--Section 319L(c)(4) of the Public Health Service Act (42
U.S.C. 247d-7e(c)(4)) is amended--
(1) in subparagraph (D)--
(A) in clause (ii), by striking ``; and'' and
inserting a semicolon;
(B) by redesignating clause (iii) as clause (v);
and
(C) by inserting after clause (ii) the following:
``(iii) the identification and development
of platform manufacturing technologies needed
for advanced development and manufacturing of
medical countermeasures for viral families
which have significant potential to cause a
pandemic;
``(iv) advanced research and development of
flexible medical countermeasures against
priority respiratory virus families and other
respiratory viral pathogens with a significant
potential to cause a pandemic, with both
pathogen-specific and pathogen-agnostic
approaches; and''; and
(2) in subparagraph (F)--
(A) in clause (ii), by striking ``; and'' at the
end and inserting a semicolon;
(B) in clause (iii), by striking the period and
inserting ``; and''; and
(C) by adding at the end the following:
``(iv) priority virus families and other
viral pathogens with a significant potential to
cause a pandemic.''.
(b) Contract Notification.--Section 319L(c)(5) of the Public Health
Service Act (42 U.S.C. 247d-7e(c)(5)) is amended by adding at the end
the following:
``(I) Duration.--A contract, grant, cooperative
agreement, or other transaction entered into under this
section shall be for a period not to exceed five years,
except that, in first awarding the grant or entering
into the contract, cooperative agreement, or other
transaction, the Secretary may provide for a longer
duration, not exceeding 10 years, if the Secretary
determines that complexities or other difficulties in
performance under the contract, grant, cooperative
agreement, or other transaction justify such a period.
The contract, grant, cooperative agreement, or other
transaction shall be renewable for additional periods,
none of which shall exceed five years. The Secretary
shall notify the vendor within 90 days of a
determination by the Secretary to modify, renew,
extend, or terminate such contract, grant, cooperative
agreement, or other transaction.''.
(c) Authorization of Appropriations.--Section 319L(d)(2) of the
Public Health Service Act (42 U.S.C. 247d-7e(d)(2)) is amended by
striking ``$611,700,000 for each of fiscal years 2019 through 2023''
and inserting ``$950,000,000 for each of fiscal years 2024 through
2028''.
(d) Inapplicability of Certain Provisions Sunset.--Section
319L(e)(1)(D) of the Public Health Service Act (42 U.S.C. 247d-
7e(e)(1)(D)) is amended by striking ``on the date that is 17 years
after the date of enactment of the Pandemic and All-Hazards
Preparedness Act'' and inserting ``on October 1, 2028''.
SEC. 109. ENSURING COLLABORATION AND COORDINATION IN MEDICAL
COUNTERMEASURE DEVELOPMENT.
Section 319L-1(b) of the Public Health Service Act (42 U.S.C. 274d-
7f(b)) is amended by striking ``at the end of the 17-year period that
begins on the date of enactment of this Act'' and inserting ``on
October 1, 2028''.
SEC. 110. REVIEW OF ASPR EFFORTS TO ENSURE SUPPLY CHAIN RESILIENCY AND
ACCOUNTABILITY.
(a) In General.--Not later than 18 months after the date of
enactment of this Act, the Comptroller General of the United States
shall complete a review of--
(1) the Supply Chain Control Tower Program (in this section
referred to as the ``SCCT Program'') under the Administration
for Strategic Preparedness and Response of the Department of
Health and Human Services; and
(2) any related efforts of the Administration for Strategic
Preparedness and Response--
(A) to create supply chain visibility into
inventory, capacity, and distribution flow of certain
products critical to preparedness and response efforts;
(B) to provide insights into demand forecasting and
modeling of certain products critical to preparedness
and response efforts; or
(C) to inform preparedness and response efforts by
targeting distribution and coordinating supply with
demand for certain products critical to preparedness
and response efforts.
(b) Issues.--The review under this section shall include
examination of--
(1) the data being collected and maintained pursuant to the
SCCT Program;
(2) how the Department of Health and Human Services, acting
through the Administration for Strategic Preparedness and
Response, uses such data to provide supply chain visibility and
address actual or potential supply gaps;
(3) the extent to which such data is provided and shared
with end users, including States, localities, Territories,
Tribes, and industry partners;
(4) the frequency and cadence of data reporting and sharing
by and among States, localities, Territories, Tribes, and
industry partners;
(5) information related to the type and number of States,
localities, Territories, Tribes, and industry partners
participating in the SCCT Program;
(6) the process by which States, localities, Territories,
Tribes, and industry partners voluntarily choose to participate
in the SCCT Program; and
(7) any inefficiencies, deficiencies, or challenges related
to the application or operation of the SCCT Program.
(c) Report to Congress.--Not later than the deadline described in
subsection (a) for the completion of the review under this section, the
Comptroller General shall submit to the Committee on Energy and
Commerce of the House of Representatives and the Committee on Health,
Education, Labor, and Pensions of the Senate a report on the results of
such review.
