II 

109TH CONGRESS 

2D SESSION S. 2792 

To revise and extend certain provisions of the Public Health Security and 

Bioterrorism Preparedness and Response Act of 2002. 

IN THE SENATE OF THE UNITED STATES 

MAY 11, 2006 

Mr. GREGG introduced the following bill; which was read twice and referred 

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

A BILL 

To revise and extend certain provisions of the Public Health 

Security and Bioterrorism Preparedness and Response 

Act of 2002. 

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 ‘‘Emergency Prepared5 ness and Response Security, Accountability, and Flexi6 bility Enhancement Act’’ or the ‘‘SAFE Act’’. 

7 SEC. 2. ACCOUNTABILITY WITH RESPECT TO PREPARED8 NESS FUNDING. 

9 (a) IN GENERAL.—Section 319C–1 of the Public 

10 Health Service Act (42 U.S.C. 247d–3a) is amended— 


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1 (1) in subsection (b)— 

2 (A) in paragraph (1)— 

3 (i) in subparagraph (A), by striking 

4 ‘‘or’’ at the end; 

5 (ii) in subparagraph (B), by striking 

6 the period and inserting ‘‘; or’’; and 

7 (iii) by adding at the end the fol8 lowing: 

9 ‘‘(C) a consortium of States that, with re10 spect to the States that make up the consor11 tium, comply with the requirements of subpara12 graph (A) individually or as part of the consor13 tium.’’; and 

14 (B) by adding at the end the following: 

15 ‘‘(3) ACHIEVEMENT OF MEASURABLE CRITICAL

16 BENCHMARKS AND PERFORMANCE MEASURES.—In 

17 making awards under subsection (a), the Secretary 

18 shall develop and require the application of measur19 able critical benchmarks and performance standards 

20 so that grantees can demonstrate achievement with 

21 respect to such benchmarks and measures in a rea22 sonable timeframe, as determined by the Secretary. 

23 Such benchmarks and measures shall require grant24 ees to— 


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1 ‘‘(A) annually report grant expenditures to 

2 the Secretary and the Secretary of Homeland 

3 Security who shall ensure that such information 

4 is included on the Federal-Internet based point 

5 of access developed under section 2(b) of the 

6 SAFE Act; and 

7 ‘‘(B) at a minimum, annually test and ex8 ercise the emergency preparedness capabilities 

9 of the grantee, acting in coordination with the 

10 applicable State readiness plan under sub11 section (c), based on criteria established by the 

12 Secretary and the Secretary of Homeland Secu13 rity. 

14 ‘‘(4) REGIONAL COORDINATION.—In making 

15 awards under subsection (a), the Secretary shall give 

16 preference to eligible entities that submit applica17 tions that, in the determination of the Secretary 

18 will— 

19 ‘‘(A) enhance coordination— 

20 ‘‘(i) among one or more health care 

21 institutions, including but not limited to 

22 Federal Government medical facilities, aca23 demic medical centers, clinics, health cen24 ters, primary care facilities, or nursing 

25 homes; and 


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1 ‘‘(ii) between entities described in 

2 clause (i) and one or more States, sub3 State regions of States or other sub-State 

4 groups, or any combination of States and 

5 sub-State regions; and 

6 ‘‘(B) serve the needs of a defined geo7 graphic area.’’; 

8 (2) in subsection (h)— 

9 (A) in paragraph (1), by striking ‘‘and’’ at 

10 the end; 

11 (B) in paragraph (2), by striking the pe12 riod and inserting ‘‘; and’’; and 

13 (C) by adding at the end the following: 

14 ‘‘(3) coordinate with the Secretary of Homeland 

15 Security to prevent the duplicative funding of pro16 grams or activities and to ensure that the use of 

17 awards is in compliance with State plans.’’; 

18 (3) by striking subsection (j) and inserting the 

19 following: 

20 ‘‘(j) FUNDING.— 

21 ‘‘(1) IN GENERAL.—For the purpose of car22 rying out this section, there is authorized to be ap23 propriated, $1,300,000,000 for fiscal year 2007, and 

24 such sums as may be necessary for each of fiscal 

25 years 2008 through 2010, of which— 


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1 ‘‘(A) not to exceed $875,000,000 shall be 

2 made available in each fiscal year for making 

3 awards under subsection (a) to States, notwith4 standing the eligibility conditions under sub5 section (j) (as such subsection existed on the 

6 day before the date of enactment of the Emer7 gency Preparedness and Response Security, Ac8 countability, and Flexibility Enhancement Act, 

9 for the purpose of enhancing the all-hazards 

10 emergency preparedness and medical response 

11 capabilities of States; and 

12 ‘‘(B) not to exceed 5 percent of the 

13 amount made available under subparagraph (A) 

14 for each fiscal year shall be made available for 

15 Federal, State, and local planning and adminis16 trative activities related to awards described in 

17 such subparagraph. 

