II 

Calendar No. 45 

115TH CONGRESS 

1ST SESSION S. 849 

To support programs for mosquito-borne and other vector-borne disease 

surveillance and control. 

IN THE SENATE OF THE UNITED STATES 

APRIL 5 (legislative day, APRIL 4), 2017 

Mr. KING (for himself, Mr. BURR, Mr. NELSON, Mr. RUBIO, Mr. ALEXANDER, 

and Ms. HIRONO) introduced the following bill; which was read twice and 

referred to the Committee on Health, Education, Labor, and Pensions 

MAY 1, 2017 

Reported by Mr. ALEXANDER, with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

A BILL 

To support programs for mosquito-borne and other vectorborne disease surveillance and control. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Strengthening Mos5 quito Abatement for Safety and Health Act’’ or the 

6 ‘‘SMASH Act’’. 


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1 SEC. 2. REAUTHORIZATION OF MOSQUITO ABATEMENT FOR 

2 SAFETY AND HEALTH PROGRAM. 

3 Section 317S of the Public Health Service Act (42 

4 U.S.C. 247b–21) is amended— 

5 (1) in subsection (a)(1)(B)— 

6 (A) by inserting ‘‘including programs to 

7 address emerging infectious mosquito-borne dis8 eases,’’ after ‘‘control programs,’’; and 

9 (B) by inserting ‘‘or improving existing 

10 control programs’’ before the period at the end; 

11 (2) in subsection (b)— 

12 (A) in paragraph (1), by inserting ‘‘, in13 cluding improvement,’’ after ‘‘operation’’; 

14 (B) in paragraph (2)— 

15 (i) in subparagraph (A)— 

16 (I) in clause (ii), by striking ‘‘or’’ 

17 at the end; 

18 (II) in clause (iii), by striking the 

19 semicolon at the end and inserting ‘‘, 

20 including an emerging infectious mos21 quito-borne disease that presents a se22 rious public health threat; or’’; and 

23 (III) by adding at the end the 

24 following: 

25 ‘‘(iv) a public health emergency due to 

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1 borne disease that presents a serious pub2 lic health threat.’’; and 

3 (ii) in subparagraph (D), by inserting 

4 ‘‘or that demonstrates to the Secretary 

5 that the control program is consistent with 

6 existing State mosquito control plans, or 

7 policies, or other applicable State pre8 paredness plans’’ before the period at the 

9 end; 

10 (C) in paragraph (4)(C), by striking ‘‘that 

11 extraordinary’’ and all that follows through the 

12 period at the end and inserting ‘‘that— 

13 ‘‘(i) extraordinary economic conditions 

14 in the political subdivision or consortium of 

15 political subdivisions involved justify the 

16 waiver; or 

17 ‘‘(ii) the geographical area covered by 

18 a political subdivision or consortium for a 

19 grant under paragraph (1) has an extreme 

20 need due to— 

21 ‘‘(I) the size or density of the 

22 human population; 

23 ‘‘(II) the size or density of the 

24 mosquito population; or 


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1 ‘‘(III) the severity of the mos2 quito-borne disease, such that ex3 pected serious adverse health out4 comes for the human population jus5 tify the waiver.’’; and 

6 (D) by amending paragraph (6) to read as 

7 follows: 

8 ‘‘(6) NUMBER OF GRANTS.—A political subdivi9 sion or a consortium of political subdivisions may 

10 not receive more than one grant under paragraph 

11 (1).’’; and 

12 (3) in subsection (f)— 

13 (A) in paragraph (1), by striking 

14 ‘‘$100,000,000 for fiscal year 2003, and such 

15 sums as may be necessary for each of fiscal 

16 years 2004 through 2007’’ and inserting 

17 ‘‘$130,000,000 for each of fiscal years 2017 

18 through 2022’’; 

19 (B) in paragraph (2), by striking ‘‘the 

20 Public Health Security and Bioterrorism Pre21 paredness and Response Act of 2002’’ and in22 serting ‘‘other medical and public health pre23 paredness and response laws’’; and 

24 (C) in paragraph (3)— 


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1 (i) in the heading, by striking ‘‘2004’’ 

2 and inserting ‘‘2018’’; and 

3 (ii) by striking ‘‘2004’’ and inserting 

4 ‘‘2018’’. 

5 SEC. 3. EPIDEMIOLOGY-LABORATORY CAPACITY GRANTS. 

6 Section 2821 of the Public Health Service Act (42 

7 U.S.C. 300hh–31) is amended— 

8 (1) in subsection (a)(1), by inserting ‘‘, includ9 ing mosquito and other vector-borne diseases,’’ after 

10 ‘‘infectious diseases’’; and 

11 (2) in subsection (b), by striking ‘‘2010 through 

12 2013’’ and inserting ‘‘2017 through 2022’’. 

