‘‘(III) the severity of the mos-
quito-borne disease, such that ex-
pected serious adverse health out-
comes for the human population jus-
tify the waiver.’’; and 
(D) by amending paragraph (6) to read as 
follows: 
‘‘(6) NUMBER OF GRANTS.—A political subdivi-
sion or a consortium of political subdivisions may 
not receive more than one grant under paragraph 
(1).’’; and 
(3) in subsection (f)— 
(A) 
in 
paragraph 
(1), 
by 
striking 
‘‘$100,000,000 for fiscal year 2003, and such 
sums as may be necessary for each of fiscal 
years 2004 through 2007’’ and inserting 
‘‘$130,000,000 for each of fiscal years 2018 
through 2023’’; 
(B) in paragraph (2), by striking ‘‘the 
Public Health Security and Bioterrorism Pre-
paredness and Response Act of 2002’’ and in-
serting ‘‘other medical and public health pre-
paredness and response laws’’; and 
(C) in paragraph (3)— 
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(i) in the heading, by striking ‘‘2004’’ 
and inserting ‘‘2018’’; and 
(ii) by striking ‘‘2004’’ and inserting 
‘‘2018’’. 
SEC. 3. EPIDEMIOLOGY-LABORATORY CAPACITY GRANTS. 
Section 2821 of the Public Health Service Act (42 
U.S.C. 300hh–31) is amended— 
(1) in subsection (a)(1), by inserting ‘‘, includ-
ing mosquito and other vector-borne diseases,’’ after 
‘‘infectious diseases’’; and 
(2) in subsection (b), by striking ‘‘2010 through 
2013’’ and inserting ‘‘2018 through 2023’’. 
SEC. 4. GAO STUDY. 
(a) STUDY.—The Comptroller General of the United 
States shall conduct a study on the state of surveillance 
and control of mosquito-borne infectious diseases in the 
United States and territories, including the state of pre-
paredness for conducting such surveillance and control. 
The study shall include— 
(1) a description of the infrastructure and pro-
grams for mosquito control in the United States, in-
cluding— 
(A) how such infrastructure and programs 
are organized and implemented at the Federal, 
State, and local levels, including with respect to 
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departments and agencies of the States, and 
local organizations (including special districts) 
involved in such control programs; 
(B) the role of the private sector in such 
activities; 
(C) how the authority for mosquito control 
impacts such activities; and 
(D) the resources for such infrastructure 
and programs, including Federal, State, and 
local funding sources; 
(2) how mosquito and other vector-borne dis-
ease surveillance and control is integrated into Fed-
eral, State, and local preparedness plans and ac-
tions, including how zoonotic surveillance is inte-
grated into infectious disease surveillance to support 
real-time situational surveillance and awareness; 
(3) Federal, State, and local laboratory capacity 
for emerging vector-borne diseases, including mos-
quito-borne and other zoonotic diseases; and 
(4) any regulatory challenges for developing and 
utilizing vector-control technologies and platforms as 
part of mosquito control strategies. 
(b) CONSULTATIONS.—In conducting the study under 
subsection (a), the Comptroller General of the United 
States shall consult with— 
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(1) State and local public health officials in-
volved in mosquito and other vector-borne disease 
surveillance and control efforts; 
(2) researchers and manufacturers of mosquito 
control products; 
(3) stakeholders involved in mosquito abate-
ment activities; 
(4) infectious disease experts; and 
(5) entomologists involved in mosquito-borne 
disease surveillance and control efforts. 
(c) REPORT.—Not later than 18 months after the 
date of enactment of this Act, the Comptroller General 
of the United States 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 a report containing the results of the 
study conducted under subsection (a) and relevant rec-
ommendations for Zika virus and other mosquito-borne 
diseases preparedness and response efforts. 
Æ 
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