‘‘(B) submit to the Director of the Centers 
for Disease Control and Prevention a Pandemic 
Influenza Preparedness Plan described under 
paragraph (2); and 
‘‘(C) have such Preparedness Plan ap-
proved in accordance with this subsection. 
‘‘(2) PREPAREDNESS PLAN.— 
‘‘(A) IN GENERAL.—The Pandemic Influ-
enza Preparedness Plan required under para-
graph (1) shall address— 
‘‘(i) human and animal surveillance 
activities, including capacity for epidemio-
logical analysis, isolation and subtyping of 
influenza viruses year-round, including for 
avian influenza among domestic poultry, 
and reporting of information across human 
and veterinary sectors; 
‘‘(ii) methods to ensure surge capacity 
in 
hospitals, 
laboratories, 
outpatient 
healthcare provider offices, medical sup-
pliers, and communication networks; 
‘‘(iii) assisting the recruitment and 
coordination of national and State volun-
teer banks of healthcare professionals;
‘‘(iv) 
distribution 
of 
vaccines, 
antivirals, and other treatments to priority 
groups, and monitor effectiveness and ad-
verse events; 
‘‘(v) networks that provide alerts and 
other information for healthcare providers 
and organizations at the National, State, 
and regional level; 
‘‘(vi) communication with the public 
with respect to prevention and obtaining 
care during pandemic influenza; 
‘‘(vii) maintenance of core public 
functions, including public utilities, refuse 
disposal, mortuary services, transportation, 
police and firefighter services, and other 
critical services; 
‘‘(viii) provision of security for— 
‘‘(I) first responders and other 
medical personnel and volunteers; 
‘‘(II) hospitals, treatment cen-
ters, and isolation and quarantine 
areas; 
‘‘(III) transport and delivery of 
resources, including vaccines, medica-
tions and other supplies; and
‘‘(IV) other persons or functions 
as determined appropriate by the Sec-
retary; 
‘‘(ix) the acquisition of necessary legal 
authority for pandemic activities; 
‘‘(x) integration with existing na-
tional, State, and regional bioterrorism 
preparedness activities or infrastructure; 
‘‘(xi) coordination among public and 
private health sectors with respect to 
healthcare delivery, including mass vac-
cination and treatment systems, during 
pandemic influenza; and 
‘‘(xii) coordination with Federal pan-
demic influenza preparedness activities. 
‘‘(B) UNDERSERVED POPULATIONS.—The 
Pandemic Influenza Preparedness Plan required 
under paragraph (1) shall include a specific 
focus on surveillance, prevention, and medical 
care for traditionally underserved populations, 
including low-income, racial and ethnic minor-
ity, immigrant, and uninsured populations. 
‘‘(3) APPROVAL OF STATE PLAN.— 
‘‘(A) IN GENERAL.—The Director of the 
Centers for Disease Control and Prevention, in
collaboration with the Secretary of Agriculture 
and the Administrator of the Health Resources 
and Services Administration, shall develop cri-
teria to rate State Pandemic Influenza Pre-
paredness Plans required under paragraph (1) 
and determine the minimum rating needed for 
approval. 
‘‘(B) TIMING
OF
APPROVAL.—Not later 
than 180 days after a State submits a State 
Pandemic Influenza Preparedness Plan as re-
quired under paragraph (1), the Director of the 
Centers for Disease Control and Prevention 
shall make a determination regarding approval 
of such Plan. 
‘‘(4) REPORTING
OF
STATE
PLAN.—All Pan-
demic Influenza Preparedness Plans submitted and 
approved under this section shall be made available 
to the public. 
‘‘(5) ASSISTANCE TO STATES.—The Centers for 
Disease Control and Prevention and the Health Re-
sources and Services Administration may provide as-
sistance to States in carrying out this subsection, or 
implementing an approved State Pandemic Influenza 
Preparedness Plan, which may include the detail of
an officer to approved domestic pandemic sites or 
the purchase of equipment and supplies. 
‘‘(6) WAIVER.—The Secretary may grant a 
temporary waiver of 1 or more of the requirements 
under this subsection. 
