I 
118TH CONGRESS 
1ST SESSION H. R. 4421 
To reauthorize certain programs under the Public Health Service Act with 
respect to public health security and all-hazards preparedness and re-
sponse related to the Administration for Strategic Preparedness and 
Response, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 30, 2023 
Mr. HUDSON introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To reauthorize certain programs under the Public Health 
Service Act with respect to public health security and 
all-hazards preparedness and response related to the Ad-
ministration for Strategic Preparedness and Response, 
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; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Preparing for All Hazards and Pathogens Reauthoriza-
tion Act’’. 
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(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—PREPARING FOR AND RESPONDING TO PUBLIC 
HEALTH SECURITY THREATS 
Sec. 101. National health security strategy. 
Sec. 102. Protection of national security from threats. 
Sec. 103. Public Health Emergency Medical Countermeasures Enterprise. 
Sec. 104. Partnerships for State and regional hospital preparedness to improve 
surge capacity. 
Sec. 105. Guidelines for regional health care emergency preparedness and re-
sponse systems. 
Sec. 106. Strategic National Stockpile. 
Sec. 107. Diagnostic testing preparedness plan. 
Sec. 108. Biomedical advanced research and development authority. 
Sec. 109. Ensuring collaboration and coordination in medical countermeasure 
development. 
Sec. 110. Review of ASPR efforts to ensure supply chain resiliency and ac-
countability. 
Sec. 111. Review of HHS efforts to ensure rapid production and domestic man-
ufacturing capacity of medical countermeasures. 
Sec. 112. Crisis standards of care. 
TITLE II—ENSURING WORKFORCE TO PREPARE FOR AND 
RESPOND TO PUBLIC HEALTH SECURITY THREATS 
Sec. 201. Emergency system for advance registration of volunteer health pro-
fessional. 
Sec. 202. Military and civilian partnership for trauma readiness. 
Sec. 203. National advisory committees on disasters. 
Sec. 204. National Disaster Medical System. 
Sec. 205. Volunteer Medical Reserve Corps. 
TITLE I—PREPARING FOR AND 
RESPONDING 
TO 
PUBLIC 
HEALTH SECURITY THREATS 
SEC. 101. NATIONAL HEALTH SECURITY STRATEGY. 
(a) 
PUBLIC
HEALTH
WORKFORCE.—Section 
2802(a)(3) of the Public Health Service Act (42 U.S.C. 
300hh–1(a)(3)) is amended by striking ‘‘In 2022, the’’ 
and inserting ‘‘The’’. 
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(b) MEDICAL
AND PUBLIC HEALTH COMMUNITY 
PREPAREDNESS GOAL.—Section 2802(b)(8)(A) of the 
Public Health Service Act (42 U.S.C. 300hh–1(b)(8)(A)) 
is amended by inserting before the semicolon the following: 
‘‘, including by protecting against cybersecurity threats’’. 
SEC. 102. PROTECTION OF NATIONAL SECURITY FROM 
THREATS. 
Section 2811(f)(2)(A) of the Public Health Service 
Act (42 U.S.C. 300hh–10(f)(2)(A)) is amended by strik-
ing ‘‘$250,000,000 for each of fiscal years 2019 through 
2023’’ and inserting ‘‘$327,991,000 for each of fiscal 
years 2024 through 2028’’. 
SEC. 103. PUBLIC HEALTH EMERGENCY MEDICAL COUN-
TERMEASURES ENTERPRISE. 
(a) MEMBERS.—Section 2811–1(b) of the Public 
Health Service Act (42 U.S.C. 30hh–10a(b)) is amended 
by striking paragraph (11) and inserting the following: 
‘‘(11) The Director of the Biomedical Advanced 
Research and Development Authority. 
‘‘(12) The Director of the Strategic National 
Stockpile. 
‘‘(13) Representatives of any other Federal 
agency, which may include the Director of the Na-
tional Institute of Allergy and Infectious Diseases 
and the Director of the Office of Public Health Pre-
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paredness and Response, as the Secretary deter-
mines appropriate.’’. 
(b) FUNCTIONS.—Section 2811–1(c)(2) of the Public 
Health Service Act (42 U.S.C. 30hh–10a(c)(2)) is amend-
ed to read as follows: 
‘‘(2) INPUT.—In carrying out this section, the 
PHEMCE shall solicit and consider input from— 
‘‘(A) the PHEMCE Advisory Committee 
maintained under subsection (d), as appro-
priate; and 
‘‘(B) State, local, Tribal, and territorial 
public health departments or officials, as appro-
priate.’’. 
