2000
[DOCID: f:h3448rds.txt]
107th CONGRESS
1st Session
H. R. 3448
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
December 18, 2001
Received
_______________________________________________________________________
AN ACT
To improve the ability of the United States to prevent, prepare for,
and respond to bioterrorism and other public health emergencies.
Be it enacted by the Senate and House of Representatives 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 ``Public Health
Security and Bioterrorism Response Act of 2001''.
(b) Table of Contents.--The table of contents of the Act is as
follows:
Sec. 1. Short title; table of contents.
TITLE I--NATIONAL PREPAREDNESS FOR BIOTERRORISM AND OTHER PUBLIC HEALTH
EMERGENCIES
Subtitle A--National Preparedness and Response Planning, Coordinating,
and Reporting
Sec. 101. National preparedness and response.
Sec. 102. Assistant Secretary for Emergency Preparedness; National
Disaster Medical System.
Sec. 103. Improving ability of Centers for Disease Control and
Prevention with respect to bioterrorism and
other public health emergencies;
facilities.
Sec. 104. Advisory committees and communications.
Sec. 105. Education of health care personnel; training regarding
pediatric issues.
Sec. 106. Grants regarding shortages of certain health professionals.
Sec. 107. Emergency system for verification of credentials of health
professions volunteers.
Sec. 108. Enhancing preparedness activities for bioterrorism and other
public health emergencies.
Sec. 109. Improving State and local core public health capacities.
Sec. 110. Antimicrobial resistance program.
Sec. 111. Study regarding communications abilities of public health
agencies.
Sec. 112. Supplies and services in lieu of award funds.
Sec. 113. Additional amendments.
Sec. 114. Study regarding local emergency response methods.
Subtitle B--National Stockpile; Development of Priority Countermeasures
Sec. 121. National stockpile.
Sec. 122. Accelerated approval of priority countermeasures.
Sec. 123. Use of animal trials in approval of certain drugs and
biologics; issuance of rule.
Sec. 124. Security for countermeasure development and production.
Sec. 125. Accelerated countermeasure research and development.
Sec. 126. Evaluation of new and emerging technologies regarding
bioterrorist attack and other public health
emergencies.
Sec. 127. Potassium iodide.
Subtitle C--Emergency Authorities; Additional Provisions
Sec. 131. Expanded authority of Secretary of Health and Human Services
to respond to public health emergencies.
Sec. 132. Streamlining and clarifying communicable disease quarantine
provisions.
Sec. 133. Emergency waiver of Medicare, Medicaid, and SCHIP
requirements.
Sec. 134. Provision for expiration of public health emergencies.
Sec. 135. Designated State public emergency announcement plan.
Sec. 136. Expanded research by Secretary of Energy.
Sec. 137. Agency for Toxic Substances and Disease Registry.
Sec. 138. Expanded research on worker health and safety.
Sec. 139. Technology opportunities program support.
Subtitle D--Authorization of Appropriations
Sec. 151. Authorization of Appropriations.
TITLE II--ENHANCING CONTROLS ON DANGEROUS BIOLOGICAL AGENTS AND TOXINS
Sec. 201. Regulation of certain biological agents and toxins.
TITLE III-AMENDMENTS TO FEDERAL FOOD, DRUG, AND COSMETIC ACT
Subtitle A--Protection of Food Supply
Sec. 301. Protection against intentional adulteration of food.
Sec. 302. Administrative detention.
Sec. 303. Permissive debarment regarding food importation.
Sec. 304. Maintenance and inspection of records for foods.
Sec. 305. Registration.
Sec. 306. Prior notice of imported food shipments.
Sec. 307. Authority to mark articles refused admission into United
States.
Sec. 308. Prohibition against port shopping for importation.
Sec. 309. Notices to States regarding imported food.
Sec. 310. Grants to States for inspections; response to notice
regarding adulterated imported food.
Subtitle B--Protection of Drug Supply
Sec. 311. Annual registration of foreign manufacturers; shipping
information; drug and device listing.
