I 
118TH CONGRESS 
1ST SESSION H. R. 4420 
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 Centers for Disease Control and Protection, 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 
Centers for Disease Control and Protection, 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 
‘‘Preparedness and Response Reauthorization Act’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
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Sec. 1. Short title; table of contents. 
TITLE I—PREPARING FOR AND RESPONDING TO PUBLIC 
HEALTH SECURITY THREATS 
Sec. 101. Improving State and local public health security. 
Sec. 102. Facilities and capacities of the Centers for Disease Control and Pre-
vention to combat public health security threats. 
Sec. 103. Monitoring and distribution of certain medical countermeasures. 
Sec. 104. Enhanced control of dangerous biological agents and toxins. 
Sec. 105. Mosquito-borne diseases. 
Sec. 106. Epidemiology-laboratory capacity. 
Sec. 107. Review of Federal public health data collection and sharing. 
TITLE II—ENSURING WORKFORCE TO PREPARE FOR AND 
RESPOND TO PUBLIC HEALTH SECURITY THREATS 
Sec. 201. Temporary reassignment of State and local personnel during a public 
health emergency. 
Sec. 202. Epidemic Intelligence Service. 
TITLE I—PREPARING FOR AND 
RESPONDING 
TO 
PUBLIC 
HEALTH SECURITY THREATS 
SEC. 101. 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 ‘‘$735,000,000 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 
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(2) by redesignating paragraphs (6) and (7) as 
paragraphs (4) and (5). 
SEC. 102. FACILITIES AND CAPACITIES OF THE CENTERS 
FOR DISEASE CONTROL AND PREVENTION TO 
COMBAT 
PUBLIC 
HEALTH 
SECURITY 
THREATS. 
(a) STUDY.—Section 319D(a)(4) of the Public 
Health Service Act (42 U.S.C. 247d–4(a)(4)) is amended 
by striking ‘‘Not later than June 1, 2022, the Comptroller 
General of the United States shall conduct a study on 
Federal spending in fiscal years 2013 through 2018’’ and 
inserting ‘‘Not later than June 1, 2027, the Comptroller 
General of the United States shall conduct a study on 
Federal spending in fiscal years 2021 through 2026’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
319D(h) of the Public Health Service Act (42 U.S.C. 
247d–4(h)) is amended— 
(1) in paragraph (1), by striking ‘‘$25,000,000 
for each of fiscal years 2022 and 2023’’ and insert-
ing ‘‘$40,000,000 for each of fiscal years 2024 
through 2028’’; and 
(2) in paragraph (2), by striking ‘‘2022 and 
2023’’ and inserting ‘‘2024 through 2028’’. 
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SEC. 103. MONITORING AND DISTRIBUTION OF CERTAIN 
MEDICAL COUNTERMEASURES. 
Section 319A(e) of the Public Health Service Act (42 
U.S.C. 247d–1(e)) is amended by striking ‘‘2019 through 
2023’’ and inserting ‘‘2024 through 2028’’. 
SEC. 104. ENHANCED CONTROL OF DANGEROUS BIOLOGI-
CAL AGENTS AND TOXINS. 
Section 351A(m) of the Public Health Service Act 
(42 U.S.C. 262a(m)) is amended by striking ‘‘2027’’ and 
inserting ‘‘2028’’. 
SEC. 105. MOSQUITO-BORNE DISEASES. 
Section 317S(f) of the Public Health Service Act (42 
U.S.C. 247b–21(f)) is amended— 
(1) in paragraph (1), by striking ‘‘2019 
through 2023’’ and inserting ‘‘2024 through 2028’’; 
and 
(2) by striking paragraph (3). 
SEC. 106. EPIDEMIOLOGY-LABORATORY CAPACITY. 
Section 2821(b) (42 U.S.C. 300hh–31(b)) is amend-
ed by striking ‘‘2019 through 2023’’ and inserting ‘‘2024 
through 2028’’. 
SEC. 107. REVIEW OF FEDERAL PUBLIC HEALTH DATA COL-
LECTION AND SHARING. 
