I 
118TH CONGRESS 
1ST SESSION H. R. 4516 
To amend the Public Health Service Act to provide for the inclusion of 
a biological attribution strategy, and an early warning strategy and 
implementation plan, in the National Health Security Strategy, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 10, 2023 
Mr. CRENSHAW introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to provide for 
the inclusion of a biological attribution strategy, and 
an early warning strategy and implementation plan, in 
the National Health Security Strategy, 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. BIOLOGICAL ATTRIBUTION STRATEGY. 
(a) PREPAREDNESS GOAL.—Section 2802(b) of the 
Public Health Service Act (42 U.S.C. 300hh–1(b)) is 
amended by adding at the end the following: 
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‘‘(11) BIOLOGICAL ATTRIBUTION STRATEGY.— 
Developing a biological attribution strategy to im-
prove Federal coordination of duties and activities 
related to biological attribution of biological hazards 
and pathogens of pandemic potential, which shall in-
clude developing a strategy in accordance with sub-
section (c).’’. 
(b) DETAILS OF STRATEGY.—Section 2802 of the 
Public Health Service Act (42 U.S.C. 300hh–1) is amend-
ed by adding at the end the following: 
‘‘(c) BIOLOGICAL ATTRIBUTION STRATEGY.— 
‘‘(1) CONTENTS.—The biological attribution 
strategy under subsection (b)(11) shall include the 
following: 
‘‘(A) A description of the biological attri-
bution duties of each appropriate Federal agen-
cy, including— 
‘‘(i) the nature of routine bioattribu-
tion activities; 
‘‘(ii) the level and type of biological 
events that may trigger an attribution de-
termination by the appropriate Federal 
agencies regarding the source, cause, or or-
igin of such events; and 
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‘‘(iii) the Federal agency’s routine ex-
ercise of the capabilities to perform bio-
attribution activities. 
‘‘(B) The process by which a bioattribution 
determination is made by each such Federal 
agency, including how such process may ad-
dress national security considerations. 
‘‘(C) Development of assignments, mile-
stones, and timelines necessary to establish the 
strongest possible national capacity for bio-
attribution. 
‘‘(D) A plan for the identification, develop-
ment, and implementation of new technologies, 
through both internal and public-private initia-
tives, with an emphasis on diagnostic, sequenc-
ing, and safe collection capabilities. 
‘‘(2) COORDINATION.—In developing the bio-
logical attribution strategy under subsection (b)(11), 
the Secretary shall coordinate with the relevant Fed-
eral agencies, including the Administration for Stra-
tegic Preparedness and Response, the Office of 
Science and Technology Policy, and the Office of the 
Director of National Intelligence.’’. 
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SEC. 2. EARLY WARNING STRATEGY AND IMPLEMENTATION 
PLAN. 
(a) PREPAREDNESS GOAL.—Section 2802(b) of the 
Public Health Service Act (42 U.S.C. 300hh–1(b)), as 
amended by section 1, is further amended by adding at 
the end the following: 
‘‘(12) EARLY WARNING STRATEGY AND IMPLE-
MENTATION
PLAN.—Developing and implementing 
an early warning strategy and implementation plan 
for biological, chemical, and radiological threats, in 
accordance with subsection (d).’’. 
(b) DETAILS
OF STRATEGY
AND PLAN.—Section 
2802 of the Public Health Service Act (42 U.S.C. 300hh– 
1), as amended by section 1, is further amended by adding 
at the end the following: 
‘‘(d) EARLY WARNING STRATEGY AND IMPLEMENTA-
TION PLAN.— 
‘‘(1) OBJECTIVES.—The objectives of the early 
warning strategy and implementation plan under 
subsection (b)(12) shall include— 
‘‘(A) development of a robust early warn-
ing function for the United States which incor-
porates new technologies, with an emphasis on 
diagnostic, sequencing, and safe collection capa-
bilities; 
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‘‘(B) 
identification 
of 
new 
biological 
threats at the earliest time to inform response 
strategies; 
‘‘(C) understanding of the prevalence of 
current and recurring threats; 
‘‘(D) the ability to adapt technologies to 
emerging chemical and radiological threats, in-
cluding synthetic drugs and fentanyl; 
‘‘(E) ongoing detection from broad sources 
including wastewater, airports, and transpor-
tation hubs; and 
‘‘(F) the ability to rapidly deploy tech-
nologies at scale during a public health event. 
‘‘(2) COORDINATION AND ELIMINATING DUPLI-
CATION.— 
‘‘(A) CONSULTATION.—In developing the 
early warning strategy and implementation plan 
under subsection (b)(12), the Secretary shall 
consult with— 
‘‘(i) State and local public health enti-
ties; 
‘‘(ii) private sector and academic part-
ners; and 
‘‘(iii) Federal officials as appropriate, 
including— 
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‘‘(I) the Assistant Secretary for 
Strategic Preparedness and Response; 
and 
‘‘(II) the Director of the Centers 
for Disease Control and Prevention. 
‘‘(B) PURPOSES.—The purposes of con-
sultation under paragraph (1) shall be to co-
ordinate activities, streamline Federal pro-
grams, and eliminate waste and duplication. 
‘‘(C) MEETINGS.—The Secretary, on a 
periodic basis as applicable and appropriate, 
shall meet with the Director of National Intel-
ligence to inform the development and capabili-
ties of the early warning strategy and imple-
mentation plan under subsection (b)(12) for 
foreign and cross-border threats.’’. 
Æ 
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