(c) ADVISORY COMMITTEE.—Section 2811–1 of the 
Public Health Service Act (42 U.S.C. 30hh–10a) is 
amended by adding at the end the following: 
‘‘(d) PHEMCE ADVISORY COMMITTEE.— 
‘‘(1) ESTABLISHMENT.—The Secretary shall— 
‘‘(A) establish and maintain an advisory 
committee to be known as the PHEMCE Advi-
sory Committee (in this subsection referred to 
as the ‘Advisory Committee’) to seek input and 
ensure communication and transparency in the 
functions of the PHEMCE; and 
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‘‘(B) seek input from and consult with ex-
ternal partners with divergent threat portfolios, 
including chemical, biological, radiological, or 
nuclear agents and emerging infectious dis-
eases, to ensure the right combination of 
threat-specific expertise on PHEMCE functions 
under subsection (c)(1) and to ensure appro-
priate capability and capacity to maintain over-
all readiness. 
‘‘(2) 
DUTIES.—The 
Advisory 
Committee 
shall— 
‘‘(A) provide advice to the PHEMCE in 
carrying out its functions; 
‘‘(B) solicit and incorporate the input of 
the private sector, non-Federal partners, and 
stakeholders to increase communication and 
transparency, identify gaps of preparedness, 
and coordinate improvements in PHEMCE de-
cision-making; 
‘‘(C) aid in the PHEMCE’s strategic plan-
ning and decision-making regarding medical 
countermeasure research, advanced research, 
development, procurement, stockpiling, replen-
ishment, deployment, and distribution; 
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‘‘(D) aid in interactions among the 
PHEMCE’s members listed in subsection (b) 
and other government entities; and 
‘‘(E) aid in the PHEMCE’s communica-
tion of decisions related to the PHEMCE’s 
functions. 
‘‘(3) MEMBERSHIP.—The Secretary, in con-
sultation with the members of the PHEMCE listed 
in subsection (b), shall appoint to the Advisory Com-
mittee at least 9, and not more than 15, individuals, 
including— 
‘‘(A) at least 3 non-Federal professionals 
with expertise in medical countermeasure devel-
opment, including medical countermeasures for 
chemical, biological, radiological, or nuclear 
agents and emerging infectious diseases; 
‘‘(B) at least 2 non-Federal professionals 
with expertise in medical countermeasure stock-
piling and replenishment; 
‘‘(C) at least 2 non-Federal professionals 
with expertise in the medical countermeasure 
supply chain, including medical countermeasure 
manufacturing and distribution; 
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‘‘(D) at least 2 non-Federal professionals 
with expertise in medical disaster planning, pre-
paredness, response, or recovery; 
‘‘(E) 1 non-Federal professional appointed 
by the Speaker of the House of Representatives; 
‘‘(F) 1 non-Federal professional appointed 
by the minority leader of the House of Rep-
resentatives; 
‘‘(G) 1 non-Federal professional appointed 
by the majority leader of the Senate; and 
‘‘(H) 1 non-Federal professional appointed 
by the minority leader of the Senate. 
‘‘(4) TERM OF APPOINTMENT.—Each member 
of the Advisory Committee shall be appointed for a 
term of 2 years and may be reappointed for two ad-
ditional terms of 2 years, for a total of not more 
than 6 years. The first and second such terms may 
be consecutive. The third such term may not be con-
secutive. 
‘‘(5) MEETINGS.—The Advisory Committee 
shall— 
‘‘(A) meet not less than 4 times in each 
calendar year that begins after the establish-
ment of the Advisory Committee; 
‘‘(B) hold all meetings in-person; 
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‘‘(C) for purposes of ensuring trans-
parency, provide adequate advance notice of the 
date of each meeting, including by publicly 
posting the meeting date 30 days before the 
date on which the meeting is to be held; 
‘‘(D) not later than 60 days after each 
meeting, communicate the activities carried out 
and decisions made during, and minutes of, 
such meeting to the appropriate congressional 
committees; and 
‘‘(E) not later than 30 days after each 
meeting, communicate the activities carried out 
and decisions made during, and minutes of, 
such meeting to the PHEMCE.’’. 
SEC. 104. PARTNERSHIPS FOR STATE AND REGIONAL HOS-
PITAL PREPAREDNESS TO IMPROVE SURGE 
CAPACITY. 
(a) AUTHORIZATION OF APPROPRIATIONS.—Section 
319C–2(j)(1)(A) of the Public Health Service Act (42 
U.S.C. 247d–3b(j)(1)(A)) is amended by striking ‘‘2019 
through 2023’’ and inserting ‘‘2024 through 2028’’. 
