I 
109TH CONGRESS 
2D SESSION 
H. R. 5468 
To require that bioterrorism-related grants provided by the Secretary of 
Health and Human Services to States and political subdivisions of States 
be distributed on the basis of a risk-based formula. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 24, 2006 
Mr. FOSSELLA (for himself, Mr. FERGUSON, Mr. ENGEL, Mr. SWEENEY, Mrs. 
BONO, Mr. SESSIONS, and Mrs. LOWEY) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committee on Homeland Security, for a period to be sub-
sequently determined by the Speaker, in each case for consideration of 
such provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To require that bioterrorism-related grants provided by the 
Secretary of Health and Human Services to States and 
political subdivisions of States be distributed on the basis 
of a risk-based formula. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Responsible Bioter-
rorism Funding Act of 2006’’. 
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SEC. 2. DEPARTMENT OF HEALTH AND HUMAN SERVICES; 
USE OF RISK-BASED FORMULA FOR DIS-
TRIBUTION OF GRANTS FOR BIOTERRORISM 
PREPAREDNESS. 
(a) USE OF FORMULA.— 
(1) IN GENERAL.—With respect to each pro-
gram of grants that is administered by the Secretary 
of Health and Human Services and whose purpose 
(or one of whose principal purposes) is providing 
funds to States or political subdivisions of States to 
prepare for or respond to bioterrorism, all grants 
made under the program for fiscal year 2007 or any 
subsequent fiscal year shall, notwithstanding the 
provisions of the program, be distributed in accord-
ance with the formula under subsection (b), as in ef-
fect for the fiscal year involved. 
(2) CERTAIN
PROGRAMS.—The programs to 
which the requirement of paragraph (1) applies in-
clude the programs under sections 319C–1 and 
319C–2 of the Public Health Service Act. 
(b) DEVELOPMENT OF FORMULA BY SECRETARY OF 
HOMELAND SECURITY.— 
(1) IN GENERAL.—For purposes of subsection 
(a), the Secretary of Homeland Secretary, in con-
sultation with the Secretary of Health and Human 
Services, shall develop a formula for the distribution 
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of grants based on a quantitative assessment of risk 
based on the following three categories: 
(A) Threat. 
(B) Vulnerability. 
(C) Consequences 
(2) REVISIONS.—The initial formula under 
paragraph (1) shall be established and provided to 
the Secretary of Health and Human Services not 
later than March 31, 2006. The Secretary of Home-
land Security, in consultation with the Secretary of 
Health and Human Services, shall periodically re-
view the formula and make such revisions as the 
Secretary determines to be appropriate to accurately 
distribute funds based on risk. A revision is not ef-
fective for a fiscal year unless it is approved by both 
the Secretary of Homeland Security and the Sec-
retary of Health and Human Services on or before 
July 1 of the preceding year. 
Æ 
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