‘‘SEC. 9. PLANS, REPORTS, AUDITS, AND BY-LAWS. 
‘‘(a) STRATEGIC PLAN.— 
‘‘(1) IN
GENERAL.—Not later than 2 years 
after the date of enactment of this section, and every 
5 years thereafter, the Commission (including the 
participation of members representing both the 
United States and Mexican sections) and the Coun-
cil (including the participation of members rep-
resenting both the United States and Canada) shall 
each prepare a binational strategic plan to guide the 
operations of the Commission and the Council and 
submit such plan to the Secretary and Congress. 
‘‘(2) REQUIREMENTS.—The binational strategic 
plan under paragraph (1) shall include— 
‘‘(A) health-related priority areas deter-
mined most important by the full membership 
of the Commission or Council, as applicable; 
‘‘(B) recommendations for goals, objec-
tives, strategies, and actions designed to ad-
dress such priority areas; and 
‘‘(C) a proposed evaluation framework with 
output and outcome indicators appropriate to 
gauge progress toward meeting the objectives 
and priorities of the Commission or Council, as 
applicable. 
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‘‘(b) WORK PLAN.—Not later than January 1, 2023, 
and every 2 years thereafter, the Commission and the 
Council shall develop and approve an operational work 
plan and budget based on the strategic plan under sub-
section (a). 
‘‘(c) GAO REVIEW.—Not later than January 1, 
2024, and every 2 years thereafter, the Comptroller Gen-
eral of the United States shall conduct an evaluation of 
the activities conducted by the Commission and the Coun-
cil based on the operational work plans described in sub-
section (b) for the previous year and the output and out-
come indicators included in the strategic plan described 
in subsection (a). The evaluation shall include a request 
for written evaluations from members of the Commission 
and the Council about barriers and facilitators to exe-
cuting successfully the work plans of the Commission and 
the Council. 
‘‘(d) BIANNUAL REPORTING.—The Commission and 
Council shall each issue a biannual report to the Secretary 
that provides independent policy recommendations related 
to border health issues. Not later than 3 months following 
receipt of each such biannual report, the Secretary shall 
provide to Congress the report and any studies or other 
materials produced independently by the Commission and 
Council. 
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‘‘(e) AUDITS.—The Secretary shall annually prepare 
an audited financial report to account for all appropriated 
assets expended by the Commission and Council to ad-
dress both the strategic and operational work plans for 
the year involved. 
‘‘(f) BY-LAWS.—Not later than 6 months after the 
date of enactment of this section, the Commission and 
Council shall develop and approve by-laws to provide fully 
for compliance with the requirements of this section. 
‘‘(g) TRANSMITTAL TO CONGRESS.—The Commission 
and Council shall submit copies of the operational work 
plan and by-laws to Congress. The Comptroller General 
of the United States shall submit a copy of each evaluation 
completed under subsection (c) to Congress. 
‘‘SEC. 10. COORDINATION. 
‘‘(a) IN GENERAL.—To the extent practicable and 
appropriate, plans, systems, and activities to be funded (or 
supported) under this Act for all hazard preparedness, and 
general border health, including with respect to infectious 
disease, shall be coordinated with Federal, State, and local 
authorities in Mexico, Canada, and the United States. 
‘‘(b) COORDINATION
OF HEALTH SERVICES
AND 
SURVEILLANCE.—The Secretary, acting through the As-
sistant Secretary for Preparedness and Response, when 
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appropriate, may coordinate with the Secretary of Home-
land Security in establishing a health alert system that— 
‘‘(1) alerts clinicians and public health officials 
of emerging disease clusters and syndromes along 
the United States-Mexico border area and United 
States-Canada border area; and 
‘‘(2) warns of health threats, extreme weather 
conditions, disasters of mass scale, bioterrorism, and 
other emerging threats along the United States-Mex-
ico border area and United States-Canada border 
area. 
‘‘SEC. 11. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There is authorized to be appropriated to carry out 
this Act $10,500,000 for fiscal year 2021 and each suc-
ceeding year, subject to the availability of appropriations 
for such purpose, of which $7,000,000 shall be made avail-
able to fund operationally feasible functions, activities, and 
grants with respect to the United States-Mexico border 
and the border health activities under cooperative agree-
ments with the border health offices of the States of Cali-
fornia, Arizona, New Mexico, and Texas, and $3,500,000 
shall be allocated for the administration of United States 
activities under this Act on the United States-Canada bor-
der and the border health authorities, acting through the 
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Canada-United States Pan-Border Public Health Pre-
paredness Council.’’; and 
(5) in section 12 (as so redesignated)— 
(A) by redesignating paragraphs (3) and 
(4) as paragraphs (4) and (6), respectively; 
(B) by inserting after paragraph (2), the 
following: 
‘‘(3) INDIANS; INDIAN TRIBE; TRIBAL ORGANI-
ZATION; URBAN INDIAN ORGANIZATION.—The terms 
‘Indian’, ‘Indian Tribe’, ‘Tribal organization’, and 
‘urban Indian organization’ have the meanings given 
such terms in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603).’’; and 
(C) by inserting after paragraph (4), as so 
redesignated, the following: 
‘‘(5) UNITED STATES-CANADA BORDER AREA.— 
The term ‘United States-Canada border area’ means 
the area located in the United States and Canada 
within 100 kilometers of the border between the 
United States and Canada.’’. 
Æ 
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