SEC. 111. REVIEW OF HHS EFFORTS TO ENSURE RAPID PRODUCTION AND DOMESTIC
MANUFACTURING CAPACITY OF MEDICAL COUNTERMEASURES.
(a) In General.--Not later than 1 year after the date of the
enactment of this Act, the Comptroller General of the United States
shall conduct and complete a review examining the efforts of the
Secretary of Health and Human Services to ensure that the United States
is prepared to rapidly produce qualified countermeasures (as defined in
section 319F-1 of the Public Health Service Act (42 U.S.C. 247d-6a)) in
the event of a public health emergency declared under section 319 of
the Public Health Service Act (42 U.S.C. 274d).
(b) Contents.--The review conducted under subsection (a) shall
include a review of--
(1) the efforts described in such subsection, including the
Secretary's efforts to transition from the Centers for
Innovation and Advanced Drug Manufacturing program to any new
efforts, including the National Biopharmaceutical Manufacturing
Partnership and Industrial Base Expansion Connect;
(2) the progress made toward the implementation of such
efforts; and
(3) the planning within the Department of Health and Human
Services to assess risks and challenges associated with
advanced development and manufacturing of qualified
countermeasures.
(c) Report to Congress.--Not later than 1 year after completing the
review under subsection (a), the Comptroller General of the United
States shall submit to the Congress a report containing--
(1) the results of the review; and
(2) the Comptroller General's recommendations for ensuring
that the United States is prepared to rapidly produce qualified
countermeasures in the event of a public health emergency.
SEC. 112. CRISIS STANDARDS OF CARE.
Not later than 2 years after the date of enactment of this Act, the
Secretary of Health and Human Services, acting through the Director of
the Office for Civil Rights of the Department of Health and Human
Services, shall issue guidance on how to develop or modify State and
local crisis standards of care for use during an emergency period (as
defined in section 1135(g)(1) of the Social Security Act (42 U.S.C.
1320b-5(g)(1))) so as to bring such standards of care into compliance
with the nondiscrimination requirements of section 504 of the
Rehabilitation Act of 1973 (29 U.S.C. 794).
TITLE II--ENSURING WORKFORCE TO PREPARE FOR AND RESPOND TO PUBLIC
HEALTH SECURITY THREATS
SEC. 201. EMERGENCY SYSTEM FOR ADVANCE REGISTRATION OF VOLUNTEER HEALTH
PROFESSIONAL.
(a) In General.--Section 319I(a) of the Public Health Service Act
(42 U.S.C. 247d-7b) is amended by striking ``Not later than 12 months
after the date of enactment of the Pandemic and All-Hazards
Preparedness Act, the Secretary shall link existing State verification
systems to maintain'' and inserting ``The Secretary shall continue to
maintain''.
(b) Authorization of Appropriations.--Section 319I(k) of the Public
Health Service Act (42 U.S.C. 247d-7b(k)) is amended by striking ``2019
through 2023'' and inserting ``2024 through 2028''.
SEC. 202. MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS.
Section 1291(g) of the Public Health Service Act (42 U.S.C. 300d-
91(g)) is amended by striking ``2019 through 2023'' and inserting
``2024 through 2028''.
SEC. 203. NATIONAL ADVISORY COMMITTEES ON DISASTERS.
(a) National Advisory Committee on Children and Disasters.--
Subsection (g) of section 2811A of the Public Health Service Act (42
U.S.C. 300hh-10b) is amended to read as follows:
``(g) Sunset.--
``(1) In general.--The Advisory Committee shall terminate
on September 30, 2028.
``(2) Extension of committee.--Not later than October 1,
2027, the Secretary shall submit to Congress a recommendation
on whether the Advisory Committee should be extended.''.
(b) National Advisory Committee on Seniors and Disasters.--Section
2811B of the Public Health Service Act (42 U.S.C. 300hh-10c) is
amended--
(1) in subsection (d)--
(A) in paragraph (1), by striking ``in consultation
with such other heads of agencies as appropriate, shall
appoint not more than 17 members'' and inserting ``in
consultation with such other Secretaries as may be
appropriate, shall appoint not more than 23 members'';
(B) by redesignating paragraph (2) as paragraph
(3);
(C) by amending paragraph (3), as so redesignated--
(i) in the paragraph heading, by striking
``Required members'' and inserting ``Required
federal members'';
(ii) in the matter preceding subparagraph
(A), by striking ``and non-Federal members,'';
(iii) by striking subparagraphs (J) and
(K); and
(iv) by redesignating subparagraph (L) as
subparagraph (J);
(D) by inserting after paragraph (1) the following
new paragraph:
``(2) Required non-federal members.--The Secretary, in
consultation with such other heads of Federal agencies as may
be appropriate, shall appoint to the Advisory Committee under
paragraph (1) at least 13 individuals, including--
``(A) at least 4 non-Federal health care providers
with expertise in geriatric medical disaster planning,
preparedness, response, or recovery;
``(B) at least 3 representatives of State, local,
Tribal, or territorial agencies with expertise in
geriatric disaster planning, preparedness, response, or
recovery; and
``(C) at least 4 non-Federal professionals with
training in gerontology, including social workers,
scientists, human services specialists, or other non-
medical professionals, with experience in disaster
planning, preparedness, response, or recovery among
other adults.''; and
(E) by adding at the end the following new
paragraphs:
``(4) Term of appointment.--Each member of the Advisory
Committee appointed under paragraph (2) shall serve for a term
of 3 years, except that the Secretary may adjust the terms of
the Advisory Committee appointees serving on the date of
enactment of the Preparing for All Hazards and Pathogens
Reauthorization Act, or appointees who are initially appointed
after such date of enactment, in order to provide for a
staggered term of appointment for all members.