‘‘(c) DOMESTIC SURVEILLANCE.— 
‘‘(1) IN GENERAL.—The Secretary, in coordina-
tion with the Secretary of Agriculture, shall establish 
minimum thresholds for States with respect to ade-
quate surveillance for pandemic influenza, including 
possible pandemic avian influenza. 
‘‘(2) ASSISTANCE TO STATES.— 
‘‘(A) IN GENERAL.—The Secretary, in co-
ordination with the Secretary of Agriculture, 
shall provide assistance to States and regions to 
meet the minimum thresholds established under 
paragraph (1). 
‘‘(B) TYPES OF ASSISTANCE.—Assistance 
provided to States under subparagraph (A) may 
include— 
‘‘(i) the establishment or expansion of 
State surveillance and alert systems, in-
cluding the Sentinel Physician Surveillance 
System and 122 Cities Mortalities Report 
System;
‘‘(ii) the provision of equipment and 
supplies; 
‘‘(iii) support for epidemiological anal-
ysis and investigation of novel strains; 
‘‘(iv) the sharing of biological speci-
mens and epidemiological and clinical data 
within and across States; and 
‘‘(v) other activities determined appro-
priate by the Secretary. 
‘‘(3) DETAIL
OF
OFFICERS.—The Secretary 
may detail officers to States for technical assistance 
as needed to carry out this subsection. 
‘‘(d) PRIVATE SECTOR INVOLVEMENT.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention and the Administrator of the 
Health Resources and Services Administration, and 
in coordination with private sector entities, shall in-
tegrate and coordinate public and private influenza 
surveillance activities, as appropriate. 
‘‘(2) GRANT PROGRAM.— 
‘‘(A) IN GENERAL.—In carrying out the 
activities under paragraph (1), the Secretary 
may establish a grant program to provide 
grants to eligible entities to coordinate pan-
demic preparedness surveillance activities be-
tween States and private health sector entities, 
including health plans and other health sys-
tems. 
‘‘(B) ELIGIBILITY.—To be eligible to re-
ceive a grant under subparagraph (A), an entity 
shall— 
‘‘(i) submit an application at such 
time, in such manner, and containing such 
information as the Secretary may require; 
and 
‘‘(ii) be a State with a collaborative 
relationship with a private health system 
organization or institution. 
‘‘(C) USE
OF
FUNDS.—Funds under a 
grant under subparagraph (A) may be used 
to— 
‘‘(i) develop and implement surveil-
lance protocols for patients in outpatient 
and hospital settings; 
‘‘(ii) establish a communication alert 
plan for patients for reportable signs and 
symptoms that may suggest influenza; 
‘‘(iii) purchase necessary equipment 
and supplies;
‘‘(iv) increase laboratory testing and 
networking capacity; 
‘‘(v) 
conduct 
epidemiological 
and 
other analyses; or 
‘‘(vi) report and disseminate data. 
‘‘(D) DETAIL
OF
OFFICERS.—The Sec-
retary may detail officers to grantees under 
subparagraph (A) for technical assistance. 
‘‘(E) REQUIREMENT.—As a condition of 
receiving a grant under subparagraph (A), a 
State shall have a plan to meet minimum 
thresholds for State influenza surveillance es-
tablished by the Director of the Centers for 
Disease Control and Prevention in coordination 
with the Secretary of Agriculture under sub-
section (b). 
‘‘(e) TEMPORARY FACILITY.—The Secretary may es-
tablish a temporary Federal facility or body to coordinate 
Federal support and assistance to States and localities, 
activities across Federal agencies or departments, or di-
rect implementation of Federal authorities and respon-
sibilities when appropriate under Federal law or when 
State and local actions to address the pandemic or threat 
of pandemic are deemed insufficient by the Secretary or
Director of the Centers for Disease Control and Preven-
tion. 