Sec. 312. Requirement of additional information regarding import
components intended for use in export
products.
TITLE IV-DRINKING WATER SECURITY AND SAFETY
Sec. 401. Amendment of the Safe Drinking Water Act.
TITLE I--NATIONAL PREPAREDNESS FOR BIOTERRORISM AND OTHER PUBLIC HEALTH
EMERGENCIES
Subtitle A--National Preparedness and Response Planning, Coordinating,
and Reporting
SEC. 101. NATIONAL PREPAREDNESS AND RESPONSE.
The Public Health Service Act (42 U.S.C. 201 et seq.) is amended by
adding at the end the following title:
``TITLE XXVIII--NATIONAL PREPAREDNESS FOR BIOTERRORISM AND OTHER PUBLIC
HEALTH EMERGENCIES
``Subtitle A--National Preparedness and Response Planning,
Coordinating, and Reporting
``SEC. 2801. NATIONAL PREPAREDNESS PLAN.
``(a) In General.--
``(1) Preparedness and response regarding public health
emergencies.--The Secretary shall further develop and implement
a coordinated strategy, building upon the core public health
capabilities established pursuant to section 319A, for carrying
out health-related activities to prepare for and respond
effectively to bioterrorism and other public health
emergencies, including the preparation of a plan under this
section. The Secretary shall periodically thereafter review and
as appropriate revise the plan.
``(2) Consultation.--The Secretary shall carry out
paragraph (1) in consultation with the Secretary of Defense,
the Director of the Federal Emergency Management Agency, the
Secretary of Veterans Affairs, the Attorney General, the
Secretary of Agriculture, the Secretary of Energy, the
Secretary of Labor, and the Administrator of the Environmental
Protection Agency, and with other appropriate public and
private entities.
``(3) National approach.--In carrying out paragraph (1),
the Secretary shall collaborate with the States toward the goal
of ensuring that the activities of the Secretary regarding
bioterrorism and other public health emergencies are
coordinated with activities of the States, including through
local governments, such that there is a national plan for
preparedness for and responding effectively to such
emergencies.
``(4) Evaluation of progress.--The plan under paragraph (1)
shall provide for specific benchmarks and outcome measures for
evaluating the progress of the Secretary and the States,
including local governments, with respect to the plan under
paragraph (1), including progress toward achieving the goals
specified in subsection (b).
``(b) Preparedness Goals.--The plan under subsection (a) shall
include provisions for achieving the following goals with respect to
preparedness for and responding effectively to bioterrorism and
2000
other
public health emergencies:
``(1) Providing effective assistance to State and local
governments in the event of such an emergency.
``(2) Ensuring that State and local governments have
adequate and appropriate capacity to detect and respond
effectively to such emergencies, including capacities for the
following:
``(A) Effective public health surveillance and
reporting mechanisms at the State and local levels.
``(B) Adequate laboratory readiness.
``(C) Properly trained and equipped emergency
response, public health, and medical personnel.
``(D) Health and safety protection of workers
involved in responding to such an emergency.
``(E) Public health agencies that are prepared to
coordinate health services (including mental health
services) during and after such emergencies.
``(F) Participation in communications networks that
can effectively disseminate relevant information in a
timely and secure manner to appropriate public and
private entities and to the public.
``(3) Developing and maintaining medical countermeasures
(such as drugs, vaccines and other biological products, and
medical devices) against biological agents that may be used in
such emergencies.
``(4) Ensuring coordination and minimizing duplication of
Federal, State, and local planning, preparedness, and response
activities, including among agencies during the investigation
of a suspicious disease outbreak.
``(5) Ensuring adequate readiness of hospitals and other
health care facilities to respond effectively to such
emergencies.
``(c) Evaluation of Using VA R&D Capabilities.--The Secretary shall
evaluate the feasibility of using the biomedical research and
development capabilities of the Department of Veterans Affairs, in
conjunction with that Department's affiliations with health-professions
universities, as a means to assist the Secretary in achieving the goals
specified in subsection (b).