(b) SUNSET.—Section 319C–2(j)(1)(B)(iii) of the 
Public 
Health 
Service 
Act 
(42 
U.S.C. 
247d– 
3b(j)(1)(B)(iii)) is amended by striking ‘‘2023’’ and in-
serting ‘‘2028’’. 
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SEC. 105. GUIDELINES FOR REGIONAL HEALTH CARE 
EMERGENCY PREPAREDNESS AND RESPONSE 
SYSTEMS. 
(a) GUIDELINES.—Section 319C–3(b)(3) of the Pub-
lic Health Service Act (42 U.S.C. 247d–3c(b)(3)) is 
amended by striking ‘‘the Pandemic and All-Hazards Pre-
paredness and Advancing Innovation Act of 2019 (includ-
ing any amendments made by such Act)’’ and inserting 
‘‘the Pandemic and All-Hazards Preparedness and Ad-
vancing Innovation Act of 2019, the PREVENT 
Pandemics Act (title II of division FF of Public Law 117– 
328), and the Preparing for All Hazards and Pathogens 
Reauthorization Act’’. 
(b) DEMONSTRATION
PROJECT
FOR
REGIONAL 
HEALTH CARE PREPAREDNESS
AND RESPONSE SYS-
TEMS.—Section 319C–3(e)(2) of the Public Health Serv-
ice Act (42 U.S.C. 247d–3c(e)(2)) is amended by striking 
‘‘2023’’ and inserting ‘‘2028’’. 
SEC. 106. STRATEGIC NATIONAL STOCKPILE. 
(a) RESPONSIBILITY
FOR
ADMINISTERING
THE 
STRATEGIC NATIONAL STOCKPILE.— 
(1) TRANSFER.— 
(A) IN GENERAL.—Section 319F–2(a)(1) 
of the Public Health Service Act (42 U.S.C. 
247d–6b(a)(1)) is amended by striking ‘‘The 
Secretary, in collaboration with the Assistant 
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Secretary for Preparedness and Response and 
the Director of the Centers for Disease Control 
and Prevention, and in coordination with the 
Secretary of Homeland Security’’ and inserting 
‘‘The Secretary, acting through the Assistant 
Secretary for Preparedness and Response, in 
coordination with the Director of the Centers 
for Disease Control and Prevention and the 
Secretary of Homeland Security’’. 
(B) CONFORMING
AMENDMENT.—Section 
319F–2(a)(3)(E) of the Public Health Service 
Act (42 U.S.C. 247d–6b(a)(3)(E)) is amended 
by striking ‘‘the Assistant Secretary for Pre-
paredness and Response,’’. 
(C) PILOT PROGRAM TO SUPPORT STATE 
MEDICAL
STOCKPILES.—Section 319F–2(i)(1) 
of the Public Health Service Act (42 U.S.C. 
247d–6b(i)(1)) is amended by striking ‘‘The 
Secretary, in consultation with the Assistant 
Secretary for Preparedness and Response and 
the Director of the Centers for Disease Control 
and Prevention’’ and inserting ‘‘The Secretary, 
acting through the Assistant Secretary for Pre-
paredness and Response, in consultation with 
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the Director of the Centers for Disease Control 
and Prevention’’. 
(D) 
TRANSITION.—The 
Secretary 
of 
Health and Human Services shall take such ac-
tions as may be necessary to ensure that, not 
later than 180 days after the date of enactment 
of this Act, the amendments made by this sub-
section are fully implemented, including any 
necessary transfer of personnel and resources. 
(2) ASPR AUTHORITIES.— 
(A) ADDITIONAL COORDINATION DUTY.— 
Section 2811(b)(4) of the Public Health Service 
Act (42 U.S.C. 247d–6b(b)) is amended by 
adding at the end the following: 
‘‘(K) STRATEGIC NATIONAL STOCKPILE.— 
Coordinate with the Director of the Centers for 
Disease Control and Prevention and the Sec-
retary of Homeland Security regarding the 
maintenance and operation of, and procurement 
and contracting related to, the Strategic Na-
tional Stockpile under section 319F–2.’’. 
(B) ADDITIONAL RESPONSIBILITY.— 
(i) IN GENERAL.—Section 2811(c)(2) 
of the Public Health Service Act (42 
U.S.C. 247d–6b(c)(2)) is amended— 
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(I) by redesignating subpara-
graphs (E) and (F) as subparagraphs 
(F) and (G), respectively; and 
(II) by inserting after subpara-
graph (D) the following: 
‘‘(E) the Strategic National Stockpile pur-
suant to section 319F–2;’’. 
