I 
115TH CONGRESS 
2D SESSION 
H. R. 6378 
To reauthorize certain programs under the Public Health Service Act and 
the Federal Food, Drug, and Cosmetic Act with respect to public health 
security and all-hazards preparedness and response, and for other pur-
poses. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 16, 2018 
Mrs. BROOKS of Indiana (for herself, Ms. ESHOO, Mr. WALDEN, and Mr. 
PALLONE) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committees on 
the Judiciary, Veterans’ Affairs, and Homeland Security, for a period to 
be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To reauthorize certain programs under the Public Health 
Service Act and the Federal Food, Drug, and Cosmetic 
Act with respect to public health security and all-hazards 
preparedness and response, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Pandemic and All-Haz-
ards Preparedness and Advancing Innovation Act of 
2018’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
TITLE I—STRENGTHENING NATIONAL PREPAREDNESS AND 
RESPONSE FOR PUBLIC HEALTH EMERGENCIES 
Sec. 101. Coordination of preparedness for and response to all-hazards public 
health emergencies. 
Sec. 102. Public health emergency medical countermeasures enterprise. 
Sec. 103. National Health Security Strategy. 
Sec. 104. Improving emergency preparedness and response considerations for 
children. 
Sec. 105. Reauthorizing the National Advisory Committee on Children and Dis-
asters. 
Sec. 106. National Disaster Medical System. 
Sec. 107. Volunteer Medical Reserve Corps. 
Sec. 108. Continuing the role of the Department of Veterans Affairs. 
Sec. 109. Authorizing the National Advisory Committee on Seniors and Disas-
ters. 
Sec. 110. National Advisory Committee on Individuals with Disabilities in All- 
Hazards Emergencies. 
Sec. 111. Consideration for at-risk individuals. 
Sec. 112. Public health surveillance. 
Sec. 113. GAO study and report on disaster medical assistance teams. 
Sec. 114. Military and civilian partnership for trauma readiness grant program. 
Sec. 115. Improvement of loan repayment program for prevention activities. 
Sec. 116. Report on adequate national blood supply. 
TITLE II—OPTIMIZING STATE AND LOCAL ALL-HAZARDS 
PREPAREDNESS AND RESPONSE 
Sec. 201. Public health emergencies. 
Sec. 202. Improving State and local public health security. 
Sec. 203. Strengthening the hospital preparedness program. 
Sec. 204. Improving benchmarks and standards for preparedness and response. 
Sec. 205. Authorization of appropriations for revitalizing the Centers for Dis-
ease Control and Prevention. 
Sec. 206. Authorization of appropriations for Emergency System for Advanced 
Registration of Volunteer Health Professionals. 
Sec. 207. Regional health care emergency preparedness and response systems. 
Sec. 208. National Academy of Medicine evaluation and report on the prepared-
ness of hospitals, long-term care facilities, dialysis centers, and 
other medical facilities for public health emergencies. 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6211
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
Sec. 209. Limitation on liability for volunteer health care professionals. 
TITLE III—ACCELERATING MEDICAL COUNTERMEASURE 
ADVANCED RESEARCH AND DEVELOPMENT 
Sec. 301. Strategic national stockpile and security countermeasure procure-
ment. 
Sec. 302. Biomedical advanced research and development authority. 
Sec. 303. Report on the development of vaccines to prevent future epidemics. 
TITLE IV—MISCELLANEOUS PROVISIONS 
Sec. 401. Cybersecurity. 
Sec. 402. Miscellaneous FDA amendments. 
Sec. 403. Formal strategy relating to children separated from parents and 
guardians as a result of zero tolerance policy. 
Sec. 404. Biological threat detection. 
Sec. 405. Strengthening Mosquito Abatement for Safety and Health. 
Sec. 406. Additional strategies for combating antibiotic resistance. 
Sec. 407. Additional purposes for grants for certain trauma centers. 
TITLE I—STRENGTHENING NA-
TIONAL PREPAREDNESS AND 
RESPONSE 
FOR 
PUBLIC 
HEALTH EMERGENCIES 
SEC. 101. COORDINATION OF PREPAREDNESS FOR AND RE-
SPONSE TO ALL-HAZARDS PUBLIC HEALTH 
EMERGENCIES. 
