II Calendar No. 381 118th CONGRESS 2d Session S. 1560 [Report No. 118–170] IN THE SENATE OF THE UNITED STATES May 11, 2023 Mr. Hawley (for himself, Mr. Peters , Mr. Ossoff , Mr. Warnock , and Ms. Rosen ) introduced the following bill; which was read twice and referred to the Committee on Homeland Security and Governmental Affairs May 9, 2024 Reported by Mr. Peters , with an amendment Strike out all after the enacting clause and insert the part printed in italic A BILL To require the development of a comprehensive rural hospital cybersecurity workforce development strategy, and for other purposes.

1. Short title This Act may be cited as the Rural Hospital Cybersecurity Enhancement Act . 2. Definitions In this Act: (1) Appropriate committees of Congress The term appropriate committees of Congress means— (A) the Committee on Homeland Security and Governmental Affairs of the Senate; and (B) the Committee on Homeland Security of the House of Representatives. (2) Director The term Director means the Director of the Cybersecurity and Infrastructure Security Agency. (3) Rural hospital The term rural hospital means a healthcare facility that— (A) is located in a non-urbanized area, as determined by the Bureau of the Census; and (B) provides inpatient and outpatient healthcare services, including primary care, emergency care, and diagnostic services. (4) Secretary The term Secretary means the Secretary of Homeland Security. 3. Rural hospital cybersecurity workforce development strategy (a) In general Not later than 1 year after the date of enactment of this Act, the Secretary, acting through the Director, shall develop and transmit to the appropriate committees of Congress a comprehensive rural hospital cybersecurity workforce development strategy to address the growing need for skilled cybersecurity professionals in rural hospitals. (b) Consultation (1) Agencies In carrying out subsection (a), the Secretary and Director may consult with the Secretary of Health and Human Services, the Secretary of Education, and the Secretary of Labor. (2) Providers In carrying out subsection (a), the Secretary shall consult with rural healthcare providers from each geographic region in the United States. (c) Considerations The rural hospital cybersecurity workforce development strategy developed under subsection (a) shall, at a minimum, consider the following components: (1) Partnerships between rural hospitals, educational institutions, private sector entities, and nonprofit organizations to develop, promote, and expand cybersecurity education and training programs tailored to the needs of rural hospitals. (2) The development of a cybersecurity curriculum and teaching resources that focus on teaching technical skills and abilities related to cybersecurity in rural hospitals for use in community colleges, vocational schools, and other educational institutions located in rural areas. (3) Recommendations for legislation, rulemaking, or guidance to implement the components of the rural hospital cybersecurity workforce development strategy. (d) Annual review Not later than 60 days after the date on which the first full fiscal year ends following the date on which the Secretary transmits the rural hospital cybersecurity workforce development strategy developed under subsection (a), and not later than 60 days after the date on which each fiscal year thereafter ends, the Secretary shall submit to the appropriate committees of Congress a report that includes, at a minimum, information relating to— (1) updates to the rural hospital cybersecurity workforce development strategy, as appropriate; (2) any programs or initiatives established pursuant to the rural hospital cybersecurity workforce development strategy, as well as the number of individuals trained or educated through such programs or initiatives; (3) additional recommendations for legislation, rulemaking, or guidance to implement the components of the rural hospital cybersecurity workforce development strategy; and (4) the effectiveness of the rural hospital cybersecurity workforce development strategy in addressing the need for skilled cybersecurity professionals in rural hospitals. 4. Instructional materials for rural hospitals (a) In general Not later than 1 year after the date of enactment of this Act, the Director shall make available instructional materials for rural hospitals that can be used to train staff on fundamental cybersecurity efforts. (b) Duties In carrying out subsection (a), the Director shall— (1) consult with experts in cybersecurity education and rural healthcare experts; (2) identify existing cybersecurity instructional materials that can be adapted for use in rural hospitals and create new materials as needed; and (3) conduct an awareness campaign to promote the materials available to rural hospitals developed under subsection (a). 5. Implementation Any action undertaken pursuant to this Act shall not be subject to chapter 10 of title 5, United States Code.