(ii) CONFORMING CHANGES.—Section 
2811(c)(3) of the Public Health Service 
Act (42 U.S.C. 247d–6b(c)(3)) is amend-
ed— 
(I) in subparagraph (A), by in-
serting ‘‘and’’ after the semicolon; 
(II) by striking subparagraph 
(B); and 
(III) by redesignating subpara-
graph (C) as subparagraph (B). 
(b) VENDOR-MANAGED
INVENTORY
AND
WARM- 
BASED SURGE CAPACITY CONTRACTS AND COOPERATIVE 
AGREEMENTS WITH CLINICAL LABORATORIES.—Section 
319F–2(a)(5)(A) of the Public Health Service Act (42 
U.S.C. 247d–6b(a)(5)(A)) is amended— 
(1) by inserting after ‘‘contracts or cooperative 
agreements with vendors, which may include manu-
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facturers or distributors of medical products,’’ the 
following: ‘‘as well as clinical laboratories,’’; and 
(2) in clause (ii), by striking ‘‘domestic manu-
facturing capacity’’ and inserting ‘‘domestic manu-
facturing and laboratory capacity’’. 
(c) CONTRACT NOTIFICATION.—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: 
‘‘(8) PROCUREMENT CONTRACT DURATION.— 
‘‘(A) IN
GENERAL.—A contract for the 
procurement of a drug, vaccine or other biologi-
cal product, medical device, or other supplies 
for the stockpile under paragraph (1) shall be 
for a period not to exceed five years, except 
that, in first awarding the contract, the Sec-
retary may provide for a longer duration, not 
exceeding 10 years, if the Secretary determines 
that complexities or other difficulties in per-
formance under the contract justify such a pe-
riod. The contract shall be renewable for addi-
tional periods, none of which shall exceed five 
years. 
‘‘(B) NOTIFICATION.—The Secretary shall 
notify— 
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‘‘(i) the Committee on Appropriations 
and the Committee on Energy and Com-
merce of the House of Representatives and 
the Committee on Appropriations and the 
Committee on Health, Education, Labor, 
and Pensions of the Senate upon a deter-
mination by the Secretary to modify, 
renew, extend, or terminate a contract re-
ferred to in subparagraph (A); and 
‘‘(ii) the relevant vendor within 90 
days of a determination by the Secretary 
to modify, renew, extend, or terminate 
such a contract.’’. 
(d) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN
GENERAL.—Section 319F–2(f) of the 
Public Health Service Act (42 U.S.C. 247d–6b(f)) is 
amended— 
(A) 
in 
paragraph 
(1), 
by 
striking 
‘‘$610,000,000 for each of fiscal years 2019 
through 2021, and $750,000,000 for each of 
fiscal years 2022 and 2023’’ and inserting 
‘‘$965,000,000 for each of fiscal years 2024 
through 2028’’; 
(B) by striking paragraph (2); and 
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(C) by striking ‘‘AUTHORIZATION OF AP-
PROPRIATIONS’’ and all that follows through 
‘‘For the purpose of carrying out subsection 
(a), there are authorized to be appropriated’’ 
and inserting ‘‘AUTHORIZATION OF APPROPRIA-
TIONS.—For the purpose of carrying out sub-
section (a), there is authorized to be appro-
priated’’. 
(2) PILOT PROGRAM TO SUPPORT STATE MED-
ICAL
STOCKPILES.—Section 319F–2(i)(9) of the 
Public Health Service Act (42 U.S.C. 247d–6b(i)(9)) 
is amended by striking ‘‘2024’’ and inserting 
‘‘2028’’. 
SEC. 107. DIAGNOSTIC TESTING PREPAREDNESS PLAN. 
The Public Health Service Act (42 U.S.C. 201 et 
seq.) is amended by inserting after section 319F–5 of such 
Act (42 U.S.C. 247d–6f) the following: 
‘‘SEC. 319F–6. DIAGNOSTIC TESTING PREPAREDNESS PLAN. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary for Preparedness and Response, 
and in consultation with the heads of relevant Federal 
agencies, shall develop not later than 1 year after the date 
of enactment of this section and update not less than every 
3 years thereafter a plan for rapid development, authoriza-
tion, scaling, procurement, and distribution of diagnostics 
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and clinical and diagnostic laboratory testing capacity dur-
ing a public health emergency declared under section 319. 
