IIB 
116TH CONGRESS 
2D SESSION 
H. R. 7574 
IN THE SENATE OF THE UNITED STATES 
SEPTEMBER 22, 2020 
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
AN ACT 
To amend the Public Health Service Act with respect to 
the Strategic National Stockpile, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Strengthening America’s Strategic National Stockpile 
Act of 2020’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Reimbursable transfers. 
Sec. 3. Equipment maintenance. 
Sec. 4. Supply chain flexibility manufacturing pilot. 
Sec. 5. GAO study on the feasibility and benefits of a user fee agreement. 
Sec. 6. Grants for State strategic stockpiles. 
Sec. 7. Action reporting. 
Sec. 8. Improved, transparent processes. 
Sec. 9. Authorization of appropriations. 
SEC. 2. REIMBURSABLE TRANSFERS. 
Section 319F–2(a) of the Public Health Service Act 
(42 U.S.C. 247d–6b(a)) is amended by adding at the end 
the following: 
‘‘(6) TRANSFERS AND REIMBURSEMENTS.— 
‘‘(A) IN
GENERAL.—Without regard to 
chapter 5 of title 40, United States Code, the 
Secretary may transfer to any Federal depart-
ment or agency, on a reimbursable basis, any 
drugs, vaccines and other biological products, 
medical devices, and other supplies in the stock-
pile if— 
‘‘(i) the transferred supplies are less 
than one year from expiry; 
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‘‘(ii) the stockpile is able to replenish 
the supplies, as appropriate; and 
‘‘(iii) the Secretary decides the trans-
fer is in the best interest of the United 
States Government. 
‘‘(B) USE
OF
REIMBURSEMENT.—Reim-
bursement derived from the transfer of supplies 
pursuant to subparagraph (A) may, to the ex-
tent and in the amounts made available in ad-
vance in appropriations Acts, be used by the 
Secretary to carry out this section. Funds made 
available pursuant to the preceding sentence are 
in addition to any other funds that may be 
made available for such purpose. 
‘‘(C) 
RULE
OF
CONSTRUCTION.—This 
paragraph shall not be construed to preclude 
transfers of products in the stockpile under 
other authorities. 
‘‘(D) REPORT.—Not later than September 
30, 2022, the Secretary shall submit to the 
Committee on Energy and Commerce of the 
House of Representatives and the Committee 
on Health, Education, Labor, and Pensions of 
the Senate a report on each transfer made 
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under this paragraph and the amount received 
by the Secretary in exchange for that transfer. 
‘‘(E) SUNSET.—The authority to make 
transfers under this paragraph shall cease to be 
effective on September 30, 2023.’’. 
SEC. 3. EQUIPMENT MAINTENANCE. 
Section 319F–2 of the Public Health Service Act (42 
U.S.C. 247d–6b) is amended— 
(1) in subsection (a)(3)— 
(A) in subparagraph (I), by striking ‘‘; 
and’’ and inserting a semicolon; 
(B) in subparagraph (J), by striking the 
period at the end and inserting a semicolon; 
and 
(C) by inserting the following new subpara-
graph at the end: 
‘‘(K) ensure contents of the stockpile re-
main in good working order and, as appro-
priate, conduct maintenance services on con-
tents of the stockpile; and’’; and 
(2) in subsection (c)(7)(B), by adding at the 
end the following new clause: 
‘‘(ix) 
EQUIPMENT
MAINTENANCE 
SERVICE.—In carrying out this section, the 
Secretary may enter into contracts for the 
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procurement of equipment maintenance 
services.’’. 
SEC. 4. SUPPLY CHAIN FLEXIBILITY MANUFACTURING 
PILOT. 
(a) IN GENERAL.—Section 319F–2(a)(3) of the Pub-
lic Health Service Act (42 U.S.C. 247d–6b(a)(3)), as 
amended by section 3, is further amended by adding at 
the end the following new subparagraph: 
‘‘(L) enhance medical supply chain elas-
ticity and establish and maintain domestic re-
serves of critical medical supplies (including 
personal protective equipment, ancillary medical 
supplies, and other applicable supplies required 
for the administration of drugs, vaccines and 
other biological products, and other medical de-
vices (including diagnostic tests)) by— 
‘‘(i) increasing emergency stock of 
critical medical supplies; 
‘‘(ii) geographically diversifying do-
mestic production of such medical supplies, 
as appropriate; 
‘‘(iii) entering into cooperative agree-
ments or partnerships with respect to man-
ufacturing lines, facilities, and equipment 
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