H. R. 307 
One Hundred Thirteenth Congress 
of the 
United States of America 
AT THE FIRST SESSION 
Begun and held at the City of Washington on Thursday, 
the third day of January, two thousand and thirteen 
An Act 
To reauthorize certain programs under the Public Health Service Act and the 
Federal Food, Drug, and Cosmetic Act with respect to public health security 
and all-hazards preparedness and response, and for other purposes. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the ‘‘Pandemic 
and All-Hazards Preparedness Reauthorization Act of 2013’’. 
(b) TABLE OF CONTENTS.—The table of contents of this Act 
is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—STRENGTHENING NATIONAL PREPAREDNESS AND RESPONSE 
FOR PUBLIC HEALTH EMERGENCIES 
Sec. 101. National Health Security Strategy. 
Sec. 102. Assistant Secretary for Preparedness and Response. 
Sec. 103. National Advisory Committee on Children and Disasters. 
Sec. 104. Modernization of the National Disaster Medical System. 
Sec. 105. Continuing the role of the Department of Veterans Affairs. 
TITLE II—OPTIMIZING STATE AND LOCAL ALL-HAZARDS PREPAREDNESS 
AND RESPONSE 
Sec. 201. Temporary reassignment of State and local personnel during a public 
health emergency. 
Sec. 202. Improving State and local public health security. 
Sec. 203. Hospital preparedness and medical surge capacity. 
Sec. 204. Enhancing situational awareness and biosurveillance. 
Sec. 205. Eliminating duplicative Project Bioshield reports. 
TITLE III—ENHANCING MEDICAL COUNTERMEASURE REVIEW 
Sec. 301. Special protocol assessment. 
Sec. 302. Authorization for medical products for use in emergencies. 
Sec. 303. Definitions. 
Sec. 304. Enhancing medical countermeasure activities. 
Sec. 305. Regulatory management plans. 
Sec. 306. Report. 
Sec. 307. Pediatric medical countermeasures. 
TITLE IV—ACCELERATING MEDICAL COUNTERMEASURE ADVANCED 
RESEARCH AND DEVELOPMENT 
Sec. 401. BioShield. 
Sec. 402. Biomedical Advanced Research and Development Authority. 
Sec. 403. Strategic National Stockpile. 
Sec. 404. National Biodefense Science Board.
H. R. 307—2 
TITLE I—STRENGTHENING NATIONAL 
PREPAREDNESS AND RESPONSE FOR 
PUBLIC HEALTH EMERGENCIES 
SEC. 101. NATIONAL HEALTH SECURITY STRATEGY. 
(a) IN GENERAL.—Section 2802 of the Public Health Service 
Act (42 U.S.C. 300hh–1) is amended— 
(1) in subsection (a)(1), by striking ‘‘2009’’ and inserting 
‘‘2014’’; and 
(2) in subsection (b)— 
(A) in paragraph (1)(A), by inserting ‘‘, including drills 
and exercises to ensure medical surge capacity for events 
without notice’’ after ‘‘exercises’’; and 
(B) in paragraph (3)— 
(i) in the matter preceding subparagraph (A)— 
(I) by striking ‘‘facilities), and trauma care’’ 
and inserting ‘‘and ambulatory care facilities and 
which may include dental health facilities), and 
trauma care, critical care,’’; and 
(II) by inserting ‘‘(including related avail-
ability, accessibility, and coordination)’’ after 
‘‘public health emergencies’’; 
(ii) in subparagraph (A), by inserting ‘‘and trauma’’ 
after ‘‘medical’’; 
(iii) in subparagraph (B), by striking ‘‘Medical 
evacuation and fatality management’’ and inserting 
‘‘Fatality management’’; 
(iv) by redesignating subparagraphs (C), (D), and 
(E) as subparagraphs (D), (E), and (F), respectively; 
(v) by inserting after subparagraph (B), the fol-
lowing the new subparagraph: 
‘‘(C) Coordinated medical triage and evacuation to 
appropriate medical institutions based on patient medical 
need, taking into account regionalized systems of care.’’; 
(vi) in subparagraph (E), as redesignated by clause 
(iv), by inserting ‘‘(which may include such dental 
health assets)’’ after ‘‘medical assets’’; and 
(vii) by adding at the end the following: 
‘‘(G) Optimizing a coordinated and flexible approach 
to the medical surge capacity of hospitals, other health 
care facilities, critical care, trauma care (which may include 
trauma centers), and emergency medical systems.’’; 
(C) in paragraph (4)— 
(i) in subparagraph (A), by inserting ‘‘, including 
the unique needs and considerations of individuals 
with disabilities,’’ after ‘‘medical needs of at-risk 
individuals’’; and 
(ii) in subparagraph (B), by inserting ‘‘the’’ before 
‘‘purpose of this section’’; and 
(D) by adding at the end the following: 
‘‘(7) COUNTERMEASURES.— 
‘‘(A) Promoting strategic initiatives to advance counter-
measures to diagnose, mitigate, prevent, or treat harm 
from any biological agent or toxin, chemical, radiological,