13 SEC. 4. GAO STUDY. 

14 (a) STUDY.—The Comptroller General of the United 

15 States shall conduct a study on the state of surveillance 

16 and control of mosquito-borne infectious diseases in the 

17 United States and territories, including the state of pre18 paredness for conducting such surveillance and control. 

19 The study shall include— 

20 (1) a description of the infrastructure and pro21 grams for mosquito control in the United States, in22 cluding— 

23 (A) how such infrastructure and programs 

24 are organized and implemented at the Federal, 

25 State and local levels, including with respect to 


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1 departments and agencies of the States, and 

2 local organizations (including special districts) 

3 involved in such control programs; 

4 (B) the role of the private sector in such 

5 activities; 

6 (C) how the authority for mosquito control 

7 impacts such activities; and 

8 (D) the resources for such infrastructure 

9 and programs, including Federal, State, and 

10 local funding sources; 

11 (2) how mosquito and other vector-borne dis12 ease surveillance and control is integrated into Fed13 eral, State, and local preparedness plans and ac14 tions, including how zoonotic surveillance is inte15 grated into infectious disease surveillance to support 

16 real-time situational surveillance and awareness; 

17 (3) Federal, State, and local laboratory capacity 

18 for emerging vector-borne diseases, including mos19 quito-borne and other zoonotic diseases; and 

20 (4) any regulatory challenges for developing and 

21 utilizing vector-control technologies and platforms as 

22 part of mosquito control strategies. 

23 (b) CONSULTATIONS.—In conducting the study under 

24 subsection (a), the Comptroller General of the United 

25 States shall consult with— 


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1 (1) State and local public health officials in2 volved in mosquito and other vector-borne disease 

3 surveillance and control efforts; 

4 (2) researchers and manufacturers of mosquito 

5 control products; 

6 (3) stakeholders involved in mosquito abate7 ment activities; 

8 (4) infectious disease experts; and 

9 (5) entomologists involved in mosquito-borne 

10 disease surveillance and control efforts. 

11 (c) REPORT.—Not later than 18 months after the 

12 date of enactment of this Act, the Comptroller General 

13 of the United States shall submit to the Committee on 

14 Health, Education, Labor, and Pensions of the Senate and 

15 the Committee on Energy and Commerce of the House 

16 of Representatives a report containing the results of the 

17 study conducted under subsection (a) and relevant rec18 ommendations for Zika virus and other mosquito-borne 

19 diseases preparedness and response efforts. 

20 SECTION 1. SHORT TITLE. 

21 This Act may be cited as the ‘‘Strengthening Mosquito 

22 Abatement for Safety and Health Act’’ or the ‘‘SMASH 

23 Act’’. 


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1 SEC. 2. REAUTHORIZATION OF MOSQUITO ABATEMENT FOR 

2 SAFETY AND HEALTH PROGRAM. 

3 Section 317S of the Public Health Service Act (42 

4 U.S.C. 247b–21) is amended— 

5 (1) in subsection (a)(1)(B)— 

6 (A) by inserting ‘‘including programs to ad7 dress emerging infectious mosquito-borne dis8 eases,’’ after ‘‘control programs,’’; and 

9 (B) by inserting ‘‘or improving existing 

10 control programs’’ before the period at the end; 

11 (2) in subsection (b)— 

12 (A) in paragraph (1), by inserting ‘‘, in13 cluding improvement,’’ after ‘‘operation’’; 

14 (B) in paragraph (2)— 

15 (i) in subparagraph (A)— 

16 (I) in clause (ii), by striking ‘‘or’’ 

17 at the end; 

18 (II) in clause (iii), by striking the 

19 semicolon at the end and inserting ‘‘, 

20 including an emerging infectious mos21 quito-borne disease that presents a seri22 ous public health threat; or’’; and 

23 (III) by adding at the end the fol24 lowing: 

25 ‘‘(iv) a public health emergency due to 

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1 borne disease that presents a serious public 

2 health threat.’’; and 

3 (ii) in subparagraph (D), by inserting 

4 ‘‘or that demonstrates to the Secretary that 

5 the control program is consistent with exist6 ing State mosquito control plans or policies, 

7 or other applicable State preparedness 

8 plans’’ before the period at the end; 

9 (C) in paragraph (4)(C), by striking ‘‘that 

10 extraordinary’’ and all that follows through the 

11 period at the end and inserting ‘‘that— 

12 ‘‘(i) extraordinary economic conditions 

13 in the political subdivision or consortium of 

14 political subdivisions involved justify the 

15 waiver; or 

16 ‘‘(ii) the geographical area covered by 

17 a political subdivision or consortium for a 

18 grant under paragraph (1) has an extreme 

19 mosquito control need due to— 

20 ‘‘(I) the size or density of the po21 tentially impacted human population; 

