(C) by adding at the end the following: 
‘‘(iii) increase capacity and update hospitals 
and other medical facilities in order to better serve 
communities in need.’’; and 
(2) by striking paragraph (3) and inserting the 
following paragraphs: 
‘‘(3) PRIORITY.—In awarding grants under this sub-
section, the Secretary shall give priority to applicants 
whose projects will include, by design, public health emer-
gency preparedness or cybersecurity against cyber threats. 
‘‘(4) AMERICAN IRON AND STEEL PRODUCTS.— 
‘‘(A) IN GENERAL.—As a condition on receipt 
of a grant under this subsection for a project, an en-
tity shall ensure that all of the iron and steel prod-
ucts used in the project are produced in the United 
States. 
‘‘(B) APPLICATION.—Subparagraph (A) shall 
be waived in any case or category of cases in which 
the Secretary finds that— 
‘‘(i) applying subparagraph (A) would be 
inconsistent with the public interest; 
‘‘(ii) iron and steel products are not pro-
duced in the United States in sufficient and 
reasonably available quantities and of a satis-
factory quality; or 
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‘‘(iii) inclusion of iron and steel products 
produced in the United States will increase the 
cost of the overall project by more than 25 per-
cent. 
‘‘(C) WAIVER.—If the Secretary receives a re-
quest for a waiver under this paragraph, the Sec-
retary shall make available to the public, on an in-
formal basis, a copy of the request and information 
available to the Secretary concerning the request, 
and shall allow for informal public input on the re-
quest for at least 15 days prior to making a finding 
based on the request. The Secretary shall make the 
request and accompanying information available by 
electronic means, including on the official public 
internet site of the Department of Health and 
Human Services. 
‘‘(D) 
INTERNATIONAL
AGREEMENTS.—This 
paragraph shall be applied in a manner consistent 
with United States obligations under international 
agreements. 
‘‘(E) MANAGEMENT
AND
OVERSIGHT.—The 
Secretary may retain up to 0.25 percent of the funds 
appropriated for this subsection for management 
and oversight of the requirements of this paragraph. 
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‘‘(F) EFFECTIVE DATE.—This paragraph does 
not apply with respect to a project if a State agency 
approves the engineering plans and specifications for 
the project, in that agency’s capacity to approve 
such plans and specifications prior to a project re-
questing bids, prior to the date of enactment of this 
paragraph. 
‘‘(5) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be appro-
priated $2,000,000,000 for each of fiscal years 2022 
through 2026.’’. 
(b) TECHNICAL UPDATE.—Section 1610(b) of the 
Public Health Service Act (42 U.S.C. 300r(b)) is amended 
by striking paragraph (3). 
Æ 
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