‘‘(b) PURPOSES.—The purposes of the plan under 
subsection (a) shall be— 
‘‘(1) to facilitate the development and utiliza-
tion of diagnostics for use with respect to a novel 
chemical, biological, radiological, or nuclear threat or 
an emerging infectious disease, including any such 
high-throughput laboratory diagnostic, point-of-care 
diagnostic, or rapid at-home or point-of-use diag-
nostic; and 
‘‘(2) to describe the processes for rapid develop-
ment, authorization, scaling, procurement, and dis-
tribution of diagnostics and clinical and diagnostic 
laboratory testing capacity. 
‘‘(c) PUBLIC-PRIVATE COORDINATION.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Assistant Secretary for Preparedness 
and Response, shall include within the plan under 
subsection (a) a plan for public-private coordination 
on national diagnostic testing during a public health 
emergency. 
‘‘(2) CONTENTS.—The plan under paragraph 
(1) shall be designed to facilitate coordination and 
collaboration among— 
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‘‘(A) government agencies; and 
‘‘(B) critical private-sector diagnostic test-
ing stakeholders, including private-sector clin-
ical and diagnostic laboratories, diagnostic man-
ufacturers, health care product distributors, 
and research laboratories. 
‘‘(d) PUBLIC AVAILABILITY.—The Secretary, acting 
through the Assistant Secretary for Preparedness and Re-
sponse, shall make the plan under subsection (a) publicly 
available. 
‘‘(e) REPORTS TO CONGRESS.—Not later than 1 year 
after commencing implementation of the plan under sub-
section (a) for a public health emergency, the Secretary, 
acting through the Assistant Secretary for Preparedness 
and Response, shall submit to the Congress a report evalu-
ating the effectiveness of activities implemented under the 
plan.’’. 
SEC. 108. BIOMEDICAL ADVANCED RESEARCH AND DEVEL-
OPMENT AUTHORITY. 
(a) 
MEDICAL
COUNTERMEASURES
FOR
VIRAL 
THREATS
WITH
PANDEMIC
POTENTIAL.—Section 
319L(c)(4) of the Public Health Service Act (42 U.S.C. 
247d–7e(c)(4)) is amended— 
(1) in subparagraph (D)— 
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‘‘(iv) priority virus families and other 
viral pathogens with a significant potential 
to cause a pandemic.’’. 
(b) CONTRACT NOTIFICATION.—Section 319L(c)(5) 
of the Public Health Service Act (42 U.S.C. 247d– 
7e(c)(5)) is amended by adding at the end the following: 
‘‘(I) DURATION.—A contract, grant, coop-
erative agreement, or other transaction entered 
into under this section shall be for a period not 
to exceed five years, except that, in first award-
ing the grant or entering into the contract, co-
operative agreement, or other transaction, the 
Secretary may provide for a longer duration, 
not exceeding 10 years, if the Secretary deter-
mines that complexities or other difficulties in 
performance under the contract, grant, coopera-
tive agreement, or other transaction justify 
such a period. The contract, grant, cooperative 
agreement, or other transaction shall be renew-
able for additional periods, none of which shall 
exceed five years. The Secretary shall notify the 
vendor within 90 days of a determination by the 
Secretary to modify, renew, extend, or termi-
nate such contract, grant, cooperative agree-
ment, or other transaction.’’. 
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(c) AUTHORIZATION OF APPROPRIATIONS.—Section 
319L(d)(2) of the Public Health Service Act (42 U.S.C. 
247d–7e(d)(2)) is amended by striking ‘‘$611,700,000 for 
each of fiscal years 2019 through 2023’’ and inserting 
‘‘$950,000,000 for each of fiscal years 2024 through 
2028’’. 
(d) INAPPLICABILITY OF CERTAIN PROVISIONS SUN-
SET.—Section 319L(e)(1)(D) of the Public Health Service 
Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by striking 
‘‘on the date that is 17 years after the date of enactment 
of the Pandemic and All-Hazards Preparedness Act’’ and 
inserting ‘‘on October 1, 2028’’. 
SEC. 109. ENSURING COLLABORATION AND COORDINATION 
IN MEDICAL COUNTERMEASURE DEVELOP-
MENT. 
Section 319L–1(b) of the Public Health Service Act 
(42 U.S.C. 274d–7f(b)) is amended by striking ‘‘at the 
end of the 17-year period that begins on the date of enact-
ment of this Act’’ and inserting ‘‘on October 1, 2028’’. 
SEC. 110. REVIEW OF ASPR EFFORTS TO ENSURE SUPPLY 
CHAIN RESILIENCY AND ACCOUNTABILITY. 
