caused by administering a drug, biological prod-
uct, or device; and 
‘‘(4) the term ‘public health emergency’ means 
a public health emergency declared by the Secretary 
under section 319. 
‘‘(b) STRATEGY.—The Secretary, in coordination 
with the Secretary of Homeland Security and the Post-
master General, shall develop, coordinate, and maintain 
a National Medical Countermeasure Dispensing Strategy 
(referred to in this section as the ‘National MCM Dis-
pensing Strategy’). 
‘‘(c) CONTENTS.—The National MCM Dispensing 
Strategy shall— 
‘‘(1) encompass all aspects of the Federal role 
in dispensing medical countermeasures (referred to 
in this section as ‘MCMs’) and describe methods by 
which the Federal Government may assist State, 
local, and tribal governments to dispense MCMs; 
‘‘(2) address a variety of geographical areas, 
population densities, and demographics; 
‘‘(3) create a multilayered approach for the dis-
pensing of MCMs that includes redundancies; 
‘‘(4) address— 
‘‘(A) a staffing plan for dispensing MCMs, 
including— 
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‘‘(i) for MCM dispensing locations; 
and 
‘‘(ii) 
for 
dispensing 
through 
the 
United States Postal Service; 
‘‘(B) requirements for timeliness of MCM 
dispensing; 
‘‘(C) appropriateness, effectiveness, and ef-
ficiency of differing methods of MCM dis-
pensing; 
‘‘(D) measures and evaluations of MCM 
dispensing effectiveness and efficiency; 
‘‘(E) liability issues associated with MCM 
dispensing, considering— 
‘‘(i) the volunteer force; 
‘‘(ii) medical personnel; 
‘‘(iii) potential adverse reactions to 
medications; 
‘‘(iv) participating employees of the 
United States Postal Service; and 
‘‘(v) security personnel; 
‘‘(F) security issues, including— 
‘‘(i) partnerships with law enforce-
ment; and 
‘‘(ii) necessary levels of security to 
protect MCM dispensing locations and re-
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lated personnel, participating employees of 
the United States Postal Service, and 
transportation of MCMs; 
‘‘(G) communications issues, including— 
‘‘(i) communications between the Fed-
eral, State, local, and tribal government of-
ficials that may be involved in dispensing 
MCMs; 
‘‘(ii) communications between the gov-
ernment and private sector; and 
‘‘(iii) the creation of prescripted mes-
sages or message templates so that infor-
mation about how people can acquire 
MCMs can be disseminated quickly in an-
ticipation of or in the immediate aftermath 
of a biological attack or a naturally occur-
ring disease outbreak; 
‘‘(H) transportation of MCMs to dis-
pensing locations; 
‘‘(I) implementation and operations of dis-
pensing plans; 
‘‘(J) necessary levels of Federal technical 
assistance in developing MCM dispensing capa-
bilities; 
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‘‘(K) measures that are necessary in order 
so that actions taken pursuant to the National 
MCM Dispensing Strategy will comply with ap-
plicable requirements of the Federal Food, 
Drug, and Cosmetic Act and of section 351 of 
this Act; and 
‘‘(L) any other topics that the Secretary 
determines appropriate; and 
‘‘(5) be exercised regularly in various jurisdic-
tions. 
‘‘(d) COORDINATION.—Where appropriate, the Sec-
retary, in coordination with the Secretary of Homeland 
Security and the Postmaster General, shall coordinate 
with State, local, and tribal government officials, private 
sector, and nongovernmental organizations in development 
of the National MCM Dispensing Strategy. 
‘‘(e) REPORTS TO CONGRESS.— 
‘‘(1) IN GENERAL.—The Secretary, in coordina-
tion with the Secretary of Homeland Security and 
the Postmaster General, shall— 
‘‘(A) not later than 180 days after the date 
of enactment of this section, submit the Na-
tional MCM Dispensing Strategy to the appro-
priate committees of Congress; and 
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‘‘(B) not later than 180 days after the 
submission of the Strategy under subparagraph 
(A), submit an implementation plan for such 
Strategy to the appropriate committees of Con-
gress. 
‘‘(2) STATUS REPORT.—Not later than 1 year 
after the submission of the implementation plan 
under paragraph (1)(B), the Secretary, in coordina-
tion with the Secretary of Homeland Security and 
the Postmaster General, shall submit to the appro-
priate committees of Congress a report describing 
the status of the activities taken pursuant to the im-
plementation plan.’’. 
SEC. 202. TAILORING OF THE NATIONAL MEDICAL COUN-
TERMEASURE DISPENSING STRATEGY. 
(a) IN GENERAL.— 
(1) PLANS.—The Secretary of Health and 
Human Services, in coordination with the Secretary 
of Homeland Security and, where appropriate, the 
Postmaster General, shall tailor implementation of 
the National MCM Dispensing Strategy established 
under section 319N of the Public Health Service Act 
(as added by section 201) for— 
(A) Cities Readiness Initiative jurisdictions 
and other densely populated metropolitan areas 
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