I 
117TH CONGRESS 
2D SESSION 
H. R. 7577 
To improve State, local, and Tribal public health security. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 26, 2022 
Mr. GALLEGO (for himself and Mr. COLE) introduced the following bill; which 
was referred to the Committee on Energy and Commerce 
A BILL 
To improve State, local, and Tribal public health security. 
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 ‘‘CDC Tribal Public 
Health Security and Preparedness Act’’. 
SEC. 2. IMPROVING STATE, LOCAL, AND TRIBAL PUBLIC 
HEALTH SECURITY. 
Section 319C–1 of the Public Health Service Act (42 
U.S.C. 247d–3a) is amended— 
(1) in the section heading, by striking ‘‘AND 
LOCAL’’ and inserting ‘‘, LOCAL, AND TRIBAL’’; 
(2) in subsection (b)— 
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(A) in paragraph (1)— 
(i) in subparagraph (B), by striking 
‘‘or’’ at the end; 
(ii) in subparagraph (C), by striking 
‘‘and’’ at the end and inserting ‘‘or’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(D) be an Indian Tribe, a Tribal organization, 
or a consortium of Indian Tribes or Tribal organiza-
tions; and’’; and 
(B) in paragraph (2)— 
(i) in subparagraph (A)(viii)— 
(I) by inserting ‘‘and Tribal’’ 
after ‘‘with State’’; 
(II) by striking ‘‘(as defined in 
section 8101 of the Elementary and 
Secondary Education Act of 1965)’’ 
and inserting ‘‘and Tribal educational 
agencies (as defined in sections 8101 
and 6132, respectively, of the Elemen-
tary and Secondary Education Act of 
1965)’’; and 
(III) by inserting ‘‘and Tribal’’ 
after ‘‘and State’’; 
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(ii) in subparagraph (G), by inserting 
‘‘(including Tribes, Tribal organizations, 
and urban Indian organizations)’’ after 
‘‘stakeholders’’; and 
(iii) in subparagraph (H), by inserting 
‘‘, Indian Tribes, and urban Indian organi-
zations’’ after ‘‘public health’’; 
(3) in subsection (e), by inserting ‘‘Indian 
Tribes, Tribal organizations, urban Indian organiza-
tions,’’ after ‘‘local emergency plans,’’; 
(4) in subsection (h)— 
(A) in paragraph (1)(A), by striking 
‘‘$685,000,000 for each of fiscal years 2019 
through 2023 for awards pursuant to para-
graph (3) (subject to the authority of the Sec-
retary to make awards pursuant to paragraphs 
(4) and (5))’’ and inserting ‘‘$750,000,000 for 
each of fiscal years 2023 through 2025 for 
awards pursuant to paragraph (3) (subject to 
the authority of the Secretary to make awards 
pursuant to paragraphs (4) and (5)) and para-
graph (8), of which not less than 5 percent 
shall be reserved each fiscal year for awards 
under paragraph (8)’’; 
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(B) in the heading of paragraph (3), by in-
serting ‘‘FOR STATES’’ after ‘‘AMOUNT’’; and 
(C) by adding at the end the following: 
‘‘(8) TRIBAL ELIGIBLE ENTITIES.— 
‘‘(A) 
DETERMINATION
OF
FUNDING 
AMOUNT.— 
‘‘(i) IN
GENERAL.—The Secretary 
shall award at least 10 cooperative agree-
ments under this section, in amounts not 
less than the minimum amount determined 
under clause (ii), to eligible entities de-
scribed in subsection (b)(1)(D) that submit 
to the Secretary an application that meets 
the criteria of the Secretary for the receipt 
of such an award and that meets other 
reasonable implementation conditions es-
tablished by the Secretary, in consultation 
with Indian Tribes, for such awards. 
‘‘(ii) MINIMUM
AMOUNT.—In deter-
mining the minimum amount of an award 
pursuant to clause (i), the Secretary, in 
consultation with Indian Tribes, shall first 
determine an amount the Secretary con-
siders appropriate for the eligible entity. 