18 ‘‘(2) CONTINGENT ADDITIONAL AUTHORIZA19 TION.—If a significant change in circumstances war20 rants an increase in this amount authorized to be 

21 appropriated under paragraph (1) for fiscal year 

22 2007, there are authorized to be appropriated such 

23 sums as may be necessary for such year for carrying 

24 out this section, in addition to the amount author25 ized under paragraph (1). 


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1 ‘‘(3) SUPPLEMENT NOT SUPPLANT.—Amounts 

2 appropriated under paragraph (1) shall be used to 

3 supplement and not supplant other State and local 

4 public funds provided for activities under this sec5 tion. 

6 ‘‘(4) DEGREE OF RISK.— 

7 ‘‘(A) IN GENERAL.—For fiscal year 2006 

8 and any subsequent fiscal year, the Secretary, 

9 in coordination with the Secretary of Homeland 

10 Security, shall, before making awards pursuant 

11 to subsection (a) for such year— 

12 ‘‘(i) reserve from the amount appro13 priated under paragraph (1) for the fiscal 

14 year an amount determined necessary by 

15 the Secretary to make awards under sub16 section (a) to eligible entities that face a 

17 particularly high degree of risk of such a 

18 threat, as determined by the Secretary in 

19 coordination with the Secretary of Home20 land Security; and 

21 ‘‘(ii) after making the reservation re22 quired under clause (i), provide funds to 

23 eligible entities that have a significant 

24 unmet need, as determined by the Sec25 retary, in coordination with the Secretary 


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1 of Homeland Security, to build capacity to 

2 identify, detect, monitor, and respond to a 

3 public health emergency, which need will 

4 not otherwise be met by awards pursuant 

5 to subsection (a). 

6 ‘‘(B) RECIPIENTS OF GRANTS.—Awards 

7 pursuant to subparagraph (A) may be supple8 mental awards to States that receive awards 

9 pursuant to subsection (a), or may be awards to 

10 eligible entities described in subsection 

11 (b)(1)(B) within such States. 

12 ‘‘(5) MATCHING REQUIREMENT.—The Sec13 retary may not make a grant to a State under this 

14 section unless the State agrees that, with respect to 

15 the costs to be incurred by the State in carrying out 

16 the activities for which the grant was awarded, the 

17 State will make available (directly or through dona18 tions from public or private entities) non-Federal 

19 contributions toward such costs in an amount equal 

20 to— 

21 ‘‘(A) with respect to a State with a popu22 lation of more than 2,000,000, not less than $1 

23 for each $1 of Federal funds provided in the 

24 grant; and 


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1 ‘‘(B) with respect to a State with a popu2 lation of 2,000,000 or less, not less than $1 for 

3 each $4 of Federal funds provided in the 

4 grant.’’; and 

5 (4) by adding at the end the following: 

6 ‘‘(k) RETURN OF UNOBLIGATED FUNDS.—Any por7 tion of an award under subsection (a) that remains unobli8 gated after the expiration of the 3-year period beginning 

9 on the date on which the award is made shall be returned 

10 to the Secretary.’’. 

11 (b) SINGLE POINT OF ACCESS.—The Secretary of 

12 Health and Human Services and the Secretary of Home13 land Security shall jointly establish a single Federal Inter14 net-based point of access to enable States and other enti15 ties to apply for available Federal assistance for public 

16 health and hospital preparedness and response to bioter17 rorism and other public health threats, including applying 

18 for awards under section 319C–1 of the Public Health 

19 Service Act (42 U.S.C. 247d–3a). 

20 SEC. 3. NATIONAL NOTIFIABLE DISEASE SURVEILLANCE 

21 PROGRAM. 

22 Part B of title III of the Public Health Service Act 

23 (42 U.S.C. 243 et seq.) is amended— 

24 (1) by striking section 314; and 

25 (2) by inserting after section 311, the following: 


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1 ‘‘SEC. 311A. NATIONAL NOTIFIABLE DISEASE SURVEIL2 LANCE PROGRAM. 