22 ‘‘(II) the size or density of a mos23 quito population that requires height24 ened control; or 


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1 ‘‘(III) the severity of the mos2 quito-borne disease, such that expected 

3 serious adverse health outcomes for the 

4 human population justify the waiver.’’; 

5 and 

6 (D) by amending paragraph (6) to read as 

7 follows: 

8 ‘‘(6) NUMBER OF GRANTS.—A political subdivi9 sion or a consortium of political subdivisions may not 

10 receive more than one grant under paragraph (1).’’; 

11 and 

12 (3) in subsection (f)— 

13 (A) in paragraph (1), by striking ‘‘for fiscal 

14 year 2003, and such sums as may be necessary 

15 for each of fiscal years 2004 through 2007’’ and 

16 inserting ‘‘for each of fiscal years 2018 through 

17 2022’’; 

18 (B) in paragraph (2), by striking ‘‘the Pub19 lic Health Security and Bioterrorism Prepared20 ness and Response Act of 2002’’ and inserting 

21 ‘‘other medical and public health preparedness 

22 and response laws’’; and 

23 (C) in paragraph (3)— 

24 (i) in the heading, by striking ‘‘2004’’ 

25 and inserting ‘‘2018’’; and 


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1 (ii) by striking ‘‘2004’’ and inserting 

2 ‘‘2018’’. 

3 SEC. 3. EPIDEMIOLOGY-LABORATORY CAPACITY GRANTS. 

4 Section 2821 of the Public Health Service Act (42 

5 U.S.C. 300hh–31) is amended— 

6 (1) in subsection (a)(1), by inserting ‘‘, includ7 ing mosquito and other vector-borne diseases,’’ after 

8 ‘‘infectious diseases’’; and 

9 (2) in subsection (b), by striking ‘‘2010 through 

10 2013’’ and inserting ‘‘2018 through 2022’’. 

11 SEC. 4. GAO STUDY. 

12 (a) STUDY.—The Comptroller General of the United 

13 States shall conduct a study on the state of surveillance and 

14 control of mosquito-borne infectious diseases in the United 

15 States and territories, including the state of preparedness 

16 for conducting such surveillance and control. The study 

17 shall include— 

18 (1) a description of the infrastructure and pro19 grams for mosquito control in the United States, in20 cluding— 

21 (A) how such infrastructure and programs 

22 are organized and implemented at the Federal, 

23 State and local levels, including with respect to 

24 departments and agencies of the States, and local 


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1 organizations (including special districts) in2 volved in such control programs; 

3 (B) the role of the private sector in such ac4 tivities; 

5 (C) how the authority for mosquito control 

6 impacts such activities; and 

7 (D) the resources for such infrastructure 

8 and programs, including Federal, State, and 

9 local funding sources; 

10 (2) how mosquito and other vector-borne disease 

11 surveillance and control is integrated into Federal, 

12 State, and local preparedness plans and actions, in13 cluding how zoonotic surveillance is integrated into 

14 infectious disease surveillance to support real-time 

15 situational surveillance and awareness; 

16 (3) Federal, State, and local laboratory capacity 

17 for emerging vector-borne diseases, including mos18 quito-borne and other zoonotic diseases; and 

19 (4) any regulatory challenges for developing and 

20 utilizing vector-control technologies and platforms as 

21 part of mosquito control strategies. 

22 (b) CONSULTATIONS.—In conducting the study under 

23 subsection (a), the Comptroller General of the United States 

24 shall consult with— 


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1 (1) State and local public health officials in2 volved in mosquito and other vector-borne disease sur3 veillance and control efforts; 

4 (2) researchers and manufacturers of mosquito 

5 control products; 

6 (3) stakeholders involved in mosquito abatement 

7 activities; 

8 (4) infectious disease experts; and 

9 (5) entomologists involved in mosquito-borne dis10 ease surveillance and control efforts. 

11 (c) REPORT.—Not later than 18 months after the date 

12 of enactment of this Act, the Comptroller General of the 

13 United States shall submit to the Committee on Health, 

14 Education, Labor, and Pensions of the Senate and the Com15 mittee on Energy and Commerce of the House of Represent16 atives a report containing the results of the study conducted 

17 under subsection (a) and relevant recommendations for 

18 Zika virus and other mosquito-borne diseases preparedness 

19 and response efforts. 


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Calendar No. 45 

115TH CONGRESS 

1ST SESSION S. 849 

A BILL 

To support programs for mosquito-borne and other 

vector-borne disease surveillance and control. 

MAY 1, 2017 

Reported with an amendment 


sradovich on DSK3GMQ082PROD with BILLS