I 

112TH CONGRESS 

1ST SESSION H. R. 1411 

To amend the Homeland Security Act of 2002 to ensure continuation of 

the Metropolitan Medical Response System Program, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 7, 2011 

Mr. BILIRAKIS introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on 

Homeland Security, for a period to be subsequently determined by the 

Speaker, in each case for consideration of such provisions as fall within 

the jurisdiction of the committee concerned 

A BILL 

To amend the Homeland Security Act of 2002 to ensure 

continuation of the Metropolitan Medical Response System Program, and for other purposes. 

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 ‘‘Metropolitan Medical 

5 Response System Program Act of 2011’’. 


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1 SEC. 2. METROPOLITAN MEDICAL RESPONSE SYSTEM PRO2 GRAM. 

3 (a) AMENDMENT.—Title V of the Homeland Security 

4 Act of 2002 (6 U.S.C. 311 et seq.) is amended by adding 

5 at the end the following: 

6 ‘‘SEC. 526. METROPOLITAN MEDICAL RESPONSE SYSTEM 

7 PROGRAM. 

8 ‘‘(a) IN GENERAL.—The Secretary shall conduct a 

9 Metropolitan Medical Response System Program, that 

10 shall assist State and local governments in preparing for 

11 and responding to public health and mass casualty inci12 dents resulting from acts of terrorism, natural disasters, 

13 and other man-made disasters. 

14 ‘‘(b) FINANCIAL ASSISTANCE.— 

15 ‘‘(1) AUTHORIZATION OF GRANTS.— 

16 ‘‘(A) IN GENERAL.—The Secretary, 

17 through the Administrator of the Federal 

18 Emergency Management Agency, may make 

19 grants under this section to State and local gov20 ernments to assist in preparing for and re21 sponding to mass casualty incidents resulting 

22 from acts of terrorism, natural disasters, and 

23 other man-made disasters. 

24 ‘‘(B) CONSULTATION.—In developing guid25 ance for grants authorized under this section, 


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1 the Administrator shall consult with the Assist2 ant Secretary, Office of Health Affairs. 

3 ‘‘(2) USE OF FUNDS.—A grant made under this 

4 section may be used to support the integration of 

5 emergency management, health, and medical sys6 tems into a coordinated response to mass casualty 

7 incidents caused by any hazard, including— 

8 ‘‘(A) to strengthen medical surge capacity; 

9 ‘‘(B) to strengthen mass prophylaxis capa10 bilities including development and maintenance 

11 of an initial pharmaceutical stockpile sufficient 

12 to protect first responders, their families, and 

13 immediate victims from a chemical or biological 

14 event; 

15 ‘‘(C) to strengthen chemical, biological, ra16 diological, nuclear, and explosive detection, re17 sponse, and decontamination capabilities; 

18 ‘‘(D) to develop and maintain mass triage 

19 and pre-hospital treatment plans and capabili20 ties; 

21 ‘‘(E) for planning; 

22 ‘‘(F) to support efforts to strengthen infor23 mation sharing and collaboration capabilities of 

24 regional, State, and urban areas in support of 

25 public health and medical preparedness; 


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1 ‘‘(G) for medical supplies management and 

2 distribution; 

3 ‘‘(H) for training and exercises; 

4 ‘‘(I) for integration and coordination of the 

5 activities and capabilities of public health per6 sonnel and medical care providers with those of 

7 other emergency response providers as well as 

8 other Federal agencies, the private sector, and 

9 nonprofit organizations, for the forward move10 ment of patients; and 

11 ‘‘(J) for such other activities as the Ad12 ministrator provides. 

13 ‘‘(3) ELIGIBILITY.— 

14 ‘‘(A) IN GENERAL.—Except as provided in 

15 subparagraph (B), any jurisdiction that re16 ceived funds through the Metropolitan Medical 

17 Response System Program in fiscal year 2010 

18 shall be eligible to receive a grant under this 

19 section. 

20 ‘‘(B) PERFORMANCE REQUIREMENT AFTER

21 FISCAL YEAR 2012.—A jurisdiction shall not be 

22 eligible for a grant under this subsection from 

23 funds available after fiscal year 2012 unless the 

24 Secretary determines that the jurisdiction main25 tains a sufficient measured degree of capability 


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1 in accordance with the performance measures 

2 issued under subsection (c). 

3 ‘‘(4) DISTRIBUTION OF FUNDS.— 

4 ‘‘(A) IN GENERAL.—The Administrator 

5 shall distribute grant funds under this section 

6 to the State in which the jurisdiction receiving 

7 a grant under this section is located. 

8 ‘‘(B) PASS THROUGH.—Subject to sub9 paragraph (C), not later than 45 days after the 

10 date on which a State receives grant funds 

11 under subparagraph (A), the State shall provide 

12 the jurisdiction receiving the grant 100 percent 

13 of the grant funds, and not later than 45 days 

14 after the State releases the funds, all fiscal 

15 agents shall make the grant funds available for 

16 expenditure. 

17 ‘‘(C) EXCEPTION.—The Administrator 

18 may permit a State to provide to a jurisdiction 

19 receiving a grant under this section 97 percent 

20 of the grant funds awarded if doing so would 

21 not result in any jurisdiction eligible for a grant 

22 under paragraph (3)(A) receiving less funding 

23 than such jurisdiction received in fiscal year 

24 2009. 