(a) IN GENERAL.—Not later than 18 months after 
the date of enactment of this Act, the Comptroller General 
of the United States shall complete a review of— 
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(1) the Supply Chain Control Tower Program 
(in this section referred to as the ‘‘SCCT Program’’) 
under the Administration for Strategic Preparedness 
and Response of the Department of Health and 
Human Services; and 
(2) any related efforts of the Administration for 
Strategic Preparedness and Response— 
(A) to create supply chain visibility into in-
ventory, capacity, and distribution flow of cer-
tain products critical to preparedness and re-
sponse efforts; 
(B) to provide insights into demand fore-
casting and modeling of certain products crit-
ical to preparedness and response efforts; or 
(C) to inform preparedness and response 
efforts by targeting distribution and coordi-
nating supply with demand for certain products 
critical to preparedness and response efforts. 
(b) ISSUES.—The review under this section shall in-
clude examination of— 
(1) the data being collected and maintained 
pursuant to the SCCT Program; 
(2) how the Department of Health and Human 
Services, acting through the Administration for 
Strategic Preparedness and Response, uses such 
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data to provide supply chain visibility and address 
actual or potential supply gaps; 
(3) the extent to which such data is provided 
and shared with end users, including States, local-
ities, Territories, Tribes, and industry partners; 
(4) the frequency and cadence of data reporting 
and sharing by and among States, localities, Terri-
tories, Tribes, and industry partners; 
(5) information related to the type and number 
of States, localities, Territories, Tribes, and industry 
partners participating in the SCCT Program; 
(6) the process by which States, localities, Ter-
ritories, Tribes, and industry partners voluntarily 
choose to participate in the SCCT Program; and 
(7) any inefficiencies, deficiencies, or challenges 
related to the application or operation of the SCCT 
Program. 
(c) REPORT TO CONGRESS.—Not later than the dead-
line described in subsection (a) for the completion of the 
review under this section, the Comptroller General 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 the results of such review. 
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SEC. 111. REVIEW OF HHS EFFORTS TO ENSURE RAPID 
PRODUCTION 
AND 
DOMESTIC 
MANUFAC-
TURING CAPACITY OF MEDICAL COUNTER-
MEASURES. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this Act, the Comptroller General 
of the United States shall conduct and complete a review 
examining the efforts of the Secretary of Health and 
Human Services to ensure that the United States is pre-
pared to rapidly produce qualified countermeasures (as de-
fined in section 319F–1 of the Public Health Service Act 
(42 U.S.C. 247d–6a)) in the event of a public health emer-
gency declared under section 319 of the Public Health 
Service Act (42 U.S.C. 274d). 
(b) CONTENTS.—The review conducted under sub-
section (a) shall include a review of— 
(1) the efforts described in such subsection, in-
cluding the Secretary’s efforts to transition from the 
Centers for Innovation and Advanced Drug Manu-
facturing program to any new efforts, including the 
National Biopharmaceutical Manufacturing Partner-
ship and Industrial Base Expansion Connect; 
(2) the progress made toward the implementa-
tion of such efforts; and 
(3) the planning within the Department of 
Health and Human Services to assess risks and 
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challenges associated with advanced development 
and manufacturing of qualified countermeasures. 
(c) REPORT TO CONGRESS.—Not later than 1 year 
after completing the review under subsection (a), the 
Comptroller General of the United States shall submit to 
the Congress a report containing— 
(1) the results of the review; and 
(2) the Comptroller General’s recommendations 
for ensuring that the United States is prepared to 
rapidly produce qualified countermeasures in the 
event of a public health emergency. 
SEC. 112. CRISIS STANDARDS OF CARE. 
Not later than 2 years after the date of enactment 
of this Act, the Secretary of Health and Human Services, 
acting through the Director of the Office for Civil Rights 
of the Department of Health and Human Services, shall 
issue guidance on how to develop or modify State and local 
crisis standards of care for use during an emergency pe-
riod (as defined in section 1135(g)(1) of the Social Secu-
rity Act (42 U.S.C. 1320b–5(g)(1))) so as to bring such 
standards of care into compliance with the nondiscrimina-
tion requirements of section 504 of the Rehabilitation Act 
of 1973 (29 U.S.C. 794). 
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TITLE 
II—ENSURING 
WORK-
FORCE TO PREPARE FOR AND 
RESPOND TO PUBLIC HEALTH 
SECURITY THREATS 
SEC. 201. EMERGENCY SYSTEM FOR ADVANCE REGISTRA-
TION 
OF 
VOLUNTEER 
HEALTH 
PROFES-
SIONAL. 
(a) IN GENERAL.—Section 319I(a) of the Public 
Health Service Act (42 U.S.C. 247d–7b) is amended by 
striking ‘‘Not later than 12 months after the date of en-
actment of the Pandemic and All-Hazards Preparedness 
Act, the Secretary shall link existing State verification sys-
tems to maintain’’ and inserting ‘‘The Secretary shall con-
tinue to maintain’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
319I(k) of the Public Health Service Act (42 U.S.C. 