‘‘(f) PROCUREMENT OF ANTIVIRALS FOR THE STRA-
TEGIC NATIONAL STOCKPILE.—The Secretary shall deter-
mine the minimum number of doses of antivirals needed 
to prevent infection or treat infection during pandemic in-
fluenza, including possible pandemic avian influenza, for 
health professionals (including doctors, nurses, mental 
health professionals, pharmacists, veterinarians, labora-
tory personnel, epidemiologists, virologists and public 
health practitioners), core public utility employees, and 
those persons expected to be at high risk for serious mor-
bidity and mortality from pandemic influenza, and take 
immediate steps to procure this minimum number of doses 
for the Strategic National Stockpile described under sec-
tion 319F–2. 
‘‘(g) PROCUREMENT OF VACCINES FOR THE STRA-
TEGIC NATIONAL STOCKPILE.—Subject to development 
and testing of potential vaccines for pandemic influenza, 
including possible pandemic avian influenza, the Secretary 
shall determine the minimum number of doses of vaccines 
needed to prevent infection during at least the first wave 
of pandemic influenza for health professionals (including 
doctors, nurses, mental health professionals, pharmacists, 
veterinarians, laboratory personnel, epidemiologists, virol-
ogists and public health practitioners), core public utility 
employees, and those persons expected to be at high risk 
for serious morbidity and mortality from pandemic influ-
enza, and take immediate steps to procure this minimum 
number of doses for the Strategic National Stockpile de-
scribed under section 319F–2. 
‘‘SEC. 2145. INTERNATIONAL PANDEMIC INFLUENZA AS-
SISTANCE. 
‘‘(a) IN GENERAL.—The Secretary shall assist other 
countries in preparation for, and response to, pandemic 
influenza, including possible pandemic avian influenza. 
‘‘(b) INTERNATIONAL SURVEILLANCE.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, and in collaboration with 
the Secretary of Agriculture, in consultation with the 
World Health Organization and the World Organiza-
tion for Animal Health, shall establish minimum 
standards for surveillance capacity for all countries 
with respect to pandemic influenza, including pos-
sible pandemic avian influenza. 
‘‘(2) ASSISTANCE.—The Secretary and the Sec-
retary of Agriculture shall assist other countries to 
meet the standards established in paragraph (1) 
through—
‘‘(A) the detail of officers to foreign coun-
tries for the provision of technical assistance or 
training; 
‘‘(B) laboratory testing, including testing 
of specimens for viral isolation or subtype anal-
ysis; 
‘‘(C) epidemiological analysis and inves-
tigation of novel strains; 
‘‘(D) provision of equipment or supplies; 
‘‘(E) coordination of surveillance activities 
within and among countries; 
‘‘(F) the establishment and maintenance of 
an Internet database that is accessible to health 
officials domestically and internationally, for 
the purpose of reporting new cases or clusters 
of influenza and under information that may 
help avert the pandemic spread of influenza; 
and 
‘‘(G) other activities as determined nec-
essary by the Secretary. 
‘‘(c) INCREASED INTERNATIONAL MEDICAL CAPAC-
ITY DURING PANDEMIC INFLUENZA.—The Secretary, in 
consultation with the Secretary of State, may provide vac-
cines, antiviral medications, and supplies to foreign coun-
tries from the Strategic National Stockpile described 
under section 319F–2. 
‘‘(d) ASSISTANCE
TO FOREIGN COUNTRIES.—The 
Centers for Disease Control and Prevention and the 
Health Resources and Services Administration may pro-
vide assistance to foreign countries in carrying out this 
section, which may include the detail of an officer to ap-
proved international pandemic sites or the purchase of 
equipment and supplies. 
‘‘SEC. 2146. PUBLIC EDUCATION AND AWARENESS CAM-
PAIGN. 
‘‘(a) IN GENERAL.—The Director of the Centers for 
Disease Control and Prevention, in consultation with the 
United States Agency for International Development, the 
World Health Organization, the World Organization for 
Animal Health, and foreign countries, shall develop an 
outreach campaign with respect to public education and 
awareness of influenza and influenza preparedness. 
‘‘(b) DETAILS OF CAMPAIGN.—The campaign estab-
lished under subsection (a) shall— 
‘‘(1) be culturally and linguistically appropriate 
for domestic populations; 
‘‘(2) be adaptable for use in foreign countries; 
‘‘(3) target high-risk populations (those most 
likely to contract, transmit, and die from influenza);