‘‘(B) store, maintain, and distribute prod-
ucts in such stockpile; and 
‘‘(C) conduct planning in connection with 
such activities. 
‘‘(2) LIST.—The Secretary shall develop and 
publish a list of the products that are eligible, as de-
scribed in subsection (a), for inclusion in a State’s 
strategic stockpile using funds received under this 
section. 
‘‘(3) CONSULTATION.—In developing the list 
under paragraph (2) and otherwise determining the 
allowable uses of grant funds under this section, the 
Secretary shall consult with States and relevant 
stakeholders, including public health organizations. 
‘‘(c) FUNDING REQUIREMENT.—The Secretary may 
not obligate or expend any funds to award grants or fund 
any previously awarded grants under this section for a fis-
cal year unless the total amount made available to carry 
out section 319F–2 for such fiscal year is equal to or 
greater than the total amount of funds made available to 
carry out section 319F–2 for fiscal year 2022. 
‘‘(d) MATCHING FUNDS.— 
‘‘(1) IN GENERAL.—With respect to the costs of 
expanding and maintaining a strategic stockpile 
through a grant under this section, as a condition on 
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receipt of the grant, a State shall make available (di-
rectly) non-Federal contributions in cash toward 
such costs in an amount that is equal to not less 
than the amount of Federal funds provided through 
the grant. 
‘‘(2) WAIVER.—The Secretary may waive the 
requirement of paragraph (1) with respect to a State 
for the first two years of the State receiving a grant 
under this section if the Secretary determines that 
such waiver is needed for the State to establish a 
strategic stockpile described in subsection (a). 
‘‘(e) TECHNICAL ASSISTANCE.—The Secretary shall 
provide technical assistance to States in establishing, ex-
panding, and maintaining a stockpile described in sub-
section (a). 
‘‘(f) DEFINITION.—In this section, the term ‘drug’ 
has the meaning given to that term in section 201 of the 
Federal Food, Drug, and Cosmetic Act. 
‘‘(g) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $3,500,000,000 for each of fiscal years 2022 
through 2024, to remain available until expended. 
‘‘(h) SUNSET.—The authority vested by this section 
terminates at the end of fiscal year 2024.’’. 
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SEC. 7. ACTION REPORTING. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services or the Assistant Secretary for Prepared-
ness and Response, in consultation with the Administrator 
of the Federal Emergency Management Agency, shall— 
(1) not later than 30 days after the date of en-
actment of this Act, issue a report to the Committee 
on Energy and Commerce of the House of Rep-
resentatives and the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate regarding 
all State, local, Tribal, and territorial requests for 
supplies from the Strategic National Stockpile re-
lated to COVID–19; and 
(2) not less than every 30 days thereafter 
through the end of the emergency period (as such 
term is defined in section 1135(g)(1)(B) of the So-
cial Security Act (42 U.S.C. 1320b–5(g)(1)(B))), 
submit to such committees an updated version of 
such report. 
(b) REPORTING PERIOD.— 
(1) INITIAL REPORT.—The initial report under 
subsection (a) shall address all requests described in 
such subsection made during the period— 
(A) beginning on January 31, 2022; and 
(B) ending on the date that is 30 days be-
fore the date of submission of the report. 
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(2) UPDATES.—Each update to the report 
under subsection (a) shall address all requests de-
scribed in such subsection made during the period— 
(A) beginning at the end of the previous 
reporting period under this section; and 
(B) ending on the date that is 30 days be-
fore the date of submission of the updated re-
port. 
(c) CONTENTS OF REPORT.—The report under sub-
section (a) (and updates thereto) shall include— 
(1) the details of each request described in such 
subsection, including— 
(A) the specific medical countermeasures, 
devices, personal protective equipment, and 
other materials requested; and 
(B) the amount of such materials re-
quested; and 
(2) the outcomes of each request described in 
subsection (a), including— 
(A) whether the request was wholly ful-
filled, partially fulfilled, or denied; 
(B) if the request was wholly or partially 
fulfilled, the fulfillment amount; and 
(C) if the request was partially fulfilled or 
denied, a rationale for such outcome. 
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SEC. 8. IMPROVED, TRANSPARENT PROCESSES. 
(a) IN GENERAL.—Not later than January 1, 2022, 
the Secretary of Health and Human Services shall develop 
and implement improved, transparent processes for the 
use and distribution of drugs, vaccines and other biological 
products, medical devices, and other supplies (including 
personal protective equipment, ancillary medical supplies, 
and other applicable supplies required for the administra-
tion of drugs, vaccines and other biological products, med-
ical devices, and diagnostic tests) in the Strategic National 
Stockpile under section 319F–2 of the Public Health Serv-
ice Act (42 U.S.C. 247d–6b) (in this section referred to 
as the ‘‘Stockpile’’). 
(b) PROCESSES.—The processes developed under 
subsection (a) shall include— 
(1) the form and manner in which States, local-
ities, Tribes, and territories are required to submit 
requests for supplies from the Stockpile; 
(2) the criteria used by the Secretary of Health 
and Human Services in responding to such requests, 
including the reasons for fulfilling or denying such 
requests; 
(3) what circumstances result in prioritization 
of distribution of supplies from the Stockpile to 
States, localities, Tribes, or territories; 
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