1. Short title This Act may be cited as the Rural Hospital Cybersecurity Enhancement Act . 2. Definitions In this Act: (1) Agency The term agency has the meaning given the term in section 551 of title 5, United States Code. (2) Appropriate committees of Congress The term appropriate committees of Congress means— (A) the Committee on Homeland Security and Governmental Affairs of the Senate; and (B) the Committee on Homeland Security of the House of Representatives. (3) Director The term Director means the Director of the Cybersecurity and Infrastructure Security Agency. (4) Geographic division The term geographic division means a geographic division that is among the 9 geographic divisions determined by the Bureau of the Census. (5) Rural hospital The term rural hospital means a healthcare facility that— (A) is located in a non-urbanized area, as determined by the Bureau of the Census; and (B) provides inpatient and outpatient healthcare services, including primary care, emergency care, and diagnostic services. (6) Secretary The term Secretary means the Secretary of Homeland Security. 3. Rural hospital cybersecurity workforce development strategy (a) In general Not later than 1 year after the date of enactment of this Act, the Secretary, acting through the Director, shall develop and transmit to the appropriate committees of Congress a comprehensive rural hospital cybersecurity workforce development strategy to address the growing need for skilled cybersecurity professionals in rural hospitals. (b) Consultation (1) Agencies In carrying out subsection (a), the Secretary and Director may consult with the Secretary of Health and Human Services, the Secretary of Education, the Secretary of Labor, and any other appropriate head of an agency. (2) Providers In carrying out subsection (a), the Secretary shall consult with not less than 2 representatives of rural healthcare providers from each geographic division in the United States. (c) Considerations The rural hospital cybersecurity workforce development strategy developed under subsection (a) shall, at a minimum, consider the following components: (1) Partnerships between rural hospitals, non-rural healthcare systems, educational institutions, private sector entities, and nonprofit organizations to develop, promote, and expand the rural hospital cybersecurity workforce, including through education and training programs tailored to the needs of rural hospitals. (2) The development of a cybersecurity curriculum and teaching resources that focus on teaching technical skills and abilities related to cybersecurity in rural hospitals for use in community colleges, vocational schools, and other educational institutions located in rural areas. (3) Identification of— (A) cybersecurity workforce challenges that are specific to rural hospitals, as well as challenges that are relative to hospitals generally; and (B) common practices to mitigate both sets of challenges described in subparagraph (A). (4) Recommendations for legislation, rulemaking, or guidance to implement the components of the rural hospital cybersecurity workforce development strategy. (d) Annual briefing Not later than 60 days after the date on which the first full fiscal year ends following the date on which the Secretary transmits the rural hospital cybersecurity workforce development strategy developed under subsection (a), and not later than 60 days after the date on which each fiscal year thereafter ends, the Secretary shall provide a briefing to the appropriate committees of Congress that includes, at a minimum, information relating to— (1) updates to the rural hospital cybersecurity workforce development strategy, as appropriate; (2) any programs or initiatives established pursuant to the rural hospital cybersecurity workforce development strategy, as well as the number of individuals trained or educated through such programs or initiatives; (3) additional recommendations for legislation, rulemaking, or guidance to implement the components of the rural hospital cybersecurity workforce development strategy; and (4) the effectiveness of the rural hospital cybersecurity workforce development strategy in addressing the need for skilled cybersecurity professionals in rural hospitals. 4. Instructional materials for rural hospitals (a) In general Not later than 1 year after the date of enactment of this Act, the Director shall make available instructional materials for rural hospitals that can be used to train staff on fundamental cybersecurity efforts. (b) Duties In carrying out subsection (a), the Director shall— (1) consult with appropriate heads of agencies, experts in cybersecurity education, and rural healthcare experts; (2) identify existing cybersecurity instructional materials that can be adapted for use in rural hospitals and create new materials as needed; and (3) conduct an awareness campaign to promote the materials available to rural hospitals developed under subsection (a). 5. No additional funds No additional funds are authorized to be appropriated for the purpose of carrying out this Act.

May 9, 2024 Reported with an amendment