(a) IN GENERAL.—Section 2811 of the Public Health 
Service Act (42 U.S.C. 300hh–10) is amended— 
(1) in subsection (b)— 
(A) in paragraph (4)— 
(i) in subparagraph (G)— 
(I) by inserting ‘‘the pandemic 
influenza and emerging infectious dis-
ease program established under sec-
tion 319L(d), or’’ before ‘‘all-hazards 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
medical and public health prepared-
ness and response’’; and 
(II) by adding at the end (after 
and below clause (ii)) the following: 
‘‘Such drills and operations exercises shall be 
comprehensive, synchronized, and mutually sup-
portive.’’; and 
(ii) by adding at the end the following 
new subparagraph: 
‘‘(I) 
THREAT
AWARENESS.—Coordinate 
with the Director of the Centers for Disease 
Control and Prevention, the Director of Na-
tional Intelligence, the Secretary of Homeland 
Security, the Assistant to the President for Na-
tional Security Affairs, the Secretary of De-
fense, and other relevant Federal officials, such 
as the Secretary of Agriculture, to maintain a 
current assessment of national security threats 
and inform preparedness and response capabili-
ties based on the range of the threats that have 
the potential to result in a public health emer-
gency.’’; 
(B) in paragraph (5), by adding at the end 
the following: ‘‘Such logistical support shall in-
clude working with other relevant Federal, 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
State, local, tribal, and territorial public health 
officials and private sector entities to identify 
the critical infrastructure assets, systems, and 
networks needed for the proper functioning of 
the health care and public health sectors that 
need to be maintained through any emergency 
or disaster, including entities capable of assist-
ing with, responding to, and mitigating the ef-
fect of a public health emergency, including a 
public health emergency declared by the Sec-
retary pursuant to section 319, or an emer-
gency or major disaster declared by the Presi-
dent pursuant to the Robert T. Stafford Dis-
aster Relief and Emergency Assistance Act or 
the National Emergencies Act, including by es-
tablishing methods to exchange critical informa-
tion and deliver products consumed or used to 
preserve, protect, or sustain life, health, or safe-
ty, and sharing of specialized expertise.’’; 
(C) in paragraph (7)— 
(i) in the matter preceding subpara-
graph (A)— 
(I) by inserting ‘‘the research 
and development activities of the pan-
demic influenza and emerging infec-
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
tious disease program established 
under section 319L(d) with respect to 
qualified pandemic or epidemic prod-
ucts (as defined in section 319F–3), 
and’’ before ‘‘the medical counter-
measure priorities described in sub-
section (d)’’; and 
(II) by striking ‘‘Develop, and 
update not later than March 1 of each 
year’’ and inserting ‘‘Develop, by not 
later than September 30, 2019, and 
update no later than every two years 
after the initial development,’’; and 
(ii) in each of subparagraphs (D) and 
(E), by striking ‘‘not later than March 15 
of each year’’ and inserting in each such 
place ‘‘not later than 14 days after each 
biennial development date’’; and 
(D) by adding at the end the following new 
paragraph: 
‘‘(8) REPORTING.—The Assistant Secretary for 
Preparedness and Response shall, beginning on the 
date of the enactment of this paragraph, submit to 
the Committee on Energy and Commerce of the 
House of Representatives weekly reports on the sta-
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
tus and welfare of the children who, as a result of 
the ‘zero tolerance’ policy, were separated from their 
parent or guardian and are awaiting reunification 
with their parent or guardian, as well as the number 
of such children in facilities funded by the Depart-
ment of Health and Human Services.’’; 
(2) in subsection (c), in the matter preceding 
paragraph (1), by striking ‘‘shall’’ and inserting 
‘‘shall, utilizing experience related to public health 
emergency preparedness and response, biodefense, 
medical countermeasures, and other relevant topics’’; 
and 
(3) in subsection (d)— 
(A) in paragraph (1), by striking ‘‘Not 
later than 180 days after the date of enactment 
of this subsection, and every year thereafter’’ 
and inserting ‘‘Not later than September 30, 
2019, and every second year thereafter’’; 
(B) in paragraph (2)(C), by inserting after 
‘‘products’’ the following: ‘‘, and ancillary med-
ical supplies to assist with the utilization of 
such products,’’; and 
(C) in paragraph (2)(J)(v), by striking 
‘‘the one-year period for which the report is 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
submitted’’ and inserting ‘‘the two-year period 
for which the report is submitted’’. 
(b) COUNTERMEASURES BUDGET PLAN.—Section 
2811(b)(7) of the Public Health Service Act (42 U.S.C. 
300hh–10(b)(7)) is amended— 
(1) by striking subparagraph (A) and inserting 
the following: 
‘‘(A) include consideration of the entire 
medical countermeasures enterprise, includ-
ing— 
‘‘(i) basic research and advanced re-
search and development; 
‘‘(ii) approval, clearance, licensure, 
and authorized uses of products; 
‘‘(iii) procurement, stockpiling, main-
tenance, and potential replenishment (in-
cluding manufacturing capabilities) of all 
products in the Strategic National Stock-
pile; and 
‘‘(iv) the availability of technologies 
that may assist in the advanced research 
and development of countermeasures and 
opportunities to use such technologies to 
accelerate and navigate challenges unique 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
to countermeasure research and develop-
ment;’’; 
(2) by redesignating subparagraphs (D) and 
(E) as subparagraphs (E) and (F), respectively; and 
(3) by inserting after subparagraph (C) the fol-
lowing: 
‘‘(D) identify the full range of anticipated 
medical countermeasure needs related to re-
search and development, procurement, and 
stockpiling, including the potential need for in-
dications, dosing, and administration tech-
nologies, and other countermeasure needs as 
applicable and appropriate;’’. 
SEC. 102. PUBLIC HEALTH EMERGENCY MEDICAL COUN-
TERMEASURES ENTERPRISE. 
Subtitle B of title XXVIII of the Public Health Serv-
ice Act (42 U.S.C. 300hh–10 et seq.) is amended— 
(1) by redesignating section 2811A as 2811B; 
and 
(2) by inserting after section 2811 the fol-
lowing: 
‘‘SEC. 2811A. PUBLIC HEALTH EMERGENCY MEDICAL COUN-
TERMEASURES ENTERPRISE. 
