surveillance and laboratory systems may include 
the National Healthcare Safety Network, the 
Emerging Infections Program, the National 
Antimicrobial Resistance Monitoring System, 
the National Animal Health Monitoring Sys-
tem, the National Animal Health Laboratory 
Network, the Veterinary Laboratory Investiga-
tion and Response Network, and the anti-
microbial resistance Laboratory Network. 
‘‘(C) Federal efforts to advance the devel-
opment and use of rapid and innovative diag-
nostic tests for identification and characteriza-
tion of antimicrobial-resistant pathogens. Such 
efforts may include development of new diag-
nostic tests and expansion of their availability 
and use to improve treatment, infection control, 
and outbreak response. 
‘‘(D) Federal efforts to accelerate basic 
and applied research and development for new 
antimicrobial drugs, other therapeutics, preven-
tion efforts, and vaccines. Such efforts may in-
clude support for basic and applied research, 
provision of scientific services and guidance to 
researchers, and fostering of public-private 
partnerships. 
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‘‘(E) Federal efforts to improve inter-
national collaboration and capacities for anti-
microbial-resistance 
prevention, 
surveillance, 
and control and antimicrobial research and de-
velopment. Such efforts may include collabora-
tions with foreign ministries of health and agri-
culture, the World Health Organization, the 
Food and Agriculture Organization, the World 
Organization for Animal Health, the United 
Nations Environment Programme, and other 
multinational organizations.’’; and 
(D) by adding at the end the following: 
‘‘(5) AVAILABILITY
OF
INFORMATION.—The 
task force described in paragraph (1), to the extent 
permitted by law, shall— 
‘‘(A) provide the Presidential Advisory 
Council on Combating Antibiotic-Resistant Bac-
teria described in section 505 of the Pandemic 
and All-Hazards Preparedness and Advancing 
Innovation Act of 2019 with such information 
as may be required for carrying out the func-
tions of such Advisory Council, including infor-
mation on progress in advancing the National 
Strategy, meeting minutes, and other key infor-
mation of the task force; and 
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‘‘(B) ensure that all information described 
in subparagraph (A) is made available on the 
websites of the Department of Health and 
Human Services, the Department of Agri-
culture, and the Department of Defense.’’; 
(2) in subsection (h)— 
(A) in the heading, by striking ‘‘INFORMA-
TION RELATED TO’’; 
(B) by striking ‘‘The Secretary’’ and in-
serting the following: 
‘‘(1) DISSEMINATION
OF
INFORMATION.—The 
Secretary’’; and 
(C) by adding at the end the following: 
‘‘(2) ENCOURAGING ANTIMICROBIAL STEWARD-
SHIP
PROGRAMS.—The Secretary shall encourage 
health care facilities to establish antimicrobial stew-
ardship programs that are consistent with docu-
ments issued by the Centers for Disease Control and 
Prevention relating to the core elements of anti-
microbial stewardship programs. 
‘‘(3) DEFINITION OF ANTIMICROBIAL STEWARD-
SHIP.—For purposes of this section, the term ‘anti-
microbial stewardship’ means coordinated interven-
tions designed to improve and evaluate the appro-
priate use of antimicrobial agents, including pro-
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moting the use of antimicrobial drugs only when 
clinically indicated, and, when antimicrobial drugs 
are clinically indicated, promoting the selection of 
the optimal antimicrobial drug regimen, including 
through factors such as dosage, duration of therapy, 
and route of administration.’’; 
(3) 
in 
subsection 
(m), 
by 
striking 
‘‘$40,000,000’’ and all that follows through the pe-
riod at the end and inserting ‘‘such sums as may be 
necessary for each of fiscal years 2023 through 
2029.’’; and 
(4) by adding at the end the following: 
‘‘(n) ANNUAL REPORT ON IMPLEMENTING THE NA-
TIONAL STRATEGY OBJECTIVES.—Not later than 1 year 
after the date of the enactment of the Strategies To Ad-
dress Antimicrobial Resistance Act, and annually there-
after, the Secretary, in consultation with the Secretary of 
Agriculture, the Secretary of Defense, and the task force 
described in subsection (a), shall submit to the Committee 
on Health, Education, Labor, and Pensions of the Senate 
and the Committee on Energy and Commerce of the 
House of Representatives, and make available on the 
websites of the Department of Health and Human Serv-
ices, the Department of Agriculture, and the Department 
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of Defense, a report on the progress made in implementing 
the objectives of the National Strategy.’’. 
SEC. 3. ADDITIONAL STRATEGIES FOR COMBATING ANTI-
MICROBIAL RESISTANCE. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 319E the following: 
‘‘SEC. 319E–1. SURVEILLANCE AND REPORTING OF ANTI-
MICROBIAL USE AND RESISTANCE. 
‘‘(a) IN GENERAL.—The Secretary shall use the Na-
tional Healthcare Safety Network and other appropriate 
surveillance systems to assess— 
‘‘(1) appropriate conditions, outcomes, and 
measures causally related to antimicrobial resist-
ance, including types of infections, the causes for in-
fections, and whether infections are acquired in a 
community or hospital setting, increased lengths of 
hospital stay, increased costs, and rates of mortality; 
and 
‘‘(2) changes in microbial resistance to drugs in 
relation to patient outcomes, including changes in 
percent resistance, prevalence of antimicrobial-resist-
ant infections, and other such changes. 
‘‘(b) ANTIMICROBIAL USE DATA.—The Secretary 
shall work with Federal agencies (including the Depart-
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