I 
116TH CONGRESS 
1ST SESSION H. R. 3771 
To establish an interagency One Health Program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 16, 2019 
Mr. SCHRADER (for himself and Mr. YOHO) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committees on Agriculture, Natural Resources, and For-
eign Affairs, for a period to be subsequently determined by the Speaker, 
in each case for consideration of such provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To establish an interagency One Health Program, and for 
other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Advancing Emergency 
Preparedness Through One Health Act of 2019’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) The term ‘‘One Health’’ reflects the inter-
connectedness of human health, animal health, and 
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the environment. As technology and population 
growth facilitates increased interaction of human 
settlements with wildlife habitats and as inter-
national travel and trade increases, the interface be-
tween these elements will also continue to rise. 
(2) When zoonotic diseases spillover to humans, 
there are often enormous health and economic costs. 
The World Bank estimates that, between 1997 and 
2009, the global costs from six zoonotic outbreaks 
exceeded $80,000,000,000 and the Centers for Dis-
ease Control and Prevention estimates that there are 
annually 2,500,000,000 cases of zoonotic infections 
globally, resulting in 2,700,000 deaths. 
(3) There are also immense effects on the agri-
culture sector. In 2014 and 2015, a high pathogenic 
avian influenza (HPAI) outbreak in the United 
States led to the cull of nearly 50,000,000 birds, 
and imposed up to approximately $3,300,000,000 in 
losses for poultry and egg farmers, animal feed pro-
ducers, baked good production, and other related in-
dustries. 
(4) Public health preparedness depends on agri-
culture in a variety of ways. For example, a wide 
range of vaccines, including those for influenza, yel-
low 
fever, 
rabies, 
and 
measles-mumps-rubella 
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(MMR), are primarily cultivated in poultry eggs. 
Egg shortages resulting from zoonotic disease out-
breaks could impose serious risks to vaccine manu-
facturing efforts. 
(5) It is estimated that approximately 80 per-
cent of potential pathogens likely to be used in bio-
terrorism or biowarfare are common zoonotic patho-
gens. 
(6) While existing Federal Government initia-
tives related to One Health span multiple agencies, 
including the Centers for Disease Control and Pre-
vention One Health office and the Department of 
Agriculture Animal and Plant Health Inspection 
Services’ One Health Coordination Center, addi-
tional interagency coordination is necessary to help 
better prevent, prepare for, and respond to zoonotic 
disease outbreaks. 
SEC. 3. INTERAGENCY ONE HEALTH PROGRAM. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services and the Secretary of Agriculture (re-
ferred to in this Act as the ‘‘Secretaries’’), in coordination 
with the United States Agency for International Develop-
ment, the Environmental Protection Agency, the Depart-
ment of Homeland Security, the Department of the Inte-
rior, the Department of Defense, the Department of Com-
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merce, and other departments and agencies as appro-
priate, shall develop, publish, and submit to Congress a 
national One Health Framework (referred to in this Act 
as the ‘‘framework’’) for coordinated Federal Activities 
under the One Health Program. 
(b) NATIONAL ONE HEALTH FRAMEWORK.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of enactment of this Act, the Secretaries, 
in cooperation with the United States Agency for 
International Development, the Environmental Pro-
tection Agency, the Department of Homeland Secu-
rity, the Department of the Interior, the Department 
of Defense, the Department of Commerce, and other 
departments and agencies as appropriate, shall de-
velop, publish, and submit to Congress a One Health 
Framework (referred to in this section as the 
‘‘framework’’) for coordinated Federal activities 
under the One Health Program. 
(2) CONTENTS OF FRAMEWORK.—The frame-
work described in paragraph (1) shall describe exist-
ing efforts and contain recommendations for build-
ing upon and complementing the activities of the 
Centers for Disease Control and Prevention, the 
Food and Drug Administration, the Office of the As-
sistant Secretary for Preparedness and Response, 
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the Department of Agriculture, the United States 
Agency for International Development, the Environ-
mental Protection Agency, the National Institutes of 
Health, the Department of Homeland Security, the 
Department of the Interior, and other departments 
and agencies, as appropriate, and shall— 
(A) assess, identify, and describe, as ap-
propriate, existing activities of Federal agencies 
and departments under the One Health Pro-
gram and consider whether all relevant agencies 
are adequately represented; 
(B) for the 10-year period beginning in the 
year the framework is submitted, establish spe-
cific Federal goals and priorities that most ef-
fectively advance— 
(i) scientific understanding of the con-
nections between human, animal, and envi-
ronmental health; 
(ii) coordination and collaboration be-
tween agencies involved in the framework 
including sharing data and information, 
engaging in joint fieldwork, and engaging 
in joint laboratory studies related to One 
Health; 
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(iii) identification of priority zoonotic 
diseases and priority areas of study; 
(iv) surveillance of priority zoonotic 
diseases and their transmission between 
animals and humans; 
(v) prevention of priority zoonotic dis-
eases and their transmission between ani-
mals and humans; 
(vi) protocol development to improve 
joint outbreak response to and recovery 
from zoonotic disease outbreaks in animals 
and humans; and 
(vii) workforce development to prevent 
and respond to zoonotic disease outbreaks 
in animals and humans; 
(C) describe specific activities required to 
achieve the goals and priorities described in 
subparagraph (B), and propose a timeline for 
achieving these goals; 
(D) identify and expand partnerships, as 
appropriate, among Federal agencies, States, 
Indian tribes, academic institutions, nongovern-
mental organizations, and private entities in 
order to develop new approaches for reducing 
hazards to human and animal health and to 
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strengthen understanding of the value of an in-
tegrated approach under the One Health Pro-
gram to addressing public health threats in a 
manner that prevents duplication; 
(E) identify best practices related to State 
and local-level research coordination, field ac-
tivities, and disease outbreak preparedness, re-
sponse, and recovery related to One Health; and 
(F) provide recommendations to Congress 
regarding additional action or legislation that 
may be required to assist in establishing the 
One Health Program. 
(3) ADDENDUM.—Not later than 3 years after 
the creation of the framework, the Secretary, in co-
ordination with the agencies described in paragraph 
(1), shall submit to Congress an addendum to the 
framework that describes the progress made in ad-
vancing the activities described in the framework. 
(c) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
such sums as may be necessary. 
SEC. 4. GAO REPORT. 
Not later than 2 years after the date of the submis-
sion of the addendum under section 3(b)(3), the Comp-
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troller General of the United States shall submit to Con-
gress a report that— 
(1) details existing collaborative efforts between 
the Centers for Disease Control and Prevention, the 
Food and Drug Administration, the Department of 
Agriculture, the United States Agency for Inter-
national Development, the Environmental Protection 
Agency, the National Institutes of Health, the De-
partment of Homeland Security, the Department of 
the Interior, and other departments and agencies to 
prevent and respond to zoonotic disease outbreaks in 
animals and humans; and 
(2) contains an evaluation of the framework 
and the specific activities requested to achieve the 
framework. 
Æ 
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