3 ‘‘(a) IN GENERAL.—The Secretary is authorized to 

4 develop a real-time surveillance program for collecting and 

5 reporting information on notifiable diseases and condi6 tions. 

7 ‘‘(b) NOTIFIABLE DISEASES.—Not later than 180 

8 days after the date of enactment of the Emergency Pre9 paredness and Response Security, Accountability, and 

10 Flexibility Enhancement Act, and annually thereafter, the 

11 Secretary, in consultation with State and local health au12 thorities and appropriate private professional societies, 

13 shall certify a list of infectious diseases, environmental ex14 posures or poisons, and other conditions, the real-time sur15 veillance and control of which, in each State and territory 

16 of the United States, constitute a critical public health 

17 need. For purposes of this part, the term ‘notifiable dis18 ease’ means a disease, exposures or poison, or other condi19 tion that appears on the list under this section. 

20 ‘‘(c) FEDERAL INFORMATICS ACTIVITIES.— 

21 ‘‘(1) IN GENERAL.—In order to meet the urgent 

22 need for critical electronic surveillance of notifiable 

23 diseases, the Director of the Centers for Disease 

24 Control and Prevention, in consultation with State 

25 and local health authorities, shall, not later than 1 

26 year after the date of enactment of the Emergency 


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1 Preparedness and Response Security, Accountability, 

2 and Flexibility Enhancement Act, establish and 

3 maintain a national electronic surveillance program 

4 that includes the following components: 

5 ‘‘(A) Procedures to provide for the collec6 tion (in a standardized form) and analysis of 

7 data on all notifiable diseases and on certain 

8 other conditions that States or regions elect to 

9 report to the program. 

10 ‘‘(B) A procedure to enable all major pub11 lic and private clinical laboratories to automati12 cally report data, in compliance with the regula13 tions promulgated under section 264(c) of the 

14 Health Insurance Portability and Accountability 

15 Act of 1996, to the program concerning 

16 notifiable diseases, antimicrobial resistance test17 ing, and other data determined appropriate by 

18 the Director. 

19 ‘‘(C) A procedure to provide for syndromic 

20 and disease-specific surveillance by monitoring, 

21 in compliance with the regulations promulgated 

22 under section 264(c) of the Health Insurance 

23 Portability and Accountability Act of 1996, of 

24 private sector health-related electronic data 


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1 (such as pharmaceutical purchase data and 

2 health insurance claims data). 

3 ‘‘(D) A procedure to enable States to re4 port data on suspicious cases of conditions that 

5 are not on the notifiable disease list but that 

6 may warrant further investigation. 

7 ‘‘(E) A procedure to enable the program to 

8 automatically identify certain trends and sus9 picious patterns with respect to data reported 

10 to the program. 

11 ‘‘(F) A procedure to enable the program to 

12 provide regular reports to regional, State, and 

13 local government entities concerning disease 

14 trends, suspicious disease patterns, incidence 

15 and prevalence of diseases, laboratory data, and 

16 other information determined appropriate. Such 

17 information shall include data on comparative 

18 national disease trends. 

19 ‘‘(G) A procedure to enable the program to 

20 collect and analyze data from certain seminal 

21 veterinary and environmental sources where ap22 propriate. 

23 ‘‘(H) A procedure to enable the program to 

24 export data in a form appropriate for aggrega25 tion, statistical analysis, and reporting. 


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1 ‘‘(I) A procedure to enable the program to 

2 receive and report data relating to non3 notifiable diseases, including vital records, reg4 istries, chronic disease, and maternal and child 

5 health data. 

6 ‘‘(2) TIMELINESS OF REPORTING.—The proce7 dures developed under paragraph (1) for the report8 ing of data shall ensure that such data are reported 

9 in a timely manner. 

10 ‘‘(3) PRIVATE SECTOR RESOURCES.—To meet 

11 the deadline described in paragraph (1), the Director 

12 of the Centers for Disease Control and Prevention 

13 may, on a temporary or permanent basis, implement 

14 systems or products developed by the private sector. 