‘‘(a) IN GENERAL.—The Secretary shall establish 
and the Assistant Secretary for Preparedness and Re-
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
sponse may convene an interagency panel of advisors to 
be known as the Public Health Emergency Medical Coun-
termeasures Enterprise (in this section referred to as the 
‘PHEMCE’). 
‘‘(b) MEMBERS.— 
‘‘(1) IN GENERAL.—In addition to the Assistant 
Secretary for Preparedness and Response, who shall 
serve as chair, the PHEMCE shall include the vot-
ing members described in paragraph (2) and the 
non-voting members described in paragraph (3). 
‘‘(2) VOTING MEMBERS.—For purposes of para-
graph (1), the voting members described in this 
paragraph are following members: 
‘‘(A) The Director of the Biomedical Ad-
vanced Research and Development Authority 
(or the Director’s designee). 
‘‘(B) The Director of the Centers for Dis-
ease Control and Prevention (or the Director’s 
designee). 
‘‘(C) The Director of the National Insti-
tutes of Health (or the Director’s designee). 
‘‘(D) The Commissioner of Food and 
Drugs (or the Commissioner’s designee). 
‘‘(E) The Secretary of Defense (or the Sec-
retary’s designee). 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(F) The Secretary of Homeland Security 
(or the Secretary’s designee). 
‘‘(G) The Secretary of Agriculture (or the 
Secretary’s designee). 
‘‘(H) The Secretary of Veterans Affairs (or 
the Secretary’s designee). 
‘‘(I) Representatives of any other Federal 
agencies, as the Assistant Secretary for Pre-
paredness and Response determines appro-
priate. 
‘‘(3) NON-VOTING MEMBERS.—For purposes of 
paragraph (1), the non-voting members described in 
this paragraph are the following members: 
‘‘(A) The Secretary of State (or the Sec-
retary’s designee). 
‘‘(B) The Director of National Intelligence 
(or the Director’s designee). 
‘‘(C) The Director of the Central Intel-
ligence Agency (or the Director’s designee). 
‘‘(c) FUNCTIONS.—The PHEMCE shall— 
‘‘(1) advise the Assistant Secretary for Pre-
paredness and Response regarding research, develop-
ment, and procurement of security countermeasures 
(as defined in section 319F–2(c)) based on the 
health security needs of the United States; and 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(2) assist the Assistant Secretary for Pre-
paredness and Response in the identification of gaps 
in public health preparedness and response related 
to such security countermeasures and challenges to 
addressing such needs (including any regulatory 
challenges).’’. 
SEC. 103. NATIONAL HEALTH SECURITY STRATEGY. 
Section 2802 of the Public Health Service Act (42 
U.S.C. 300hh–1) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) by striking ‘‘2014’’ and inserting 
‘‘2018’’; and 
(ii) by striking the second sentence 
and inserting the following: ‘‘Such Na-
tional Health Security Strategy shall de-
scribe potential emergency health security 
threats and identify the process for achiev-
ing the preparedness goals described in 
subsection (b) to be prepared to identify 
and respond to such threats and shall be 
consistent with the national preparedness 
goal (as described in section 504(a)(19) of 
the Homeland Security Act of 2002), the 
National Incident Management System (as 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
defined in section 501(7) of such Act), and 
the National Response Plan developed pur-
suant to section 504 of such Act, or any 
successor plan.’’; 
(B) in paragraph (2), by inserting before 
the period at the end of the second sentence the 
following: ‘‘, and an analysis of any changes to 
the evidence-based benchmarks and objective 
standards under sections 319C–1 and 319C–2’’; 
and 
(C) in paragraph (3)— 
(i) by striking ‘‘2009’’ and inserting 
‘‘2022’’; 
(ii) by inserting ‘‘(including gaps in 
the environmental health and animal 
health workforces, as applicable), describ-
ing the status of such workforce’’ after 
‘‘gaps in such workforce’’; 
(iii) by striking ‘‘and identifying strat-
egies’’ and inserting ‘‘identifying strate-
gies’’; and 
(iv) by inserting before the period at 
the end ‘‘, and identifying current capabili-
ties to meet the requirements of section 
2803’’; and 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
(2) in subsection (b)— 
(A) in paragraph (2)— 
(i) in subparagraph (A), by striking 
‘‘and investigation’’ and inserting ‘‘inves-
tigation, and related information tech-
nology activities’’; 
(ii) in subparagraph (B), by striking 
‘‘and decontamination’’ and inserting ‘‘de-
contamination, relevant health care serv-
ices and supplies, and transportation and 
disposal of medical waste’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(E) Response to environmental hazards.’’; 
(B) in paragraph (3)— 
(i) in the matter preceding subpara-
graph (A), by striking ‘‘including mental 
health’’ and inserting ‘‘including phar-
macies, mental health facilities,’’; 
(ii) in subparagraph (F), by inserting 
‘‘or exposures to agents that could cause a 
public health emergency’’ before the pe-
riod; and 
(iii) by amending subparagraph (G) to 
read as follows: 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(G) Optimizing a coordinated and flexible 
approach to the emergency response and med-
ical surge capacity of hospitals, other health 
care facilities, critical care, trauma care (which 
may include trauma centers), and emergency 
medical systems, which may include the imple-
mentation of guidelines for regional health care 
emergency preparedness and response systems 
under section 319C–3.’’; 
(C) in paragraph (5), by inserting ‘‘and 
other applicable compacts’’ after ‘‘Compact’’; 
and 
(D) by adding at the end the following: 
‘‘(9) ZOONOTIC
DISEASE, FOOD, AND
AGRI-
CULTURE.—Improving coordination among Federal, 
State, local, tribal, and territorial entities (including 
through consultation with the Secretary of Agri-
culture) to prevent, detect, and respond to outbreaks 
of plant or animal disease (including zoonotic dis-
ease) that could compromise national security result-
ing from a deliberate attack, a naturally occurring 
threat, the intentional adulteration of food, or other 
public health threats, taking into account inter-
actions between animal health, human health, and 
animals’ and humans’ shared environment as di-
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
rectly related to public health emergency prepared-
ness and response capabilities, as applicable. 