``(d) Reports to Congress.--
``(1) Initial report to congress.--Not later than one year
after the date of the enactment of the Public Health Security
and Bioterrorism Response Act of 2001, the Secretary 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 concerning progress with
respect to the plan under subsection (a), including progress
toward achieving the goals specified in subsection (b).
``(2) Biennial reports.--Not later than 2 years after the
date on which the report under paragraph (1) is submitted, and
biennially thereafter, the Secretary shall submit to each of
the committees specified in such paragraph a report concerning
the progress made with respect to the plan under subsection
(a), including the goals under subsection (b).
``(3) Additional authority.--Reports submitted under
paragraph (2) by the Secretary shall make recommendations
concerning--
``(A) any additional legislative authority that the
Secretary determines is necessary for fully
implementing the plan under subsection (a), including
meeting the goals under subsection (b); and
``(B) any additional legislative authority that the
Secretary determines is necessary under section 319 to
protect the public health in the event that a condition
described in section 319(a) occurs.
``(e) Other Reports.--Not later than one year after the date of the
enactment of the Public Health Security and Bioterrorism Response Act
of 2001, the Secretary shall submit to each of the committees specified
in paragraph (1) a report concerning--
``(1) the recommendations and findings of the EPIC Advisory
Committee under section 319F(c)(3);
``(2) the characteristics that may render a rural community
uniquely vulnerable to a biological attack, including distance,
lack of emergency transport, hospital or laboratory capacity,
lack of integration of Federal or State public health networks,
workforce deficits, or other relevant conditions;
``(3) the characteristics that may render areas or
populations designated as medically underserved populations (as
defined in section 330) uniquely vulnerable to a biological
attack, including significant numbers of low-income or
uninsured individuals, lack of affordable and accessible health
care services, insufficient public and primary health care
resources, lack of integration of Federal or State public
health networks, workforce deficits, or other relevant
conditions; and
``(4) the recommendations of the Secretary with respect to
additional legislative authority that the Secretary determines
is necessary to effectively strengthen rural communities, or
medically underserved populations (as defined in section 330).
``(f) Rule of Construction.--This section may not be construed as
expanding or limiting any of the authorities of the Secretary that, on
the day before the date of the enactment of the Public Health Security
and Bioterrorism Response Act of 2001, were in effect with respect to
preparing for and responding effectively to bioterrorism and other
public health emergencies.''.
SEC. 102. ASSISTANT SECRETARY FOR EMERGENCY PREPAREDNESS; NATIONAL
DISASTER MEDICAL SYSTEM.
(a) In General.--Title XXVIII of the Public Health Service Act, as
added by section 101 of this Act, is amended by adding at the end the
following subtitle:
``Subtitle B--Emergency Preparedness and Response
``SEC. 2811. COORDINATION OF PREPAREDNESS FOR AND RESPONSE TO
BIOTERRORISM AND OTHER PUBLIC HEALTH EMERGENCIES.
``(a) Assistant Secretary for Emergency Preparedness.--
``(1) In general.--There is established within the
Department of Health and Human Services the position of
Assistant Secretary for Emergency Preparedness. The President,
by and with the advice and consent of the Senate, shall appoint
an individual to serve in such position. Such Assistant
Secretary shall report to the Secretary.
``(2) Duties.--Subject to the authority of the Secretary,
the Assistant Secretary for Emergency Preparedness shall carry
out the following duties:
``(A) Coordinate on behalf of the Secretary--
``(i) all interagency interfaces between
the Department of Health and Human Services
(referred to in this paragraph as the
`Department') and other departments, agencies
and offices of the United States, including the
activities of the joint interdepartmental
working groups under subsections (a) and (b) of
section 319F; and
``(ii) all interfaces between the
Department and State and local entities with
responsibility for emergency preparedness.