15 ‘‘(4) AUTHORITY FOR CONTRACTS.—In carrying 

16 out this subsection, the Director of the Centers for 

17 Disease Control and Prevention may enter into con18 tracts with public and private entities. 

19 ‘‘(d) NATIONAL BIOINTELLIGENCE UNIT.—The Di20 rector of the Centers for Disease Control and Prevention 

21 shall analyze data maintained by the national electronic 

22 surveillance program under subsection (b), and data from 

23 other sources, to report on the prevalence and incidence 

24 of notifiable diseases and conditions, trends and patterns 

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1 ferences, and other analyses determined appropriate by 

2 the Director of the Centers for Disease Control and Pre3 vention. 

4 ‘‘(e) FEDERAL TECHNICAL ASSISTANCE, COMMU5 NICATION, AND COORDINATION.— 

6 ‘‘(1) IN GENERAL.—In carrying out this sec7 tion, the Secretary shall provide technical assistance 

8 to, and provide for appropriate communications to 

9 the public, scientific, public health and medical com10 munities, and other key stakeholders, and to provide 

11 for the coordination of the activities of— 

12 ‘‘(A) State and local health authorities to 

13 integrate State and local surveillance activities 

14 and systems with the national notifiable disease 

15 surveillance program developed under this sec16 tion and to generally improve State and local 

17 notifiable disease reporting and communica18 tions; and 

19 ‘‘(B) private corporations, professional as20 sociations, or other entities that may have 

21 sources of surveillance data or access to health 

22 care providers, health officials, or other individ23 uals who would need to participate in a surveil24 lance program. 


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1 ‘‘(2) FINANCIAL ASSISTANCE.—Assistance pro2 vided under paragraph (1)(B) may include financial 

3 assistance for the purpose of formatting or trans4 lating data into a form that is most compatible and 

5 appropriate for use in the national notifiable disease 

6 surveillance program developed under this section. 

7 ‘‘(3) HEALTH ALERT REGISTRATION AND IN8 FORMATION.— 

9 ‘‘(A) REGISTRATION.—Each health care 

10 provider and facility that receives funds under 

11 title XVIII of the Social Security Act (42 

12 U.S.C. 1395 et seq.) or that receives funds 

13 under a State program under title XIX of such 

14 Act (42 U.S.C. 1396 et seq.) shall annually 

15 submit to the Secretary a registration that con16 tains the e-mail address or fax number of the 

17 provider or facility for purposes of enabling the 

18 Secretary to provide health alerts in the case of 

19 a public health emergency or other cir20 cumstance requiring active surveillance. 

21 ‘‘(B) ESTABLISHMENT OF SYSTEM.—The 

22 Secretary shall establish a system to maintain 

23 the information provided by providers and fa24 cilities under subparagraph (A). Such system 

25 shall be designed— 


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1 ‘‘(i) to enable providers and facili2 ties— 

3 ‘‘(I) to provide and update infor4 mation contained in the system; and 

5 ‘‘(II) to request information or to 

6 elect to receive additional types of 

7 non-emergency health alerts or com8 munications; and 

9 ‘‘(ii) to enable the Director of the 

10 Centers for Disease Control and Preven11 tion to provide updated contact informa12 tion for providers and facilities to State 

13 and local health authorities for the purpose 

14 of emergency health communications. 

15 ‘‘(f) GRANTS TO STATES FOR DISEASE REPORT16 ING.— 

17 ‘‘(1) GRANTS.—The Secretary shall award 

18 grants to States to enable such States to conduct 

19 passive, active, and when appropriate syndromic sur20 veillance, and timely reporting activities with respect 

21 to notifiable diseases. 

22 ‘‘(2) ELIGIBILITY.—To be eligible to receive a 

23 grant under paragraph (1), a State shall prepare 

24 and submit to the Secretary an application at such 


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1 time, in such manner, and containing such informa2 tion as the Secretary may require, including— 

3 ‘‘(A) a description of the manner in which 

4 grants funds will be used to enhance the timeli5 ness and comprehensiveness of the State’s ef6 fort to report notifiable diseases to the program 

7 under subsection (c); and 

8 ‘‘(B) a plan for identifying and reporting 

9 to the Secretary the identity of health care pro10 viders and facilities that consistently fail to re11 port to the State instances of notifiable diseases 

12 in a timely manner. 