‘‘(10) GLOBAL HEALTH SECURITY.—Assessing 
current or potential health security threats from 
abroad to inform domestic public health prepared-
ness and response capabilities.’’. 
SEC. 104. IMPROVING EMERGENCY PREPAREDNESS AND 
RESPONSE 
CONSIDERATIONS 
FOR 
CHIL-
DREN. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 319D the following: 
‘‘SEC. 319D–1. CHILDREN’S PREPAREDNESS UNIT. 
‘‘(a) ENHANCING EMERGENCY PREPAREDNESS FOR 
CHILDREN.—The Secretary, acting through the Director 
of the Centers for Disease Control and Prevention (re-
ferred to in this subsection as the ‘Director’), shall main-
tain an internal team of experts, to be known as the Chil-
dren’s Preparedness Unit (referred to in this subsection 
as the ‘Unit’), to work collaboratively to provide guidance 
on the considerations for, and the specific needs of, chil-
dren before, during, and after public health emergencies. 
The Unit shall inform the Director regarding emergency 
preparedness and response efforts pertaining to children 
at the Centers for Disease Control and Prevention. 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(b) EXPERTISE.—The team described in subsection 
(a) shall include one or more pediatricians, which may be 
a developmental-behavioral pediatrician, and may also in-
clude behavioral scientists, child psychologists, epidemiolo-
gists, biostatisticians, health communications staff, and 
individuals with other areas of expertise, as the Secretary 
determines appropriate. 
‘‘(c) DUTIES.—The team described in subsection (a) 
may— 
‘‘(1) assist State, local, tribal, and territorial 
emergency planning and response activities related 
to children, which may include developing, identi-
fying, and sharing best practices; 
‘‘(2) provide technical assistance, training, and 
consultation to Federal, State, local, tribal, and ter-
ritorial public health officials to improve prepared-
ness and response capabilities with respect to the 
needs of children, including providing such technical 
assistance, training, and consultation to eligible enti-
ties in order to support the achievement of measur-
able evidence-based benchmarks and objective stand-
ards applicable to sections 319C–1 and 319C–2; 
‘‘(3) improve the utilization of methods to in-
corporate the needs of children in planning for and 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
responding to a public health emergency, including 
public awareness of such methods; 
‘‘(4) coordinate with, and improve, public-pri-
vate partnerships, such as health care coalitions pur-
suant to sections 319C–2 and 319C–3, to address 
gaps and inefficiencies in emergency preparedness 
and response efforts for children; 
‘‘(5) provide expertise and input during the de-
velopment of guidance and clinical recommendations 
to address the needs of children when preparing for, 
and responding to, public health emergencies, includ-
ing pursuant to section 319C–3; and 
‘‘(6) carry out other duties related to prepared-
ness and response activities for children, as the Sec-
retary determines appropriate.’’. 
SEC. 105. REAUTHORIZING THE NATIONAL ADVISORY COM-
MITTEE ON CHILDREN AND DISASTERS. 
Section 2811B of the Public Health Service Act, as 
redesignated by section 102(1), is amended— 
(1) in subsection (b)(2), by inserting ‘‘, mental 
and behavioral,’’ after ‘‘medical’’; 
(2) in subsection (d)— 
(A) in paragraph (1), by striking ‘‘15’’ and 
inserting ‘‘25’’; and 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
(B) by striking paragraph (2) and insert-
ing the following: 
‘‘(2) REQUIRED NON-FEDERAL MEMBERS.—The 
Secretary, in consultation with such other heads of 
Federal agencies as may be appropriate, shall ap-
point to the Advisory Committee under paragraph 
(1) at least 13 individuals to perform the duties de-
scribed in subsections (b) and (c), including— 
‘‘(A) at least 2 non-Federal professionals 
with expertise in pediatric medical disaster 
planning, preparedness, response, or recovery; 
‘‘(B) at least 2 representatives from State, 
local, tribal, or territorial agencies with exper-
tise in pediatric disaster planning, prepared-
ness, response, or recovery; 
‘‘(C) at least 4 members representing 
health care professionals, which may include 
members with expertise in pediatric emergency 
medicine; pediatric trauma, critical care, or sur-
gery; the treatment of pediatric patients af-
fected by chemical, biological, radiological, or 
nuclear agents and emerging infectious dis-
eases; pediatric mental or behavioral health re-
lated to children affected by a public health 
emergency; or pediatric primary care; and 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(D) other members as the Secretary de-
termines appropriate, of whom— 
‘‘(i) at least one such member shall 
represent a children’s hospital; 
‘‘(ii) at least one such member shall 
be an individual with expertise in schools 
or child care settings; 
‘‘(iii) at least one such member shall 
be an individual with expertise in children 
and youth with special health care needs; 
and 
‘‘(iv) at least one such member shall 
be an individual with expertise in the needs 
of parents or family caregivers, including 
the parents or caregivers of children with 
disabilities. 