``(B) Coordinate the operations of the National
Disaster Medical System and any other emergency
response activities within the Department of Health and
Human Services that are related to bioterrorism or
public health emergencies.
2000
``(C) Coordinate the efforts of the Department to
bolster State and local emergency preparedness for a
bioterrorist attack or other public health emergency,
and evaluate the progress of such entities in meeting
the benchmarks and other outcome measures contained in
the national plan and in meeting the core public health
capabilities established pursuant to 319A.
``(D) Coordinate the activities of the Department
with respect to research and development of priority
vaccines, other biological products, drugs, and devices
useful for detecting or responding to a bioterrorist
attack or other public health emergency.
``(E) Coordinate the activities of the Department
with respect to public education, awareness, and
information relating to bioterrorism or other public
health emergencies, including the activities and
recommendations of the EPIC Advisory Committee under
section 319F(c)(3).
``(F) Coordinate all other functions within the
Department of Health and Human Services relating to
emergency preparedness, including matters relating to
bioterrorism and other public health emergencies that
are addressed in the national plan under section 2801.
``(G) Any other duties determined appropriate by
the Secretary.
``(b) National Disaster Medical System.--
``(1) In general.--The Secretary shall provide for the
operation in accordance with this section of a system to be
known as the National Disaster Medical System (in this section
referred to as the `National System'). The Secretary shall
designate the Assistant Secretary for Emergency Preparedness as
the head of the National System, subject to the authority of
the Secretary.
``(2) Federal and state collaborative system.--
``(A) In general.--The National System shall be a
coordinated effort by the Federal agencies specified in
subparagraph (B), working in collaboration with the
States and other appropriate public or private
entities, to carry out the purposes described in
paragraph (3).
``(B) Participating federal agencies.--The Federal
agencies referred to in subparagraph (A) are the
Department of Health and Human Services, the Federal
Emergency Management Agency, the Department of Defense,
and the Department of Veterans Affairs.
``(3) Purpose of system.--
``(A) In general.--The Secretary may activate the
National System to--
``(i) provide health services, health-
related social services, other appropriate
human services, and appropriate auxiliary
services to respond to the needs of victims of
a public health emergency (whether or not
determined to be a public health emergency
under section 319); or
``(ii) be present at locations, and for
periods of time, specified by the Secretary on
the basis that the Secretary has determined
that a location is at risk of a public health
emergency during the time specified.
``(B) Ongoing activities.--The National System
shall carry out such ongoing activities as may be
necessary to prepare for the provision of services
described in subparagraph (A) in the event that the
Secretary activates the National System for such
purposes.
``(C) Test for mobilization of system.--During the
one-year period beginning on the date of the enactment
of the Public Health Security and Bioterrorism Response
Act of 2001, the Secretary shall conduct an exercise to
test the capability and timeliness of the National
System to mobilize and otherwise respond effectively to
a bioterrorist attack or other public health emergency
that affects two or more geographic locations
concurrently. Thereafter, the Secretary may
periodically conduct such exercises regarding the
National System as the Secretary determines to be
appropriate.
``(c) Criteria.--
``(1) In general.--The Secretary shall establish criteria
for the operation of the National System.
``(2) Education and training of personnel.--In carrying out
paragraph (1), the Secretary shall establish criteria regarding
the education and training of individuals who provide emergency
services through the National System. In the case of permanent,
full-time positions in the Department of Health and Human
Services that involve significant supervisory roles within the
National System, the criteria shall require that individuals in
such positions have completed appropriate education or training
programs as determined by the Secretary.
``(3) Participation agreements for non-federal entities.--
In carrying out paragraph (1), the Secretary shall establish
criteria regarding the participation of States and private
entities in the National System, including criteria regarding
agreements for such participation. The criteria shall include
the following:
``(A) Provisions relating to the custody and use of
Federal personal property by such entities, which may
in the discretion of the Secretary include authorizing
the custody and use of such property on a reimbursable
basis to respond to emergency situations for which the
National System has not been activated by the Secretary
pursuant to subsection (b)(3)(A).
