‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to the Secretary to carry 
out this section, $20,000,000 for each of fiscal years 2011 
through 2013.’’. 
(b) TECHNICAL AND CONFORMING AMENDMENT.— 
The table of contents in section 1(b) of the Homeland Se-
curity Act of 2002 (6 U.S.C. 101 et seq.) is amended by 
inserting after the item relating to section 319, as added 
by section 106 of this Act, the following: 
‘‘Sec. 320. Personal medkits for emergency response providers and members of 
preparedness organizations.’’. 
SEC. 206. GENERAL PUBLIC MEDKIT PILOT PROGRAM. 
(a) DEFINITIONS.—In this section— 
(1) the term ‘‘medical countermeasures’’ means 
a drug or biological product used to mitigate, pre-
vent, or treat harm from any biological agent (in-
cluding organisms that cause an infectious disease) 
or toxin or chemical, radiological, or nuclear agent 
that may cause a public health emergency; and 
(2) the term ‘‘medkit’’ means a cache of anti-
biotics and other medical countermeasures to be 
used during a public health emergency declared by 
the Secretary of Health and Human Services under 
section 319 of the Public Health Service Act (42 
U.S.C. 247d). 
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(b) PILOT PROGRAM.—The Secretary of Health and 
Human Services, in coordination with the Secretary of 
Homeland Security, shall conduct a pilot program to study 
the feasibility of providing personal medkits to the public. 
(c) REQUIREMENTS.—In carrying out the pilot pro-
gram, the Secretary of Health and Human Services, in 
coordination with the Secretary of Homeland Security and 
in a manner that complies with 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 ensure that— 
(1) enrollment of participants in the pilot pro-
gram encompasses a diverse range of municipality 
sizes, various geographic locations, and different so-
cioeconomic statuses; 
(2) the number of enrolled participants in the 
program shall be expanded significantly beyond the 
number of those enrolled in the 2006 St. Louis 
Medkit evaluation study, conducted by the Centers 
for Disease Control and Prevention; 
(3) the program shall evaluate the ability of 
households to maintain medkits in the home as di-
rected and reserve for emergency use; and 
(4) prior to obtaining a medkit, participants are 
required to receive training regarding— 
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(A) proper use and dosing of medical coun-
termeasures; 
(B) reporting of use of medkits; 
(C) proper storage of medkits; and 
(D) any other information that the Sec-
retary of Health and Human Services and the 
Secretary of Homeland Security determine ap-
propriate. 
(d) AUTHORIZATION AND CONTENT.—The Secretary 
of Health and Human Services and the Secretary of 
Homeland Security shall coordinate with the Commis-
sioner of Food and Drugs— 
(1) to seek an emergency use authorization 
under section 564 of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 360bbb–3), if needed, to 
allow distribution of medkits for the purpose of the 
pilot program; and 
(2) to establish the appropriate contents of 
medkits to the public for the pilot program. 
(e) REPORT.— 
(1) 
APPROPRIATE
COMMITTEES
OF
CON-
GRESS.—In this subsection, the term ‘‘appropriate 
committees of Congress’’ means— 
(A) the Committee on Homeland Security 
and Governmental Affairs and the Committee 
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on Health, Education, Labor, and Pensions of 
the Senate; and 
(B) the Committee on Homeland Security 
and the Committee on Energy and Commerce 
of the House of Representatives. 
(2) REPORT.—Not later than 90 days after 
completion of the program under this section, the 
Secretary of Health and Human Services, in coordi-
nation with the Secretary of Homeland Security, 
shall submit to the appropriate committees of Con-
gress a report on the conclusions of such program. 
The report shall include recommendations and con-
clusions on the feasibility of creating a national 
medkit program, through which medkits would be 
distributed widely to the public. 
(f) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as may be 
necessary to carry out this section. 
SEC. 207. REPORT ON THE USE OF EXPIRING COUNTER-
MEASURES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall contract with the Director of the 
Institute of Medicine to conduct a study to be completed 
not later than 1 year after the date of enactment of this 
Act that examines the feasibility and effectiveness of alter-
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