mation from postimmunization surveillance de-
scribed in paragraph (2). 
(2) A plan for postimmunization surveillance. 
Such plan shall include provisions for the surveil-
lance and reporting of the health effects of the vac-
cine, and a statement of whether such activities will 
include personal interviews and follow-up health 
screenings. 
(3) A plan for determining the populations for 
which the vaccine is contraindicated and for deter-
mining prescreening recipients of the vaccine, and 
for disseminating such information, including a spec-
ification of the means of dissemination. Such plan 
shall include information on the implementation of 
confidential methods of prescreening to be used by 
health professionals to determine if a potential vac-
cine recipient is a member of such a population. 
(c) POULTRY WORKERS.— 
(1) IN GENERAL.—Not later than 30 days after 
the date of the enactment of this Act, the Secretary 
of Health and Human Services, in coordination with 
the Secretary of Agriculture, the Secretary of Inte-
rior, and the Secretary of Labor, shall convene a 
meeting of experts, representatives of the poultry in-
dustry, representatives of poultry workers and other
appropriate parties to evaluate the risks to poultry 
workers posed by exposure to the H5N1 virus, the 
likelihood of transmission of the virus from birds to 
poultry workers and the necessary measures to pro-
tect poultry workers from exposure. 
(2) REVISION OF PREPAREDNESS PLAN.—Not 
later than 30 days after the meeting under para-
graph (1), the Secretary shall revise the HHS Pan-
demic Influenza Plan to include the findings and 
recommendations of the participants in the meeting. 
(3) 
IMPLEMENTATION
OF
RECOMMENDA-
TIONS.—The Secretary of Health and Human Serv-
ices, Secretary of Agriculture, the Secretary of Inte-
rior, and the Secretary of Labor shall take the rec-
ommended steps to implement the recommendations 
of the participants in the meeting under paragraph 
(1). 
(d) ANNUAL BUDGET REQUEST.—The Secretary 
shall annually submit to the Congress a budget request 
related to the National Pandemic Influenza Preparedness 
Plan. 
(e) BIANNUAL GAO REPORTS.— 
(1) IN GENERAL.—The Comptroller General of 
the United States shall, on an biannual basis, sub-
mit to the Congress and the Secretary a report con-
cerning the HHS Pandemic Influenza Plan. 
(2) REQUIREMENTS.—At a minimum, each re-
port under paragraph (1) shall evaluate the ability 
of the HHS Pandemic Influenza Plan to— 
(A) address the organizational structure 
and chain of command, both in the Federal 
government and at the State level; 
(B) ensure adequate laboratory surveil-
lance of influenza, including the ability to iso-
late and subtype influenza viruses year round; 
(C) improve vaccine research, development, 
and production; 
(D) procure adequate doses of anti-virals 
for treatment; 
(E) develop systems for tracking and dis-
tributing anti-viral medication and vaccines; 
(F) prioritize who would receive anti-virals 
and vaccines based on limited supplies; 
(G) stockpile medical and safety equipment 
for health care workers and first responders; 
(H) assure surge capacity capabilities for 
health care providers and institutions; 
(I) secure a backup health care workforce 
in the event of a pandemic;
(J) ensure the availability of food, water, 
and other essential items during a pandemic; 
(K) provide guidance on needed State and 
local authority to implement public health 
measures such as isolation or quarantine; 
(L) maintain core public functions, includ-
ing public utilities, refuse disposal, mortuary 
services, transportation, police and firefighter 
services, and other critical services; 
(M) establish networks that provide alerts 
and other information for health care providers; 
(N) communicate with the public with re-
spect to prevention and obtaining care during a 
pandemic; and 
(O) provide security for first responders 
and other medical personnel and volunteers, 
hospitals, treatment centers, isolation and quar-
antine areas, and transportation and delivery of 
resources.