I 
116TH CONGRESS 
2D SESSION 
H. R. 6274 
To improve State, local, and tribal public health security. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 13, 2020 
Ms. HAALAND (for herself and Mr. GALLEGO) 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, tribal organiza-
tion, or a consortium of Indian tribes or tribal 
organizations; and’’; and 
(B) in paragraph (2)— 
(i) in the matter preceding subpara-
graph (A), by inserting ‘‘, as applicable’’ 
after ‘‘including’’; 
(ii) 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 
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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 sub-
mits 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 
established by the Secretary, in consulta-
tion with Indian tribes, for such awards. If 
the Secretary receives more than 10 appli-
cations under this section from eligible en-
tities described in subsection (b)(1)(D) 
that meet the criteria and conditions de-
scribed in the previous sentence, the Sec-
retary, in consultation with Indian tribes, 
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may make additional awards under this 
section to such entities. 
‘‘(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. 
‘‘(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), (C), and (D) of paragraph (1) 
shall not apply with respect to cooperative 
agreements awarded under this section to eligi-
ble entities described in subsection (b)(1)(D).’’; 
and 
(5) by adding at the end the following: 
‘‘(l) SPECIAL RULES RELATED TO TRIBAL ELIGIBLE 
ENTITIES.— 
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‘‘(1) MODIFICATIONS.—After consultation with 
Indian tribes, the Secretary may make necessary 
and appropriate modifications to the program under 
this section to facilitate the use of the cooperative 
agreement program by eligible entities described in 
subsection (b)(1)(D). 
‘‘(2) WAIVERS.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B), the Secretary may waive or 
specify alternative requirements for any provi-
sion of this section (including regulations) that 
the Secretary administers in connection with 
this section if the Secretary finds that the waiv-
er or alternative requirement is necessary for 
the effective delivery and administration of this 
program with respect to eligible entities de-
scribed 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 
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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 
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; and 
‘‘(ii) submit a report describing the 
results of the review described in clause (i) 
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 
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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) 
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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