247d–7b(k)) is amended by striking ‘‘2019 through 2023’’ 
and inserting ‘‘2024 through 2028’’. 
SEC. 202. MILITARY AND CIVILIAN PARTNERSHIP FOR 
TRAUMA READINESS. 
Section 1291(g) of the Public Health Service Act (42 
U.S.C. 300d–91(g)) is amended by striking ‘‘2019 
through 2023’’ and inserting ‘‘2024 through 2028’’. 
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SEC. 203. NATIONAL ADVISORY COMMITTEES ON DISAS-
TERS. 
(a) NATIONAL ADVISORY COMMITTEE ON CHILDREN 
AND DISASTERS.—Subsection (g) of section 2811A of the 
Public Health Service Act (42 U.S.C. 300hh–10b) is 
amended to read as follows: 
‘‘(g) SUNSET.— 
‘‘(1) IN
GENERAL.—The Advisory Committee 
shall terminate on September 30, 2028. 
‘‘(2) EXTENSION
OF
COMMITTEE.—Not later 
than October 1, 2027, the Secretary shall submit to 
Congress a recommendation on whether the Advisory 
Committee should be extended.’’. 
(b) NATIONAL ADVISORY COMMITTEE ON SENIORS 
AND DISASTERS.—Section 2811B of the Public Health 
Service Act (42 U.S.C. 300hh–10c) is amended— 
(1) in subsection (d)— 
(A) in paragraph (1), by striking ‘‘in con-
sultation with such other heads of agencies as 
appropriate, shall appoint not more than 17 
members’’ and inserting ‘‘in consultation with 
such other Secretaries as may be appropriate, 
shall appoint not more than 23 members’’; 
(B) by redesignating paragraph (2) as 
paragraph (3); 
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(C) by amending paragraph (3), as so re-
designated— 
(i) in the paragraph heading, by strik-
ing ‘‘REQUIRED MEMBERS’’ and inserting 
‘‘REQUIRED FEDERAL MEMBERS’’; 
(ii) in the matter preceding subpara-
graph (A), by striking ‘‘and non-Federal 
members,’’; 
(iii) by striking subparagraphs (J) 
and (K); and 
(iv) by redesignating subparagraph 
(L) as subparagraph (J); 
(D) by inserting after paragraph (1) the 
following new paragraph: 
‘‘(2) REQUIRED NON-FEDERAL MEMBERS.—The 
Secretary, in consultation with such other heads of 
Federal agencies as may be appropriate, shall ap-
point to the Advisory Committee under paragraph 
(1) at least 13 individuals, including— 
‘‘(A) at least 4 non-Federal health care 
providers with expertise in geriatric medical dis-
aster planning, preparedness, response, or re-
covery; 
‘‘(B) at least 3 representatives of State, 
local, Tribal, or territorial agencies with exper-
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tise in geriatric disaster planning, preparedness, 
response, or recovery; and 
‘‘(C) at least 4 non-Federal professionals 
with training in gerontology, including social 
workers, scientists, human services specialists, 
or other non-medical professionals, with experi-
ence in disaster planning, preparedness, re-
sponse, or recovery among other adults.’’; and 
(E) by adding at the end the following new 
paragraphs: 
‘‘(4) TERM OF APPOINTMENT.—Each member 
of the Advisory Committee appointed under para-
graph (2) shall serve for a term of 3 years, except 
that the Secretary may adjust the terms of the Advi-
sory Committee appointees serving on the date of 
enactment of the Preparing for All Hazards and 
Pathogens Reauthorization Act, or appointees who 
are initially appointed after such date of enactment, 
in order to provide for a staggered term of appoint-
ment for all members. 
‘‘(5) CONSECUTIVE APPOINTMENTS; MAXIMUM 
TERMS.—A member appointed under paragraph (2) 
may serve not more than 3 terms on the Advisory 
Committee, and not more than 2 of such terms may 
be served consecutively.’’; and 
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(2) in subsection (g)— 
(A) in paragraph (1), by striking ‘‘2023’’ 
and inserting ‘‘2028’’; and 
(B) in paragraph (2), by striking ‘‘2022’’ 
and inserting ‘‘2027’’. 