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‘‘(B) AVAILABLE
UNTIL
EXPENDED.— 
Amounts provided to a Tribal eligible entity 
under a cooperative agreement under this sec-
tion for a fiscal year and remaining unobligated 
at the end of such year shall remain available 
to such entity during the entirety of the per-
formance period, for the purposes for which 
said funds were provided. 
‘‘(C) NO MATCHING REQUIREMENT.—Sub-
paragraphs (B) and (C) of paragraph (1) shall 
not apply with respect to cooperative agree-
ments awarded under this section to eligible en-
tities described in subsection (b)(1)(D).’’; and 
(5) by adding at the end the following: 
‘‘(l) SPECIAL RULES RELATED TO TRIBAL ELIGIBLE 
ENTITIES.— 
‘‘(1) MODIFICATIONS.—After consultation with 
Indian Tribes, the Secretary may make necessary 
and appropriate modifications to the program under 
subsections (b)(2), (g), and (i) to facilitate the use 
of the cooperative agreement program by eligible en-
tities described in subsection (b)(1)(D). 
‘‘(2) WAIVERS.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B), the Secretary shall waive or 
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specify alternative requirements for any provi-
sion of this section (including regulations) that 
the Secretary administers in connection with 
this section if the Secretary, after consultation 
with Indian Tribes, finds that the waiver or al-
ternative requirement is appropriate for the ef-
fective delivery and administration of this pro-
gram with respect to eligible entities described 
in subsection (b)(1)(D). 
‘‘(B) EXCEPTION.—The Secretary may not 
waive or specify alternative requirements under 
subparagraph (A) relating to labor standards or 
the environment. 
‘‘(3) CONSULTATION.—The Secretary shall con-
sult with Indian Tribes and Tribal organizations on 
the design of this program with respect to such 
Tribes and organizations to ensure the effectiveness 
of the program in enhancing the security of Indian 
Tribes with respect to public health emergencies. 
‘‘(4) REPORTING.— 
‘‘(A) IN GENERAL.—Not later than 2 years 
after the date of enactment of this subsection, 
and as an addendum to the biennial evaluations 
required under subsection (k), the Secretary, in 
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coordination with the Director of the Indian 
Health Service, shall— 
‘‘(i) conduct a review of the implemen-
tation of this section with respect to eligi-
ble 
entities 
described 
in 
subsection 
(b)(1)(D), including any factors that may 
have limited its success; 
‘‘(ii) compile a report containing— 
‘‘(I) a description of the results 
of the review described in clause (i); 
‘‘(II) a breakdown of the eligible 
entities 
described 
in 
subsection 
(b)(1)(D) that— 
‘‘(aa) received an award 
under this section; 
‘‘(bb) received an award 
under this section and a waiver 
as described in paragraph (2); 
and 
‘‘(cc) applied under this sec-
tion but did not receive an 
award; 
‘‘(III) a list of any waived or al-
ternative requirements of this section 
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and the reasoning for issuing a waiver 
or alternative requirement; and 
‘‘(IV) recommendations to the 
Congress for program modifications 
necessary to improve the implementa-
tion of the program with respect to el-
igible entities described in subsection 
(b)(1)(D); and 
‘‘(iii) submit the report described in 
clause (ii) to— 
‘‘(I) the Committee on Indian Af-
fairs, the Committee on Health, Edu-
cation, Labor, and Pensions, and the 
Committee on Appropriations of the 
Senate; and 
‘‘(II) the Subcommittee on Indig-
enous People of the Committee on 
Natural Resources, the Committee on 
Energy and Commerce, and the Com-
mittee on Appropriations of the House 
of Representatives. 
‘‘(B) 
ANALYSIS
OF
TRIBAL
PUBLIC 
HEALTH
EMERGENCY
INFRASTRUCTURE
LIMI-
TATION.—The Secretary shall include in the 
initial report submitted under subparagraph (A) 
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a description of any public health emergency in-
frastructure limitation encountered by eligible 
entities described in subsection (b)(1)(D).’’. 
Æ 
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