``(5) Consecutive appointments; maximum terms.--A member
appointed under paragraph (2) may serve not more than 3 terms
on the Advisory Committee, and not more than 2 of such terms
may be served consecutively.''; and
(2) in subsection (g)--
(A) in paragraph (1), by striking ``2023'' and
inserting ``2028''; and
(B) in paragraph (2), by striking ``2022'' and
inserting ``2027''.
(c) National Advisory Committee on Individuals With Disabilities.--
Section 2811C of the Public Health Service Act (42 U.S.C. 300hh-10d) is
amended--
(1) by redesignating subsections (c) through (g) as
subsections (d) through (h), respectively;
(2) by inserting after subsection (b) the following new
subsection:
``(c) Additional Duties.--The Advisory Committee may provide advice
and recommendations to the Secretary with respect to individuals with
disabilities, and medical and public health grants and cooperative
agreements, as applicable to preparedness and response activities under
this title and title III.'';
(3) in subsection (d), as so redesignated--
(A) in paragraph (1), by striking ``in consultation
with such other heads of agencies and departments as
appropriate, shall appoint not more than 17 members''
and inserting ``in consultation with such other
Secretaries as may be appropriate, shall appoint not
more than 23 members'';
(B) by redesignating paragraph (2) as paragraph
(3);
(C) by amending paragraph (3), as redesignated--
(i) in the paragraph heading, by striking
``Required members'' and inserting ``Required
federal members'';
(ii) in the matter preceding subparagraph
(A), by striking ``and non-Federal members,'';
(iii) by striking subparagraph (K) and
inserting the following:
``(K) Representatives of such other Federal
agencies as the Secretary determines necessary to
fulfill the duties of the Advisory Committee.''; and
(iv) by striking subparagraphs (L) and (M);
(D) by inserting after paragraph (1) the following
new paragraph:
``(2) Required non-federal members.--The Secretary, in
consultation with such other heads of Federal agencies as may
be appropriate, shall appoint to the Advisory Committee under
paragraph (1) at least 13 individuals, including--
``(A) at least 4 non-Federal health care
professionals with expertise in disability
accessibility before, during, and after disasters,
medical and mass care disaster planning, preparedness,
response, or recovery;
``(B) at least 3 representatives from State, local,
Tribal, or territorial agencies with expertise in
disaster planning, preparedness, response, or recovery
for individuals with disabilities; and
``(C) at least 4 individuals with a disability with
expertise in disaster planning, preparedness, response,
or recovery for individuals with disabilities.''; and
(E) by adding at the end the following new
paragraphs:
``(4) Term of appointment.--Each member of the Advisory
Committee appointed under paragraph (2) shall serve for a term
of 3 years, except that the Secretary may adjust the terms of
the Advisory Committee appointees serving on the date of
enactment of the Preparing for All Hazards and Pathogens
Reauthorization Act, or appointees who are initially appointed
after such date of enactment, in order to provide for a
staggered term of appointment for all members.
``(5) Consecutive appointments; maximum terms.--A member
appointed under paragraph (2) may serve not more than 3 terms
on the Advisory Committee, and not more than 2 of such terms
may be served consecutively.''; and
(4) in subsection (g)--
(A) in paragraph (1), by striking ``2023'' and
inserting ``2028''; and
(B) in paragraph (2), by striking ``2022'' and
inserting ``2027''.
SEC. 204. NATIONAL DISASTER MEDICAL SYSTEM.
(a) Elimination of Sunset of Authority To Make Certain Appointments
for National Disaster Medical System.--Section 2812(c)(4) of the Public
Health Service Act (42 U.S.C. 300hh-11(c)(4)) is amended--
(1) by striking ``(A) in general.--If the Secretary
determines'' and inserting ``If the Secretary determines''; and
(2) by striking subparagraph (B).
(b) Authorization of Appropriations.--Section 2812(g) of the Public
Health Service Act (42 U.S.C. 300hh-11(g)) is amended by striking
``$57,400,000 for each of fiscal years 2019 through 2023'' and
inserting ``$96,904,000 for each of fiscal years 2024 through 2028''.
SEC. 205. VOLUNTEER MEDICAL RESERVE CORPS.
Section 2813(i) of the Public Health Service Act (42 U.S.C. 300hh-
15(i)) is amended by striking ``2019 through 2023'' and inserting
``2024 through 2028''.
<all>