13 ‘‘(3) ENHANCED GRANT.—In the case of a 

14 State that submits a plan, as part of the application 

15 under paragraph (2), to transition State and local 

16 reporting of notifiable diseases to an electronic sys17 tem that is compatible with the program under sub18 section (c), the amount of the grant awarded to a 

19 State under paragraph (1) shall be increased by an 

20 amount determined by the Secretary to be necessary 

21 to complete such transition. 

22 ‘‘(4) SUPPLEMENT NOT SUPPLANT FUNDS FOR

23 ACTIVITIES.—A State shall use amounts received 

24 under a grant under this subsection to supplement 

25 and not supplant other funds made available by the 


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1 State for the conduct of reporting activities with re2 spect to notifiable diseases. 

3 ‘‘(5) REDUCTION IN BLOCK GRANT FUNDING.— 

4 For fiscal year beginning with fiscal year 2008, if 

5 the Secretary determines that a State is not report6 ing all notifiable diseases to the program established 

7 under subsection (c) in a timely manner through the 

8 use of an electronic system that is compatible with 

9 the program, the State shall not be eligible to receive 

10 a grant under part A of title XIX for such fiscal 

11 year. 

12 ‘‘(6) FAILURE TO REPORT.—A health care pro13 vider or facility shall not be eligible to receive funds 

14 under title XVIII of the Social Security Act (42 

15 U.S.C. 1395 et seq.) or under a State program 

16 under title XIX of such Act (42 U.S.C. 1396 et 

17 seq.) if the Secretary determines, based on a State 

18 notification received under the plan described in 

19 paragraph (2)(B), that such provider or facility has 

20 consistently failed to report, in a timely manner, in21 stances of notifiable diseases to the State for sub22 mission to the program under subsection (c). 

23 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 

24 are authorized to be appropriated such sums as may be 

25 necessary to carry out this section.’’. 


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1 SEC. 4. ENHANCING CRITICAL CAPACITY FOR ILLNESS DE2 TECTION. 

3 Section 319C(c) of the Public Health Service Act (42 

4 U.S.C. 247d–3(c)) is amended— 

5 (1) in paragraph (3), by striking ‘‘and’’ at the 

6 end; 

7 (2) in paragraph (4), by striking the period and 

8 inserting ‘‘; and’’; and 

9 (3) by adding at the end the following: 

10 ‘‘(5) develop benchmarks for meeting critical 

11 capacity for food or water borne disease detection 

12 and response.’’. 

13 SEC. 5. EVALUATION OF PUBLIC HEALTH CAPACITY OUT14 COMES. 

15 Section 319C–1(b) of the Public Health Service Act 

16 (42 U.S.C. 247d–3a(b)), as amended by section 2(a), is 

17 further amended by adding at the end the following: 

18 ‘‘(5) EVALUATION OF PUBLIC HEALTH CAPAC19 ITY OUTCOMES.—The Director of the Centers for 

20 Disease Control and Prevention shall enter into con21 tracts with independent entities for the periodic eval22 uation of the progress made by State and local gov23 ernments in meeting the benchmarks established in 

24 the plan under paragraph (1)(A)(ii)(V).’’. 


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1 SEC. 6. INSPECTION, SCREENING, AND QUARANTINING OF 

2 LIVE ANIMALS. 

3 Section 362 of the Public Health Service Act (42 

4 U.S.C. 265) is amended by adding at the end the fol5 lowing: ‘‘The Secretary shall establish procedures for the 

6 appropriate inspection, screening, and quarantine of live 

7 animals entering the United States for commercial pur8 poses, including procedures to protect domestic animal 

9 and human populations from diseases carried by imported 

10 live animals’’. 

