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. 107. 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)— 
(A) in clause (ii), by striking ‘‘; and’’ and 
inserting a semicolon; 
(B) by redesignating clause (iii) as clause 
(v); and 
(C) by inserting after clause (ii) the fol-
lowing: 
‘‘(iii) the identification and develop-
ment of platform manufacturing tech-
nologies needed for advanced development 
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and manufacturing of medical counter-
measures for viral families which have sig-
nificant potential to cause a pandemic; 
‘‘(iv) advanced research and develop-
ment of flexible medical countermeasures 
against priority respiratory virus families 
and other respiratory viral pathogens with 
a significant potential to cause a pandemic, 
with both pathogen-specific and pathogen- 
agnostic approaches; and’’; and 
(2) in subparagraph (F)— 
(A) in clause (ii), by striking ‘‘; and’’ at 
the end and inserting a semicolon; 
(B) in clause (iii), by striking the period 
and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(iv) priority virus families and other 
viral pathogens with a significant potential 
to cause a pandemic.’’. 
(b) 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’’. 
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(c) 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. 108. 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. 109. 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— 
(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— 
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(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 
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; 
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(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. 
SEC. 110. 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 
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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 
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 
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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. 111. 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’’. 
TITLE III—PREPARING FOR AND 
RESPONDING 
TO 
PUBLIC 
HEALTH SECURITY THREATS 
SEC. 301. IMPROVING STATE AND LOCAL PUBLIC HEALTH 
SECURITY. 
(a) AUTHORIZATION OF APPROPRIATIONS.—Section 
319C–1(h)(1)(A) of the Public Health Service Act (42 
U.S.C. 247d–3a(h)(1)(A)) is amended by striking 
‘‘$685,000,000 for each of fiscal years 2019 through 
2023’’ and inserting ‘‘$1,000,000,000 for each of fiscal 
years 2024 through 2028’’. 
(b) ELIMINATION OF DEADWOOD.—Section 319C– 
1(h) of the Public Health Service Act (42 U.S.C. 247d– 
3a(h)) is amended— 
(1) by striking paragraphs (4) and (5); and 
(2) by redesignating paragraphs (6) and (7) as 
paragraphs (4) and (5). 
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‘‘(i) the exchange of electronic health 
information for— 
‘‘(I) electronic case reporting; 
‘‘(II) syndromic surveillance; 
‘‘(III) reporting of vital statistics; 
and 
‘‘(IV) reporting test orders and 
results electronically, including from 
laboratories; 
‘‘(ii) automated electronic reporting to 
relevant public health data systems of the 
Centers for Disease Control and Preven-
tion; and 
‘‘(iii) such other uses as the Secretary 
determines appropriate. 
‘‘(E) CONSIDERATIONS.—Standards des-
ignated under this paragraph shall include 
standards and implementation specifications 
necessary to ensure the appropriate capture, ex-
change, access, and use of information regard-
ing race, ethnicity, sex (including sexual ori-
entation and gender identity), disability status, 
veteran status, housing status, age, functional 
status, and other elements.’’. 
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TITLE V—ADDRESSING DRUG 
AND SUPPLY CHAIN SHORTAGES 
Subtitle A—Ensuring Access to 
Lifesaving Drugs 
SEC. 501. EXTENDED EXPIRATION DATES FOR LIFE-SAVING 
DRUGS. 
(a) IN GENERAL.—The Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 301 et seq.) is amended by in-
serting after section 506L of such Act (21 U.S.C. 356l) 
the following new section: 
‘‘SEC. 506M. EXTENDED EXPIRATION DATES FOR LIFE-SAV-
ING DRUGS. 
‘‘(a) IN GENERAL.—A manufacturer of a life-saving 
drug shall— 
‘‘(1) submit to the Secretary data and informa-
tion as required by subsection (b)(1); 
‘‘(2) conduct and submit the results, data, and 
information generated by any studies required under 
subsection (b)(2); and 
‘‘(3) make any labeling change described in 
subsection (c) by the date specified by the Secretary 
pursuant to such subsection. 
‘‘(b) DATA AND INFORMATION.— 
‘‘(1) IN GENERAL.—The Secretary may issue 
an order requiring the manufacturer of a life-saving 
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