‘‘(3) FEDERAL MEMBERS.—The Advisory Com-
mittee under paragraph (1) shall include the fol-
lowing Federal members or their designees: 
‘‘(A) The Assistant Secretary for Pre-
paredness and Response. 
‘‘(B) The Director of the Biomedical Ad-
vanced Research and Development Authority. 
‘‘(C) The Director of the Centers for Dis-
ease Control and Prevention. 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(D) The Commissioner of Food and 
Drugs. 
‘‘(E) The Director of the National Insti-
tutes of Health. 
‘‘(F) The Assistant Secretary of the Ad-
ministration for Children and Families. 
‘‘(G) The Administrator of the Health Re-
sources and Services Administration. 
‘‘(H) The Administrator of the Federal 
Emergency Management Agency. 
‘‘(I) The Administrator of the Administra-
tion for Community Living. 
‘‘(J) The Secretary of Education. 
‘‘(K) Representatives from such Federal 
agencies (such as the Substance Abuse and 
Mental Health Services Administration and the 
Department of Homeland Security) as the Sec-
retary determines appropriate to fulfill the du-
ties of the Advisory Committee under sub-
sections (b) and (c). 
‘‘(4) TERM OF APPOINTMENT.—Each member 
of the Advisory Committee appointed under para-
graph (2) shall serve for a term of 3 years, except 
that the Secretary may adjust the terms of the Advi-
sory Committee appointees serving on the date of 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00021
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
enactment of the Pandemic and All-Hazards Pre-
paredness and Advancing Innovation Act of 2018, or 
appointees who are initially appointed after such 
date of enactment, in order to provide for a stag-
gered term of appointment for all members. 
‘‘(5) CONSECUTIVE APPOINTMENTS; MAXIMUM 
TERMS.—A member appointed under paragraph (2) 
may serve not more than 3 terms on the Advisory 
Committee, and not more than 2 of which may be 
served consecutively.’’; 
(3) in subsection (e), by adding at the end ‘‘At 
least one meeting per year shall be an in-person 
meeting.’’; 
(4) by redesignating subsection (f) as sub-
section (g); 
(5) by inserting after subsection (e) the fol-
lowing: 
‘‘(f) COORDINATION.—The Secretary shall coordinate 
activities authorized under this section and section 2811C, 
in accordance with section 2811C(d).’’; and 
(6) in subsection (g), as so redesignated, by 
striking ‘‘2018’’ and inserting ‘‘2023’’. 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00022
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
SEC. 106. NATIONAL DISASTER MEDICAL SYSTEM. 
(a) PURPOSE OF SYSTEM.—Clause (ii) of section 
2812(a)(3)(A) of the Public Health Service Act (42 U.S.C. 
300hh–11(a)(3)(A)) is amended to read as follows: 
‘‘(ii) be present at locations, and for 
limited periods of time, specified by the 
Secretary on the basis that the Secretary 
has determined that a location is at risk of 
a public health emergency during the time 
specified, or there is a significant potential 
for a public health emergency.’’. 
(b) REVIEW OF THE NATIONAL DISASTER MEDICAL 
SYSTEM.—Section 2812(b)(2) of the Public Health Serv-
ice Act (42 U.S.C. 300hh–11(b)(2)) is amended to read 
as follows: 
‘‘(2) JOINT REVIEW AND MEDICAL SURGE CA-
PACITY STRATEGIC PLAN.— 
‘‘(A) REVIEW.—Not later than 180 days 
after the date of enactment of the Pandemic 
and All-Hazards Preparedness and Advancing 
Innovation Act of 2018, the Secretary, in co-
ordination with the Secretary of Homeland Se-
curity, the Secretary of Defense, and the Sec-
retary of Veterans Affairs, shall conduct a joint 
review of the National Disaster Medical System. 
Such review shall include— 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00023
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(i) an evaluation of medical surge ca-
pacity, as described in section 2803(a); 
‘‘(ii) an assessment of the available 
workforce of the intermittent disaster-re-
sponse personnel described in subsection 
(c); 
‘‘(iii) the capacity of the workforce de-
scribed in clause (ii) to respond to all haz-
ards, including capacity to simultaneously 
respond to multiple public health emer-
gencies and to respond to a nationwide 
public health emergency; 
‘‘(iv) the effectiveness of efforts to re-
cruit, retain, and train such workforce; and 
‘‘(v) gaps that may exist in such 
workforce and recommendations for ad-
dressing such gaps. 
‘‘(B) UPDATES.—As part of the National 
Health Security Strategy under section 2802, 
the Secretary shall update the findings from the 
review under subparagraph (A) and provide rec-
ommendations to modify the policies of the Na-
tional Disaster Medical System as necessary.’’. 
(c) DIRECT HIRE AUTHORITY.—Section 2812(c)(1) 
of the Public Health Service Act (42 U.S.C. 300hh– 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00024
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
11(c)(1)) is amended by inserting ‘‘(or, for the period be-
ginning on the date of the enactment of the Pandemic and 
All-Hazards Preparedness Reauthorization Act of 2018 
and ending on September 30, 2021, without regard to 
those provisions of title 5, United States Code, governing 
appointments in the competitive service)’’ after ‘‘in accord-
ance with applicable civil service laws and regulations’’. 