11 SEC. 7. NATIONAL DISASTER MEDICAL SYSTEM. 

12 (a) COORDINATION.—Section 2811(b) of the Public 

13 Health Service Act (42 U.S.C. 300hh–11) is amended by 

14 adding at the end the following: 

15 ‘‘(4) COORDINATION OF PLANNING AND PRE16 PAREDNESS ACTIVITIES.— 

17 ‘‘(A) IN GENERAL.—The Federal agency 

18 partners of the National Disaster Medical Sys19 tem shall coordinate all planning and prepared20 ness activities of the National Disaster Medical 

21 System with the Secretary of Homeland Secu22 rity in a manner that ensures that such activi23 ties are consistent with the National Response 

24 Plan, the National Incident Management Sys25 tem, and Homeland Security Presidential Di26 rectives #5 and #8. 


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1 ‘‘(B) DEFINITION.—In this section, the 

2 term ‘Federal agency partners of the National 

3 Disaster Medical System’ means the Depart4 ment of Homeland Security, the Department of 

5 Health and Human Services, the Department of 

6 Defense, and the Department of Veterans Af7 fairs.’’; 

8 (b) JOINT REVIEW.—Section 2811 of the Public 

9 Health Service Act (42 U.S.C. 300hh–11) is amended— 

10 (1) by redesignating subsection (h) as sub11 section (i); and 

12 (2) by inserting after subsection (g), the fol13 lowing: 

14 ‘‘(h) JOINT REVIEW.— 

15 ‘‘(1) IN GENERAL.—Not later than December 

16 31, 2007, the Federal agency partners of the Na17 tional Disaster Medical System in coordination with 

18 the Secretary of Homeland Security shall conduct a 

19 joint review of the National Disaster Medical System 

20 infrastructure including organization, various teams, 

21 staffing levels, training programs, equipment and 

22 supplies, supply chain management and interoper23 ability, and the role of each of the Federal agency 

24 partners of the National Disaster Medical System, 

25 and any other applicable issues. 


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1 ‘‘(2) MODIFICATIONS.—Based on the results of 

2 the review conducted under paragraph (1), the Sec3 retary of Homeland Security shall, with respect to 

4 the National Disaster Medical System— 

5 ‘‘(A) modify the policies of the System for 

6 the deployment of System assets during a na7 tional emergency, including command and co8 ordination, licensure, credentialing or privi9 leging, resource typing and allocation, supplies 

10 and logistics, and inter-agency and public com11 munications; 

12 ‘‘(B) refine, standardize, and implement 

13 training curricula for System participants based 

14 on the modifications made under subparagraph 

15 (A), including planning for continuing edu16 cational programs to ensure that System par17 ticipants are aware of programmatic changes 

18 within the System; and 

19 ‘‘(C) refine, implement, and maintain 

20 standards for System staffing, equipment, and 

21 supply-chain management to ensure the ade22 quacy of available assets in the System.’’. 

23 (c) MISCELLANEOUS PROVISIONS.—Section 2811 of 

24 the Public Health Service Act (42 U.S.C. 300hh–11) is 

25 amended— 


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1 (1) in subsection (b)(3)— 

2 (A) in subparagraph (A)— 

3 (i) by redesignating clauses (i) and 

4 (ii) as clauses (ii) and (iii), respectively; 

5 and 

6 (ii) by inserting before clause (ii) (as 

7 so redesignated), the following: 

8 ‘‘(i) provide an initial rapid Federal 

9 medical response, consistent with the Na10 tional Response Plan and National Inci11 dent Management System, to an emer12 gency and to maintain capability to sustain 

13 disaster medical operations through an es14 tablished transition period as determined 

15 by the Federal agency partners of the Na16 tional Disaster Medical System;’’; and 

17 (B) by adding at the end the following: 

18 ‘‘(D) CONTINUED MONITORING OF PER19 FORMANCE.—The Secretary of Homeland Secu20 rity, acting through the Chief Medical Officer, 

21 shall design, develop, and implement quan22 titative standards and metrics under which pro23 grammatic changes with respect to the National 

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1 time basis as determined by the performance of 

2 the System in drills and exercises or actual de3 ployments. 

4 ‘‘(E) NONDUPLICATION OF ACTIVITIES.— 

5 The National Disaster Medical System shall 

6 carry out activities in coordination with Depart7 ment of Health and Human Services emergency 

8 response teams (including the uniformed corps 

9 of the United States Public Health Service and 

10 the Medical Reserve Corps) to minimize dupli11 cative activities.’’; and 

12 (2) in subsection (i) (as so redesignated), by 

13 striking ‘‘2002 through 2006’’ and inserting ‘‘2006 

14 through 2010’’. 

Æ 


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