(c) NATIONAL ADVISORY COMMITTEE ON INDIVID-
UALS WITH DISABILITIES.—Section 2811C of the Public 
Health Service Act (42 U.S.C. 300hh–10d) is amended— 
(1) by redesignating subsections (c) through (g) 
as subsections (d) through (h), respectively; 
(2) by inserting after subsection (b) the fol-
lowing new subsection: 
‘‘(c) ADDITIONAL DUTIES.—The Advisory Committee 
may provide advice and recommendations to the Secretary 
with respect to individuals with disabilities, and medical 
and public health grants and cooperative agreements, as 
applicable to preparedness and response activities under 
this title and title III.’’; 
(3) in subsection (d), as so redesignated— 
(A) in paragraph (1), by striking ‘‘in con-
sultation with such other heads of agencies and 
departments as appropriate, shall appoint not 
more than 17 members’’ and inserting ‘‘in con-
sultation with such other Secretaries as may be 
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appropriate, shall appoint not more than 23 
members’’; 
(B) by redesignating paragraph (2) as 
paragraph (3); 
(C) by amending paragraph (3), as redes-
ignated— 
(i) in the paragraph heading, by strik-
ing ‘‘REQUIRED MEMBERS’’ and inserting 
‘‘REQUIRED FEDERAL MEMBERS’’; 
(ii) in the matter preceding subpara-
graph (A), by striking ‘‘and non-Federal 
members,’’; 
(iii) by striking subparagraph (K) and 
inserting the following: 
‘‘(K) Representatives of such other Federal 
agencies as the Secretary determines necessary 
to fulfill the duties of the Advisory Com-
mittee.’’; and 
(iv) by striking subparagraphs (L) 
and (M); 
(D) by inserting after paragraph (1) the 
following new paragraph: 
‘‘(2) REQUIRED NON-FEDERAL MEMBERS.—The 
Secretary, in consultation with such other heads of 
Federal agencies as may be appropriate, shall ap-
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point to the Advisory Committee under paragraph 
(1) at least 13 individuals, including— 
‘‘(A) at least 4 non-Federal health care 
professionals with expertise in disability accessi-
bility before, during, and after disasters, med-
ical and mass care disaster planning, prepared-
ness, response, or recovery; 
‘‘(B) at least 3 representatives from State, 
local, Tribal, or territorial agencies with exper-
tise in disaster planning, preparedness, re-
sponse, or recovery for individuals with disabil-
ities; and 
‘‘(C) at least 4 individuals with a disability 
with expertise in disaster planning, prepared-
ness, response, or recovery for individuals with 
disabilities.’’; and 
(E) by adding at the end the following new 
paragraphs: 
‘‘(4) TERM OF APPOINTMENT.—Each member 
of the Advisory Committee appointed under para-
graph (2) shall serve for a term of 3 years, except 
that the Secretary may adjust the terms of the Advi-
sory Committee appointees serving on the date of 
enactment of the Preparing for All Hazards and 
Pathogens Reauthorization Act, or appointees who 
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are initially appointed after such date of enactment, 
in order to provide for a staggered term of appoint-
ment for all members. 
‘‘(5) CONSECUTIVE APPOINTMENTS; MAXIMUM 
TERMS.—A member appointed under paragraph (2) 
may serve not more than 3 terms on the Advisory 
Committee, and not more than 2 of such terms may 
be served consecutively.’’; and 
(4) in subsection (g)— 
(A) in paragraph (1), by striking ‘‘2023’’ 
and inserting ‘‘2028’’; and 
(B) in paragraph (2), by striking ‘‘2022’’ 
and inserting ‘‘2027’’. 
SEC. 204. NATIONAL DISASTER MEDICAL SYSTEM. 
(a) ELIMINATION OF SUNSET OF AUTHORITY TO 
MAKE CERTAIN APPOINTMENTS
FOR NATIONAL DIS-
ASTER MEDICAL SYSTEM.—Section 2812(c)(4) of the 
Public Health Service Act (42 U.S.C. 300hh–11(c)(4)) is 
amended— 
(1) by striking ‘‘(A) IN GENERAL.—If the Sec-
retary determines’’ and inserting ‘‘If the Secretary 
determines’’; and 
(2) by striking subparagraph (B). 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
2812(g) of the Public Health Service Act (42 U.S.C. 
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300hh–11(g)) is amended by striking ‘‘$57,400,000 for 
each of fiscal years 2019 through 2023’’ and inserting 
‘‘$96,904,000 for each of fiscal years 2024 through 
2028’’. 
SEC. 205. VOLUNTEER MEDICAL RESERVE CORPS. 
Section 2813(i) of the Public Health Service Act (42 
U.S.C. 300hh–15(i)) is amended by striking ‘‘2019 
through 2023’’ and inserting ‘‘2024 through 2028’’. 
Æ 
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