(d) SERVICE BENEFIT; NOTIFICATION OF SHORT-
AGE.—Section 2812(c) (42 U.S.C. 300hh–11(c)) is 
amended by adding at the end the following: 
‘‘(3) SERVICE BENEFIT.—Individuals appointed 
to serve under this subsection shall be considered 
public safety officers under part L of title I of the 
Omnibus Crime Control and Safe Streets Act of 
1968. The Secretary shall provide notification to eli-
gible individuals of any effect such designation may 
have on other benefits for which such individuals are 
eligible, including benefits from private entities. 
‘‘(4) NOTIFICATION.—Not later than 30 days 
after the date on which the Secretary determines the 
number of intermittent disaster-response personnel 
of the National Disaster Medical System is insuffi-
cient to address a public health emergency or poten-
tial public health emergency, the Secretary shall sub-
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00025
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
mit to the congressional committees of jurisdiction a 
notification detailing— 
‘‘(A) the impact such shortage could have 
on meeting public health needs and emergency 
medical personnel needs during a public health 
emergency; and 
‘‘(B) any identified measures to address 
such shortage.’’. 
(e) DEATH BENEFITS.—Section 1204(9) of the Om-
nibus Crime Control and Safe Streets Act of 1968 (34 
U.S.C. 10284(9)) is amended— 
(1) in subparagraph (C), by striking ‘‘or’’ at 
the end; 
(2) in subparagraph (D), by striking the period 
at the end and inserting ‘‘; or’’; and 
(3) by adding at the end the following: 
‘‘(E) an individual appointed to assist the 
National Disaster Medical System pursuant to 
section 2812(c)(1) of the Public Health Service 
Act.’’. 
(f) AUTHORIZATION OF APPROPRIATIONS.—Section 
2812(g) of the Public Health Service Act (42 U.S.C. 
300hh–11(g)) is amended by striking ‘‘$52,700,000 for 
each of fiscal years 2014 through 2018’’ and inserting 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00026
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘$57,400,000 for each of fiscal years 2019 through 
2023’’. 
SEC. 107. VOLUNTEER MEDICAL RESERVE CORPS. 
Section 2813 of the Public Health Service Act (42 
U.S.C. 300hh–15)) is amended— 
(1) in subsection (a), by amending the second 
sentence to read as follows: ‘‘The Secretary may ap-
point a Director to head the Corps and oversee the 
activities of the Corps chapters that exist at the 
State, local, and tribal levels.’’; and 
(2) in subsection (i), by striking ‘‘$11,200,000 
for each of fiscal years 2014 through 2018’’ and in-
serting ‘‘$6,000,000 for each of fiscal years 2019 
through 2023’’. 
SEC. 108. CONTINUING THE ROLE OF THE DEPARTMENT OF 
VETERANS AFFAIRS. 
Section 8117(g) of title 38, United States Code, is 
amended by striking ‘‘$155,300,000 for each of fiscal 
years 2014 through 2018’’ and inserting ‘‘$126,800,000 
for each of fiscal years 2019 through 2023’’. 
SEC. 109. AUTHORIZING THE NATIONAL ADVISORY COM-
MITTEE ON SENIORS AND DISASTERS. 
Subtitle B of title XXVIII of the Public Health Serv-
ice Act (42 U.S.C. 300hh et seq.), as amended by section 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00027
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
102, is further amended by inserting after section 2811B 
the following: 
‘‘SEC. 2811C. NATIONAL ADVISORY COMMITTEE ON SEN-
IORS AND DISASTERS. 
‘‘(a) ESTABLISHMENT.—The Secretary, in consulta-
tion with the Secretary of Homeland Security and the Sec-
retary of Veterans Affairs, shall establish an advisory com-
mittee to be known as the National Advisory Committee 
on Seniors and Disasters (referred to in this section as 
the ‘Advisory Committee’). 
‘‘(b) DUTIES.— 
‘‘(1) IN
GENERAL.—The Advisory Committee 
shall— 
‘‘(A) provide advice and consultation with 
respect to the activities carried out pursuant to 
section 2814, as applicable and appropriate; 
‘‘(B) evaluate and provide input with re-
spect to the medical and public health needs of 
seniors related to the preparation for, response 
to, and recovery from all-hazards emergencies; 
and 
‘‘(C) provide advice and consultation with 
respect to State emergency preparedness and 
response activities and seniors, including related 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00028
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
drills and exercises pursuant to the prepared-
ness goals under section 2802(b). 
‘‘(2) ADDITIONAL DUTIES.—The Advisory Com-
mittee may provide advice and recommendations to 
the Secretary with respect to seniors and the med-
ical and public health grants and cooperative agree-
ments as applicable to preparedness and response 
activities under this title and title III. 
‘‘(3) MEMBERSHIP.— 
‘‘(A) IN GENERAL.—The Secretary, in con-
sultation with such other heads of agencies as 
appropriate, shall appoint not more than 15 
members to the Advisory Committee. In ap-
pointing such members, the Secretary shall en-
sure that the total membership of the Advisory 
Committee is an odd number. 
