deemed at highest risk of being the target of a 
terrorist attack; 
(B) representative localities of varying geo-
graphic sizes, population densities, and demo-
graphics; and 
(C) any other unique or specific local needs 
the Secretary of Health and Human Services 
deems appropriate. 
(2) CONSULTATION WITH STATE, LOCAL, AND 
TRIBAL
GOVERNMENTS.—In fulfilling the require-
ments of paragraph (1), the Secretary of Health and 
Human Services, in coordination with the Secretary 
of Homeland Security and, where appropriate, the 
Postmaster General, shall consult with State, local, 
and tribal officials. 
(3) REVIEW.—The Secretary of Homeland Se-
curity, during and in conjunction with the creation 
of tailored National MCM Dispensing Strategy plans 
under paragraph (1), shall— 
(A) provide a review of transportation and 
logistics capabilities for moving medical coun-
termeasures from State, local, and tribal receiv-
ing, staging, and storing sites to dispensing lo-
cations; 
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(B) review security plans and capabilities 
for protecting transportation of medical coun-
termeasures and dispensing locations; 
(C) work in coordination with the Post-
master General to review security for protecting 
United States Postal Service employees per-
forming dispensing; 
(D) assist State, local, and tribal govern-
ments in building partnerships with law en-
forcement to perform security for medical coun-
termeasure transportation and dispensing; 
(E) assist State, local, and tribal govern-
ments in working with emergency response pro-
viders to create appropriate roles for their par-
ticipation in the tailored Strategy plans; and 
(F) determine other assistance that may be 
offered to State, local, and tribal governments 
with respect to logistics, transportation, secu-
rity, or other issues that the Secretary of 
Homeland Security determines appropriate. 
(b) DEFINITION.—In this section, the term ‘‘emer-
gency response provider’’ has the meaning given that term 
in section 2 of the Homeland Security Act of 2002 (6 
U.S.C. 101). 
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SEC. 203. EXPANSION IN THE USE OF THE U.S. POSTAL 
SERVICE TO DELIVER MEDICAL COUNTER-
MEASURES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, in coordination with the Postmaster 
General and the Secretary of Homeland Security, and in 
a manner that complies with the applicable requirements 
of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
301 et seq.) and of section 351 of the Public Health Serv-
ice Act (42 U.S.C. 262), shall expand existing pilot pro-
grams to utilize the United States Postal Service to deliver 
medical countermeasures in an emergency. 
(b) TIMELINE.—The Postmaster General shall in-
crease the ability of the United States Postal Service, con-
tingent on the voluntary participation of additional juris-
dictions, to deliver medical countermeasures to homes in— 
(1) 5 additional Cities Readiness Initiative ju-
risdictions not later than 1 year after the date of en-
actment of this Act; and 
(2) 15 additional Cities Readiness Initiative ju-
risdictions not later than 2 years after the date of 
enactment of this Act. 
(c) USPS MEDKITS.—The Secretary of Health and 
Human Services, in coordination with the Postmaster 
General and the Secretary of Homeland Security, shall, 
on a biennial basis, reevaluate the contents of medkits pro-
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