I 
112TH CONGRESS 
1ST SESSION H. R. 1411 
To amend the Homeland Security Act of 2002 to ensure continuation of 
the Metropolitan Medical Response System Program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 7, 2011 
Mr. BILIRAKIS introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Homeland Security, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To amend the Homeland Security Act of 2002 to ensure 
continuation of the Metropolitan Medical Response Sys-
tem Program, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Metropolitan Medical 
Response System Program Act of 2011’’. 
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SEC. 2. METROPOLITAN MEDICAL RESPONSE SYSTEM PRO-
GRAM. 
(a) AMENDMENT.—Title V of the Homeland Security 
Act of 2002 (6 U.S.C. 311 et seq.) is amended by adding 
at the end the following: 
‘‘SEC. 526. METROPOLITAN MEDICAL RESPONSE SYSTEM 
PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary shall conduct a 
Metropolitan Medical Response System Program, that 
shall assist State and local governments in preparing for 
and responding to public health and mass casualty inci-
dents resulting from acts of terrorism, natural disasters, 
and other man-made disasters. 
‘‘(b) FINANCIAL ASSISTANCE.— 
‘‘(1) AUTHORIZATION OF GRANTS.— 
‘‘(A) 
IN
GENERAL.—The 
Secretary, 
through the Administrator of the Federal 
Emergency Management Agency, may make 
grants under this section to State and local gov-
ernments to assist in preparing for and re-
sponding to mass casualty incidents resulting 
from acts of terrorism, natural disasters, and 
other man-made disasters. 
‘‘(B) CONSULTATION.—In developing guid-
ance for grants authorized under this section, 
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the Administrator shall consult with the Assist-
ant Secretary, Office of Health Affairs. 
‘‘(2) USE OF FUNDS.—A grant made under this 
section may be used to support the integration of 
emergency management, health, and medical sys-
tems into a coordinated response to mass casualty 
incidents caused by any hazard, including— 
‘‘(A) to strengthen medical surge capacity; 
‘‘(B) to strengthen mass prophylaxis capa-
bilities including development and maintenance 
of an initial pharmaceutical stockpile sufficient 
to protect first responders, their families, and 
immediate victims from a chemical or biological 
event; 
‘‘(C) to strengthen chemical, biological, ra-
diological, nuclear, and explosive detection, re-
sponse, and decontamination capabilities; 
‘‘(D) to develop and maintain mass triage 
and pre-hospital treatment plans and capabili-
ties; 
‘‘(E) for planning; 
‘‘(F) to support efforts to strengthen infor-
mation sharing and collaboration capabilities of 
regional, State, and urban areas in support of 
public health and medical preparedness; 
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‘‘(G) for medical supplies management and 
distribution; 
‘‘(H) for training and exercises; 
‘‘(I) for integration and coordination of the 
activities and capabilities of public health per-
sonnel and medical care providers with those of 
other emergency response providers as well as 
other Federal agencies, the private sector, and 
nonprofit organizations, for the forward move-
ment of patients; and 
‘‘(J) for such other activities as the Ad-
ministrator provides. 
‘‘(3) ELIGIBILITY.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B), any jurisdiction that re-
ceived funds through the Metropolitan Medical 
Response System Program in fiscal year 2010 
shall be eligible to receive a grant under this 
section. 
‘‘(B) PERFORMANCE REQUIREMENT AFTER 
FISCAL YEAR 2012.—A jurisdiction shall not be 
eligible for a grant under this subsection from 
funds available after fiscal year 2012 unless the 
Secretary determines that the jurisdiction main-
tains a sufficient measured degree of capability 
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in accordance with the performance measures 
issued under subsection (c). 
‘‘(4) DISTRIBUTION OF FUNDS.— 
‘‘(A) IN
GENERAL.—The Administrator 
shall distribute grant funds under this section 
to the State in which the jurisdiction receiving 
a grant under this section is located. 
‘‘(B) PASS
THROUGH.—Subject to sub-
paragraph (C), not later than 45 days after the 
date on which a State receives grant funds 
under subparagraph (A), the State shall provide 
the jurisdiction receiving the grant 100 percent 
of the grant funds, and not later than 45 days 
after the State releases the funds, all fiscal 
agents shall make the grant funds available for 
expenditure. 
‘‘(C) 
EXCEPTION.—The 
Administrator 
may permit a State to provide to a jurisdiction 
receiving a grant under this section 97 percent 
of the grant funds awarded if doing so would 
not result in any jurisdiction eligible for a grant 
under paragraph (3)(A) receiving less funding 
than such jurisdiction received in fiscal year 
2009. 
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‘‘(5) REGIONAL COORDINATION.—The Adminis-
trator shall ensure that each jurisdiction that re-
ceives a grant under this section, as a condition of 
receiving such grant, is actively coordinating its pre-
paredness efforts with surrounding jurisdictions, 
with the official with primary responsibility for 
homeland security (other than the Governor) of the 
government of the State in which the jurisdiction is 
located, and with emergency response providers from 
all relevant disciplines, as determined by the Admin-
istrator, to effectively enhance regional prepared-
ness. 
‘‘(c) PERFORMANCE
MEASURES.—The Adminis-
trator, in coordination with the Assistant Secretary, Office 
of Health Affairs, and the National Metropolitan Medical 
Response System Working Group, shall issue performance 
measures within one year after the date of enactment of 
this section that enable objective evaluation of the per-
formance and effective use of funds provided under this 
section in any jurisdiction. 
‘‘(d) METROPOLITAN MEDICAL RESPONSE SYSTEM 
WORKING GROUP DEFINED.—In this section, the term 
‘National Metropolitan Medical Response System Working 
Group’ means— 
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‘‘(1) 10 Metropolitan Medical Response System 
Program grant managers, who shall— 
‘‘(A) include one such grant manager from 
each region of the Agency; 
‘‘(B) comprise a population-based cross 
section of jurisdictions that are receiving grant 
funds under the Metropolitan Medical Response 
System Program; and 
‘‘(C) include— 
‘‘(i) 3 selected by the Administrator; 
and 
‘‘(ii) 3 selected by the Assistant Sec-
retary, Office of Health Affairs; and 
‘‘(2) 3 State officials who are responsible for 
administration of State programs that are carried 
out with grants under this section, who shall be se-
lected by the Administrator. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated $41,000,000 to carry out 
the program for each of fiscal years 2012 through 2016.’’. 
(b) CLERICAL AMENDMENT.—The table of contents 
in section 1(b) of such Act is amended by adding at the 
end of the items relating to title V the following new item: 
‘‘Sec. 526. Metropolitan Medical Response System Program.’’. 
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has the meaning that term has in section 526 of the 
Homeland Security Act of 2002, as added by section 2 
of this Act. 
SEC. 4. TECHNICAL AND CONFORMING AMENDMENT. 
Section 635 of the Post-Katrina Management Reform 
Act of 2006 (6 U.S.C. 723) is repealed. 
Æ 
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