method of detection (such as laboratory test, subjec-
tive findings, or clinical observation). 
‘‘(8) REPORTING ENTITY.—The term ‘reporting 
entity’ means— 
‘‘(A) a State or local entity with responsi-
bility for public health, such as health practi-
tioners, veterinarians, animal and food produc-
tion specialists, State and local health profes-
sionals, environmental and public service profes-
sionals, and laboratorians; or 
‘‘(B) a commercial entity engaged in inter-
state commerce for the purpose of testing or 
analyzing materials in order to detect condi-
tions pursuant to this section. 
‘‘(b) FEDERAL ACTIVITIES.—Based upon the rec-
ommendations of the Commission, the Secretary shall 
carry out the following activities: 
‘‘(1) CERTIFICATION
OF
NATIONAL
REPORT-
ABLE CONDITIONS.—Not later than 180 days after 
the date of the enactment of this section, and annu-
ally thereafter, the Secretary, in consultation with 
the Secretary of Health and Human Services, the 
Administrator of the Environmental Protection 
Agency, and the Secretary of Agriculture, shall cer-
tify a list of national reportable conditions. 
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‘‘(2) ESTABLISHMENT OF NATIONAL REPORT-
ABLE CONDITIONS SYSTEM.—Not later than 1 year 
after the date of enactment of this section, the Sec-
retary shall establish an electronic National Report-
able Conditions System for the collection, analysis, 
and transmission of reports between reporting enti-
ties and the Department, and any such other per-
sons or entities as determined appropriate by the 
Secretary. The System shall use the most appro-
priate technical approach to achieve the purpose of 
this section. 
‘‘(3) ESTABLISHMENT OF DATA REPOSITORY.— 
Not later than 1 year after the date of the enact-
ment of this section, the Secretary shall establish a 
data repository of records processed by the System 
for use by Federal, State, and local public health 
personnel, law enforcement agencies, and other Fed-
eral agencies. The Secretary shall provide a mecha-
nism for State and local entities to obtain access to 
the repository for designated individuals who have 
been identified as needing such access. 
‘‘(4) ESTABLISHMENT OF REPORTING PROCESS 
FOR COMMERCIAL ENTITIES.—Not later than 1 year 
after the date of the enactment of this section, the 
Secretary shall establish a process to enable com-
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mercial entities, including private not-for-profit and 
for-profit laboratories, to transmit reports to a sin-
gle government entity (the System) which can then 
make such reports available to appropriate State or 
local entities. It shall be the purpose of the process 
established under this paragraph to eliminate the 
burden placed on such commercial entities by requir-
ing such entities to report identical information to 
multiple State or local entities. Under such process, 
reports may be transmitted through the System to 
State and local entities in a manner that allows such 
reports to be available at or about the same time as 
the data enters the System. 
‘‘(5) ESTABLISHMENT
OF
PROCESS
AND
RE-
SEARCH PROGRAM.—The Secretary shall establish a 
process for the identification of obstacles or chal-
lenges to the achievement of the purposes of this 
section. The Secretary shall establish a research pro-
gram to identify or create solutions to such obstacles 
and challenges. 
‘‘(6) GRANTS.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
award grants to State and local entities to en-
able such entities to conduct surveillance and 
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timely reporting activities with respect to the 
submission of reports under this section. 
‘‘(B) ELIGIBILITY.—To be eligible to re-
ceive a grant under subparagraph (A), a State 
or local entity shall prepare and submit to the 
Secretary an application at such time, in such 
manner, and containing such information as the 
Secretary may require, including a description 
of the manner in which grant funds shall be 
used to enhance the timeliness and comprehen-
siveness of the State or local entity’s efforts to 
submit reports with respect to national report-
able conditions. 
‘‘(c) COMMISSION ON NATIONAL REPORTABLE CON-
DITIONS.— 
‘‘(1) ESTABLISHMENT.—There shall be estab-
lished a commission to be known as the Commission 
on National Reportable Conditions. 
‘‘(2) MEMBERSHIP.— 
‘‘(A) 
COMPOSITION.—The 
Commission 
shall be composed of— 
‘‘(i) the Secretary or his or her des-
ignee; 
‘‘(ii) the Secretary of Health and 
Human Services or his or her designee; 
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