‘‘(4) improve laboratory capacity, in order to 
maintain and enhance capability and capacity to de-
tect potential infectious disease, whether naturally 
occurring or the result of terrorism; 
‘‘(5) create and maintain a health alert net-
work, including risk communication and information 
dissemination that is culturally competent and takes 
into account the needs of at-risk populations; 
‘‘(6) educate and train clinicians, epidemiolo-
gists, laboratories, and emergency management per-
sonnel; 
‘‘(7) implement electronic data and infrastruc-
ture inventory systems to coordinate the triage, 
transportation, and treatment of multicasualty inci-
dent victims; 
‘‘(8) provide infectious disease testing in the 
United States-Mexico border area or United States- 
Canada border area; and 
‘‘(9) carry out such other activities identified by 
the Secretary, members of the Commission, members 
of the Council, State or local public health authori-
ties, representatives of border health offices, or au-
thorities at the United States-Mexico or United 
States-Canada borders. 
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‘‘SEC. 9. PLANS, REPORTS, AUDITS, AND BY-LAWS. 
‘‘(a) STRATEGIC PLAN.— 
‘‘(1) IN
GENERAL.—Not later than 2 years 
after the date of enactment of this section, and every 
5 years thereafter, the Commission (including the 
participation of members representing both the 
United States and Mexican sections) and the Coun-
cil (including the participation of members rep-
resenting both the United States and Canada) shall 
each prepare a binational strategic plan to guide the 
operations of the Commission and the Council and 
submit such plan to the Secretary and Congress. 
‘‘(2) REQUIREMENTS.—The binational strategic 
plan under paragraph (1) shall include— 
‘‘(A) health-related priority areas identified 
by the full membership of the Commission or 
Council, as applicable; 
‘‘(B) recommendations for goals, objec-
tives, strategies, and actions designed to ad-
dress such priority areas; and 
‘‘(C) a proposed evaluation framework with 
output and outcome indicators appropriate to 
gauge progress toward meeting the objectives 
and priorities of the Commission or Council, as 
applicable. 
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‘‘(b) WORK PLAN.—Not later than January 1, 2024, 
and every 2 years thereafter, the Commission and the 
Council shall develop and approve an operational work 
plan and budget based on the strategic plan under sub-
section (a). 
‘‘(c) GAO REVIEW.—Not later than January 1, 
2025, and every 2 years thereafter, the Comptroller Gen-
eral of the United States shall conduct an evaluation of 
the activities conducted by the Commission and the Coun-
cil based on the operational work plans described in sub-
section (b) for the previous year and the output and out-
come indicators included in the strategic plan described 
in subsection (a). The evaluation shall include a request 
for written evaluations from members of the Commission 
and the Council about barriers and facilitators to exe-
cuting successfully the work plans of the Commission and 
the Council. 
‘‘(d) BIANNUAL REPORTING.— 
‘‘(1) BY
COMMISSION
AND
COUNCIL.—The 
Commission and Council shall each issue a biannual 
report to the Secretary that— 
‘‘(A) provides independent policy rec-
ommendations related to border health issues; 
and 
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‘‘(B) details the expenditures of the Com-
mission and Council over the reporting period. 
‘‘(2) BY SECRETARY.—Not later than 3 months 
following receipt of each such biannual report, the 
Secretary shall provide to Congress the report and 
any studies or other materials produced independ-
ently by the Commission and Council. 
‘‘(e) AUDITS.—The Secretary shall annually prepare 
an audited financial report to account for all appropriated 
assets expended by the Commission and Council to ad-
dress both the strategic and operational work plans for 
the year involved. 
‘‘(f) BY-LAWS.—Not later than 6 months after the 
date of enactment of this section, the Commission and 
Council shall develop and approve bylaws to provide fully 
for compliance with the requirements of this section. 
‘‘(g) TRANSMITTAL TO CONGRESS.—The Commission 
and Council shall submit copies of the operational work 
plan and by-laws to Congress. The Comptroller General 
of the United States shall submit a copy of each evaluation 
completed under subsection (c) to Congress. 
‘‘SEC. 10. COORDINATION. 
‘‘(a) IN GENERAL.—To the extent practicable and 
appropriate, plans, systems, and activities to be funded (or 
supported) under this Act for all hazard preparedness, and 
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general border health, including with respect to infectious 
disease, shall be coordinated with Federal, State, and local 
authorities in Mexico, Canada, and the United States. 
‘‘(b) COORDINATION
OF HEALTH SERVICES
AND 
SURVEILLANCE.— 
‘‘(c) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary for Preparedness and Response, 
when appropriate, may coordinate with the Secretary of 
Homeland Security in establishing a health alert system 
that— 
‘‘(1) alerts clinicians and public health officials 
of emerging disease clusters and syndromes along 
the United States-Mexico border area and United 
States-Canada border area; 
‘‘(2) warns of health threats, extreme weather 
conditions, disasters of mass scale, bioterrorism, and 
other emerging threats along the United States-Mex-
ico border area and United States-Canada border 
area; and 
‘‘(3) is coordinated with other systems and 
agencies to avoid duplication. 
‘‘SEC. 11. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There is authorized to be appropriated to carry out 
this Act $20,000,000 for fiscal year 2022 and each suc-
ceeding year, of which for each such fiscal year— 
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