‘‘(B) REQUIRED MEMBERS.—The members 
appointed under paragraph (1) shall include— 
‘‘(i) the Assistant Secretary for Pre-
paredness and Response; 
‘‘(ii) the Director of the Biomedical 
Advanced Research and Development Au-
thority; 
‘‘(iii) the Director of the Centers for 
Disease Control and Prevention; 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00029
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(iv) the Commissioner of Food and 
Drugs; 
‘‘(v) the Director of the National In-
stitutes of Health; 
‘‘(vi) the Administrator of the Centers 
for Medicare & Medicaid Services; 
‘‘(vii) the Administrator of the Ad-
ministration for Community Living; 
‘‘(viii) the Administrator of the Fed-
eral Emergency Management Agency; 
‘‘(ix) the Under Secretary for Health 
of the Department of Veterans Affairs; 
‘‘(x) at least 2 non-Federal health 
care professionals with expertise in medical 
disaster planning, preparedness, response, 
or recovery; 
‘‘(xi) at least 2 representatives of 
State, local, territorial, or tribal agencies 
with expertise in disaster planning, pre-
paredness, response, or recovery; and 
‘‘(xii) representatives of such other 
Federal agencies (such as the Department 
of Energy and the Department of Home-
land Security) as the Secretary determines 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00030
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
necessary to fulfill the duties of the Advi-
sory Committee. 
‘‘(c) MEETINGS.—The Advisory Committee shall 
meet not less frequently than biannually. 
‘‘(d) ADVISORY COMMITTEE COORDINATION.— 
‘‘(1) IN GENERAL.—The Secretary shall coordi-
nate activities authorized under this section and sec-
tion 2811B, and make efforts to reduce unnecessary 
or duplication of meetings, recommendations, and 
reporting under such sections. Members of the advi-
sory committees under this section and section 
2811B, or their designees, shall meet periodically, 
and not less than annually, to— 
‘‘(A) review the recommendations devel-
oped by such committees to coordinate, as ap-
propriate, the implementation of recommenda-
tions, in order to reduce gaps, overlap, and du-
plication of effort in Federal programs or by 
Federal grantees; and 
‘‘(B) align preparedness and response pro-
grams or activities to address the dual or over-
lapping needs of children and seniors and any 
challenges in preparing for and responding to 
such needs. 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00031
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(2) NOTIFICATION.—The Secretary shall no-
tify the congressional committees of jurisdiction 
upon the convening of each meeting under para-
graph (1), and provide minutes from such meeting 
not later than 90 days after the meeting. 
‘‘(e) SUNSET.—The Advisory Committee shall termi-
nate on September 30, 2023.’’. 
SEC. 110. NATIONAL ADVISORY COMMITTEE ON INDIVID-
UALS WITH DISABILITIES IN ALL-HAZARDS 
EMERGENCIES. 
Subtitle B of title XXVIII of the Public Health Serv-
ice Act (42 U.S.C. 300hh et seq.), as amended by sections 
102 and 109, is further amended by inserting after section 
2811C the following: 
‘‘SEC. 2811D. NATIONAL ADVISORY COMMITTEE ON INDI-
VIDUALS WITH DISABILITIES IN ALL-HAZ-
ARDS EMERGENCIES. 
‘‘(a) ESTABLISHMENT.—Not later than 90 days after 
the date of this section, the Secretary shall establish a na-
tional advisory committee to be known as the National Ad-
visory Committee on Individuals with Disabilities in All- 
Hazards Emergencies (referred to in this section as the 
‘Advisory Committee’). 
‘‘(b) DUTIES.—The Advisory Committee shall— 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00032
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(1) provide advice and consultation with re-
spect to activities carried out pursuant to section 
2814, as applicable and appropriate; 
‘‘(2) evaluate and provide input with respect to 
the public health, accessibility, and medical needs of 
individuals with disabilities as they relate to prepa-
ration for, response to, and recovery from all-haz-
ards emergencies; and 
‘‘(3) provide advice and consultation with re-
spect to State emergency preparedness and response 
activities, including related drills and exercises pur-
suant to the preparedness goals under section 
2802(b). 
‘‘(c) REPORT.—Not later than February 1, 2020, the 
Advisory Committee shall submit to the Secretary, the 
Committee on Energy and Commerce of the House of 
Representatives, the Committee on Homeland Security of 
the House of Representatives, the Committee on Veterans’ 
Affairs of the House of Representatives, the Committee 
on Health, Education, Labor, and Pensions of the Senate, 
the Committee on Veterans’ Affairs of the Senate, and the 
Committee on Homeland Security and Governmental Af-
fairs of the Senate a report that evaluates the extent to 
which individuals with disabilities are thoroughly included 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00033
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
in disaster preparedness planning and disaster recovery. 
Such report shall— 
‘‘(1) include recommendations that offer spe-
cific improvements that could be made across local, 
State, tribal, territorial, and Federal efforts to im-
prove outcomes in areas that include— 
‘‘(A) preparedness; 
‘‘(B) planning; 
‘‘(C) exercises and drills; 
‘‘(D) alerts, warning, and notifications; 
‘‘(E) evacuation; 
‘‘(F) sheltering; 
‘‘(G) health maintenance; 
‘‘(H) accessing emergency programs and 
services; 
‘‘(I) medical care (including mental health 
care); 
‘‘(J) temporary housing; 
‘‘(K) mitigation; and 
‘‘(L) community resilience; and 
‘‘(2) assess the strength of existing policies to 
incorporate such individuals as well as the efficacy 
of implementation. 