``(B) Provisions relating to circumstances in which
an individual or entity has agreements with both the
National System and another entity regarding the
provision of emergency services by the individual. Such
provisions shall address the issue of priorities among
the agreements involved.
``(d) Intermittent Disaster-Response Personnel.--
``(1) In general.--For the purpose of assisting the
National System in carrying out duties under this section, the
Secretary may appoint individuals to serve as intermittent
personnel of such System in accordance with applicable civil
service laws and regulations.
``(2) Liability.--For purposes of section 224(a) and the
remedies described in such section, an individual appointed
under paragraph (1) shall, while acting within the scope of
such appointment, be considered to be an employee of the Public
Health Service performing medical, surgical, dental, or related
functions. With respect to the participation of individuals
appointed under paragraph (1) in training programs authorized
by the Assistant Secretary for Emergency Preparedness or a
comparable official of any Federal agency specified in
subsection (b)(2)(B), acts of individuals so appointed that are
within the scope of such participation shall be considered
within the scope of the appo
2000
intment under paragraph (1)
(regardless of whether the individuals receive compensation for
such participation).
``(e) Certain Employment Issues Regarding Intermittent
Appointments.--
``(1) Intermittent disaster-response appointee.--For
purposes of this subsection, the term `intermittent disaster-
response appointee' means an individual appointed by the
Secretary under subsection (d).
``(2) Compensation for work injuries.--An intermittent
disaster-response appointee shall, while acting in the scope of
such appointment, be considered to be an employee of the Public
Health Service performing medical, surgical, dental, or related
functions, and an injury sustained by such an individual shall
be deemed `in the performance of duty', for purposes of chapter
81 of title 5, United States Code, pertaining to compensation
for work injuries. With respect to the participation of
individuals appointed under subsection (d) in training programs
authorized by the Assistant Secretary for Emergency
Preparedness or a comparable official of any Federal agency
specified in subsection (b)(2)(B), injuries sustained by such
an individual, while acting within the scope of such
participation, also shall be deemed `in the performance of
duty' for purposes of chapter 81 of title 5, United States Code
(regardless of whether the individuals receive compensation for
such participation). In the event of an injury to such an
intermittent disaster-response appointee, the Secretary of
Labor shall be responsible for making determinations as to
whether the claimant is entitled to compensation or other
benefits in accordance with chapter 81 of title 5, United
States Code.
``(3) Employment and reemployment rights.--
``(A) In general.--Service as an intermittent
disaster-response appointee when the Secretary
activates the National System or when the individual
participates in a training program authorized by the
Assistant Secretary for Emergency Preparedness or a
comparable official of any Federal agency specified in
subsection (b)(2)(B) shall be deemed `service in the
uniformed services' for purposes of chapter 43 of title
38, United States Code, pertaining to employment and
reemployment rights of individuals who have performed
service in the uniformed services (regardless of
whether the individual receives compensation for such
participation). All rights and obligations of such
persons and procedures for assistance, enforcement, and
investigation shall be as provided for in chapter 43 of
title 38, United States Code.
``(B) Notice of absence from position of
employment.--Preclusion of giving notice of service by
necessity of Service as an intermittent disaster-
response appointee when the Secretary activates the
National System shall be deemed preclusion by `military
necessity' for purposes of section 4312(b) of title 38,
United States Code, pertaining to giving notice of
absence from a position of employment. A determination
of such necessity shall be made by the Secretary, in
consultation with the Secretary of Defense, and shall
not be subject to judicial review.
``(4) Limitation.--An intermittent disaster-response
appointee shall not be deemed an employee of the Department of
Health and Human Services for purposes other than those
specifically set forth in this section.
``(f) Definition.--For purposes of this section, the term
`auxiliary services' includes mortuary services, veterinary services,
and other services that are determined by the Secretary to be
appropriate with respect to the needs referred to in subsection
(b)(3)(A).
