II 115th CONGRESS 2d Session S. 3161 IN THE SENATE OF THE UNITED STATES June 28, 2018 Mr. Brown introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To establish the Centers for Disease Control and Prevention Emergency Response Fund to provide assistance with respect to a public health emergency, and for other purposes.

1. Short title This Act may be cited as the Centers for Disease Control and Prevention Emergency Response Act of 2018 . 2. Centers for Disease Control and Prevention Emergency Response Fund (a) Establishment There is established in the Treasury of the United States a fund to be known as the Centers for Disease Control and Prevention Emergency Response Fund (referred to in this Act as the Fund ). (b) Obligations and expenditures Subject to subsection (d), the Director of the Centers for Disease Control and Prevention (referred to in this Act as the Director ) may obligate and expend amounts in the Fund in the event the Director activates Level 1 emergency operations, as necessary to detect, prepare for, or respond to a natural or manmade disaster, disease outbreak, or other public health emergency, domestically or abroad. (c) Coordination In obligating and expending amounts in the Fund, the Director may coordinate with other Federal and State entities, as appropriate, including through the transfer of amounts in the Fund to such other entities. (d) Congressional oversight (1) Notice The Director shall submit to the President, the Committee on Appropriations of the Senate, and the Committee on Appropriations of the House of Representatives, and any other relevant committee, notice of any plan to obligate or expend amounts in the Fund. (2) Reporting Not less frequently than every 60 days, the Director shall provide regular briefings and submit a written report, to the Committee on Appropriations of the Senate, the Committee on Appropriations of the House of Representatives, and any other relevant committee, detailing the use of any amounts obligated or expended from the Fund during the applicable 60-day period. (3) Requirements for amounts greater than $1,000,000,000 The Director may obligate or expend amounts in the Fund that are greater than $1,000,000,000 in any fiscal year in accordance with a plan submitted under paragraph (1) only if a joint resolution of disapproval of such plan is not enacted within 30 days of such submission. (e) Appropriations (1) In general There is appropriated to the Fund, out of any monies in the Treasury not otherwise appropriated, to remain available until expended— (A) for fiscal year 2019, $2,000,000,000; and (B) for fiscal year 2020 and each fiscal year thereafter, if the unobligated amount remaining in the Fund on the first day of the applicable fiscal year is less than $2,000,000,000, the amount equal to the difference between $2,000,000,000 and the unobligated amount remaining in the Fund on the first day of such fiscal year. (2) Emergency designation (A) Statutory PAYGO This subsection is designated as an emergency requirement pursuant to section 4(g) of the Statutory Pay-As-You-Go Act of 2010 ( 2 U.S.C. 933(g) ). (B) Senate designation In the Senate, this subsection is designated as an emergency requirement pursuant to section 4112(a) of H. Con. Res. 71 (115th Congress), the concurrent resolution on the budget for fiscal year 2018. (3) Limitation Amounts appropriated under this Act shall supplement, and not supplant other Federal, State, and local governmental amounts provided for public health response activities, including amounts provided through any emergency supplemental appropriations Act. (f) GAO reports Not later than 1 year after the date of enactment of this Act and annually thereafter for 4 years, the Comptroller General of the United States shall submit a report to Congress on the Federal response to infectious disease outbreaks during the reporting period, best practices for emergency public health response and interagency coordination, the use of funding sources in public health emergency response, and the use of the Fund established by this Act.