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1 ‘‘(5) REGIONAL COORDINATION.—The Adminis2 trator shall ensure that each jurisdiction that re3 ceives a grant under this section, as a condition of 

4 receiving such grant, is actively coordinating its pre5 paredness efforts with surrounding jurisdictions, 

6 with the official with primary responsibility for 

7 homeland security (other than the Governor) of the 

8 government of the State in which the jurisdiction is 

9 located, and with emergency response providers from 

10 all relevant disciplines, as determined by the Admin11 istrator, to effectively enhance regional prepared12 ness. 

13 ‘‘(c) PERFORMANCE MEASURES.—The Adminis14 trator, in coordination with the Assistant Secretary, Office 

15 of Health Affairs, and the National Metropolitan Medical 

16 Response System Working Group, shall issue performance 

17 measures within one year after the date of enactment of 

18 this section that enable objective evaluation of the per19 formance and effective use of funds provided under this 

20 section in any jurisdiction. 

21 ‘‘(d) METROPOLITAN MEDICAL RESPONSE SYSTEM

22 WORKING GROUP DEFINED.—In this section, the term 

23 ‘National Metropolitan Medical Response System Working 

24 Group’ means— 


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1 ‘‘(1) 10 Metropolitan Medical Response System 

2 Program grant managers, who shall— 

3 ‘‘(A) include one such grant manager from 

4 each region of the Agency; 

5 ‘‘(B) comprise a population-based cross 

6 section of jurisdictions that are receiving grant 

7 funds under the Metropolitan Medical Response 

8 System Program; and 

9 ‘‘(C) include— 

10 ‘‘(i) 3 selected by the Administrator; 

11 and 

12 ‘‘(ii) 3 selected by the Assistant Sec13 retary, Office of Health Affairs; and 

14 ‘‘(2) 3 State officials who are responsible for 

15 administration of State programs that are carried 

16 out with grants under this section, who shall be se17 lected by the Administrator. 

18 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 

19 is authorized to be appropriated $41,000,000 to carry out 

20 the program for each of fiscal years 2012 through 2016.’’. 

21 (b) CLERICAL AMENDMENT.—The table of contents 

22 in section 1(b) of such Act is amended by adding at the 

23 end of the items relating to title V the following new item: 

‘‘Sec. 526. Metropolitan Medical Response System Program.’’. 


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1 SEC. 3. METROPOLITAN MEDICAL RESPONSE PROGRAM RE2 VIEW. 

3 (a) IN GENERAL.—The Administrator of the Federal 

4 Emergency Management Agency, the Assistant Secretary, 

5 Office of Health Affairs, and the National Metropolitan 

6 Medical Response System Working Group shall conduct 

7 a review of the Metropolitan Medical Response System 

8 Program authorized under section 526 of the Homeland 

9 Security Act of 2002, as added by section 2 of this Act, 

10 including an examination of— 

11 (1) the goals and objectives of the Metropolitan 

12 Medical Response System Program; 

13 (2) the extent to which the goals and objectives 

14 are being met; 

15 (3) the performance metrics that can best help 

16 assess whether the Metropolitan Medical Response 

17 System Program is succeeding; 

18 (4) how the Metropolitan Medical Response 

19 System Program can be improved; 

20 (5) how the Metropolitan Medical Response 

21 System Program complements and enhances other 

22 preparedness programs supported by the Depart23 ment of Homeland Security and the Department of 

24 Health and Human Services; 

25 (6) the degree to which the strategic goals, ob26 jectives, and capabilities of the Metropolitan Medical 


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1 Response System Program are incorporated in State 

2 and local homeland security plans; 

3 (7) how eligibility for financial assistance, and 

4 the allocation of financial assistance, under the Met5 ropolitan Medical Response System Program should 

6 be determined, including how allocation of assistance 

7 could be based on risk; 

8 (8) whether the Metropolitan Medical Response 

9 System Program would be more effective if it were 

10 managed as a contractual agreement; and 

11 (9) the resource requirements of the Metropoli12 tan Medical Response System Program. 

13 (b) REPORT.—Not later than 1 year after the date 

14 of enactment of this Act, the Administrator and the As15 sistant Secretary, Office of Health Affairs shall submit to 

16 the Committee on Homeland Security of the House of 

17 Representatives and the Committee on Homeland Security 

18 and Governmental Affairs of the Senate a report on the 

19 results of the review under this section. 

20 (c) CONSULTATION.—The Administrator of the Fed21 eral Emergency Management Agency shall consult with 

22 the Secretary of Health and Human Services in the imple23 mentation of subsection (a)(5). 

24 (d) DEFINITION.—In this section the term ‘‘National 

25 Metropolitan Medical Response System Working Group’’ 


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1 has the meaning that term has in section 526 of the 

2 Homeland Security Act of 2002, as added by section 2 

3 of this Act. 

4 SEC. 4. TECHNICAL AND CONFORMING AMENDMENT. 

5 Section 635 of the Post-Katrina Management Reform 

6 Act of 2006 (6 U.S.C. 723) is repealed. 

Æ 


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