‘‘(d) COMPOSITION.— 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00034
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with such other heads of agencies and depart-
ments as may be appropriate, shall appoint not to 
exceed 25 members to the Advisory Committee. 
‘‘(2) REQUIRED
MEMBERS.—In carrying out 
paragraph (1), the Secretary shall appoint to the 
Advisory Committee such individuals as may be ap-
propriate to perform the duties described in sub-
sections (b), which shall include— 
‘‘(A) the Assistant Secretary for Prepared-
ness and Response (or their designee); 
‘‘(B) the Director of the Administration 
for Community Living (or their designee); 
‘‘(C) the Director of the Biomedical Ad-
vanced Research and Development Authority 
(or their designee); 
‘‘(D) the Director of the Centers for Dis-
ease Control and Prevention (or their designee); 
‘‘(E) the Commissioner of Food and Drugs 
(or their designee); 
‘‘(F) the Director of the National Insti-
tutes of Health (or their designee); 
‘‘(G) the Administrator of the Federal 
Emergency Management Agency (or their des-
ignee); 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00035
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(H) the Director of Office of Disability 
Integration and Coordination (or their des-
ignee); 
‘‘(I) the Officer for Civil Rights and Civil 
Liberties of the Department of Homeland Secu-
rity (or their designee); 
‘‘(J) the Chair of the National Council on 
Disability (or their designee); 
‘‘(K) the Chair of the United States Access 
Board (or their designee); 
‘‘(L) the Director of the Disability Rights 
Section of the Department of Justice (or their 
designee); 
‘‘(M) the Secretary of the Department of 
Education (or their designee); 
‘‘(N) the Secretary of the Department of 
Transportation (or their designee); 
‘‘(O) the Secretary of the Department of 
Housing and Urban Development (or their des-
ignee); 
‘‘(P) a representative from the Department 
of Veterans Affairs Health Administration’s Of-
fice of Emergency Management; 
‘‘(Q) the Director of the Bureau of Prisons 
(or their designee); 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00036
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
‘‘(R) at least four representatives who are 
individuals with disabilities that have sub-
stantive expertise in disability inclusive emer-
gency management policy and operations; 
‘‘(S) at least two non-Federal health care 
professionals with expertise in disability accessi-
bility before, during, and after disasters, med-
ical and mass care disaster planning, prepared-
ness, response, or recovery; and 
‘‘(T) at least two representatives from 
State, local, territorial, or tribal agencies with 
expertise in disability-inclusive disaster plan-
ning, preparedness, response, or recovery. 
‘‘(e) MEETINGS.—The Advisory Committee shall 
meet not less than biannually. 
‘‘(f) DISABILITY DEFINED.—For purposes of this 
section, the term ‘disability’ has the meaning given such 
term in section 3 of the Americans with Disabilities Act 
of 1990. 
‘‘(g) TERMINATION OF COMMITTEE.— 
‘‘(1) IN
GENERAL.—The Advisory Committee 
shall terminate on September 30, 2023. 
‘‘(2) 
RECOMMENDATION.—Not 
later 
than 
March 30, 2023, the Secretary shall submit to Con-
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00037
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
ters, and medical facilities regarding emergency 
preparedness planning; 
(B) to identify and prioritize options to im-
plement policies for hospitals, long-term care 
facilities, dialysis centers, and other medical fa-
cilities nationwide that address future threats; 
(C) to review all Federal grant programs 
that affect the preparedness of hospitals, long- 
term care facilities, dialysis centers, or other 
medical facilities for public health emergencies 
and provide recommendations for improving 
such preparedness by— 
(i) improving such existing Federal 
grant programs; or 
(ii) creating new Federal grant pro-
grams; 
(D) to review, identify, and recommend 
best practices for improving emergency pre-
paredness at hospitals, long-term care facilities, 
dialysis centers, and other medical facilities; 
(E) to identify and recommend best 
sources and guidelines for alterative or emer-
gency power systems, including renewable 
sources, battery storage, and generators; and 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00074
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS
(A) by inserting ‘‘including programs to 
address emerging infectious mosquito-borne dis-
eases,’’ after ‘‘subdivisions for control pro-
grams,’’; and 
(B) by inserting ‘‘or improving existing 
control programs’’ before the period at the end; 
(2) in subsection (b)— 
(A) in paragraph (1), by inserting ‘‘, in-
cluding improvement,’’ after ‘‘operation’’; 
(B) in paragraph (2)— 
(i) in subparagraph (A)— 
(I) in clause (ii), by striking ‘‘or’’ 
at the end; 
(II) in clause (iii), by striking the 
semicolon at the end and inserting ‘‘, 
including an emerging infectious mos-
quito-borne disease that presents a se-
rious public health threat; or’’; and 
(III) by adding at the end the 
following: 
‘‘(iv) a public health emergency due to 
the incidence or prevalence of a mosquito- 
borne disease that presents a serious pub-
lic health threat;’’; and 
VerDate Sep 11 2014 
01:54 Jul 17, 2018
Jkt 079200
PO 00000
Frm 00098
Fmt 6652
Sfmt 6201
E:\BILLS\H6378.IH
H6378
pbinns on DSK79D2C42PROD with BILLS