(a) IN GENERAL.—The Comptroller General of the 
United States shall evaluate the Federal Government’s 
collection and sharing of public health data to respond to 
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public health emergencies involving infectious disease out-
breaks or biological threats, such as the COVID–19 pan-
demic, and provide as appropriate recommendations to ad-
dress the collection and sharing of public health data. 
(b) TOPICS.—The evaluation under subsection (a) 
shall include a review of what is known about— 
(1) the authorities, policies, and operational 
tools used by the Secretary of Health and Human 
Services to collect public health data from, and share 
public health data with, other Federal agencies, 
State, local, territorial, and Tribal governments, and 
other partners, including— 
(A) how those authorities, policies, and 
tools were used during the COVID–19 public 
health emergency; 
(B) how Federal funds were expended for 
the purpose of public health data collection and 
sharing during the COVID–19 public health 
emergency; 
(C) any challenges posed by redundant 
data reporting requirements placed on State, 
local, territorial, and Tribal governments and 
other partners during the COVID–19 public 
health emergency, including whether these re-
quirements conflicted with the needs of State, 
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local, territorial, or Tribal communities or other 
partners; and 
(D) any publicly available resources to 
track how public health data is being collected, 
shared, and used with other Federal agencies, 
State, local, territorial, and Tribal governments, 
and other partners; 
(2) any limitations on the authorities, policies, 
and tools used during declared public health emer-
gencies, including throughout the COVID–19 public 
health emergency, that affect the Federal Govern-
ment’s ability to respond to declared public health 
emergencies; 
(3) any redundancy or overutilization in the au-
thorities, policies, and tools used during declared 
public health emergencies, including throughout the 
COVID–19 public health emergency, including 
whether any redundant data reporting requirements 
conflicted with the needs of State, local, territorial, 
or Tribal communities or other partners; and 
(4) the Federal Government’s data collection, 
sharing, and epidemiological modeling during the 
COVID–19 public health emergency compared with 
the data collection, sharing, and epidemiological 
modeling of nonprofit and private sector stake-
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holders, including how the Secretary developed tools, 
or used already existing tools, to collect, share, 
model, and disseminate public health data in com-
parison to the development of tools and use of exist-
ing tools for such purposes by the nonprofit and pri-
vate sectors. 
(c) REPORT
TO CONGRESS.—Not later than 18 
months after the date of enactment of this Act, the Comp-
troller General of the United States shall submit a report 
to the Congress on the results of the evaluation under sub-
section (a). 
(d) DEFINITION.—In this section, the term ‘‘other 
partners’’ includes— 
(1) hospitals and physician practices; 
(2) health systems and health plans; 
(3) manufacturers and distributors; and 
(4) clinical laboratories. 
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TITLE 
II—ENSURING 
WORK-
FORCE TO PREPARE FOR AND 
RESPOND TO PUBLIC HEALTH 
SECURITY THREATS 
SEC. 201. TEMPORARY REASSIGNMENT OF STATE AND 
LOCAL 
PERSONNEL 
DURING 
A 
PUBLIC 
HEALTH EMERGENCY. 
(a) REPORT TO CONGRESS.—Section 319(e)(6) of the 
Public Health Service Act (42 U.S.C. 247d(e)(6)) is 
amended by striking ‘‘Not later than 4 years after the date 
of enactment of the Pandemic and All-Hazards Prepared-
ness Reauthorization Act of 2013, the Comptroller Gen-
eral of the United States shall’’ and inserting ‘‘Not later 
than 4 years after the date of enactment of the Prepared-
ness and Response Reauthorization Act, the Comptroller 
General of the United States shall’’. 
(b) SUNSET.—Section 319(e)(8) of the Public Health 
Service Act (42 U.S.C. 247d(e)(8)) is amended by striking 
‘‘2023’’ and inserting ‘‘2028’’. 
SEC. 202. EPIDEMIC INTELLIGENCE SERVICE. 
Section 317F(c)(2) of the Public Health Service Act 
(42 U.S.C. 247b–7(c)(2)) is amended by striking ‘‘2019 
through 2023’’ and inserting ‘‘2024 through 2028’’. 
Æ 
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