``(g) Authorization of Appropriations.--For the purpose of
providing for the Assistant Secretary for Emergency Preparedness and
the operations of the National System, other than purposes for which
amounts in the Public Health Emergency Fund under section 319 are
available, there are authorized to be appropriated such sums as may be
necessary for each of the fiscal years 2002 through 2006.''.
(b) Sense of Congress Regarding Resources of National System.--It
is the sense of the Congress that the Secretary of Health and Human
Services should provide sufficient resources to individuals and
entities tasked to carry out the duties of the National Disaster
Medical System for reimbursement of expenses, operations, purchase and
maintenance of equipment, training, and other funds expended in
furtherance of such National System.
SEC. 103. IMPROVING ABILITY OF CENTERS FOR DISEASE CONTROL AND
PREVENTION WITH RESPECT TO BIOTERRORISM AND OTHER PUBLIC
HEALTH EMERGENCIES; FACILITIES.
Section 319D of the Public Health Service Act (42 U.S.C. 247d-4) is
amended to read as follows:
``SEC. 319D. REVITALIZING THE CENTERS FOR DISEASE CONTROL AND
PREVENTION.
``(a) Findings.--Congress finds that the Centers for Disease
Control and Prevention have an essential role in defending against and
combatting public health threats of the 21st century and requires
secure and modern facilities, and expanded and improved capabilities
related to biological threats or attacks or other public health
emergencies, sufficient to enable such Centers to conduct this
important mission.
``(b) Improving the Capacities of the Centers for Disease Control
and Prevention.--
``(1) In general.--The Secretary shall expand, enhance, and
improve the capabilities of the Centers for Disease Control and
Prevention relating to preparedness for and responding
effectively to bioterrorism and other public health
emergencies. Activities that may be carried out under the
preceding sentence include--
``(A) expanding or enhancing the training of
personnel;
``(B) improving communications facilities and
networks;
``(C) improving capabilities for public health
surveillance and reporting activities;
``(D) improving laboratory facilities related to
bioterrorism, including increasing the security of such
facilities; and
``(E) such other activities as the Secretary
determines appropriate.
``(2) Improving public health laboratory capacity.--
``(A) In general.--The Secretary, directly or
through awards of grants, contracts, or cooperative
agreements, shall provide for the establishment of a
coordinated network of public health laboratories, that
may, at the discretion of the Secretary, include
laboratories that serve as regional reference
laboratories.
``(B) Priority.--In carrying out subparagraph (A),
the Secretary shall give priority to projects that
include State or local government financial
commitments, that seek to incorporate multiple public
health and safety services or diagnostic databases into
an integrated public health or regional reference
laboratory, and that cover geographic areas lacking
advanced diagnostic and safety-level laboratory
capabilities.
``(3) National public health communications and
2000
surveillance network.--
``(A) In general.--The Secretary, directly or
through awards of grants, contracts, or cooperative
agreements, shall provide for the establishment of
integrated public health communications and
surveillance networks between and among--
``(i) Federal, State, and local public
health officials;
``(ii) public and private health-related
laboratories, hospitals, and other health care
facilities; and
``(iii) any other entities determined
appropriate by the Secretary.
``(B) Requirements.--The Secretary shall ensure
that networks under subparagraph (A) allow for the
timely sharing and discussion, in a secure manner, of
essential information concerning a bioterrorist attack
or other public health emergency, or recommended
methods for responding to such an attack or emergency.
``(4) Continuity of effort.--To the maximum extent
practicable, the Secretary, in conducting activities under
paragraphs (1) through (3), shall administer such activities in
a manner that intensifies, expands, or enhances activities
being carried out on the date of enactment of this subsection.
``(c) Facilities.--
``(1) In general.--The Director of the Centers for Disease
Control and Prevention may design, construct, and equip new
facilities, renovate existing facilities (including
laboratories, laboratory support buildings, scientific
communication facilities, transshipment complexes, secured and
isolated parking structures, office buildings, and other
facilities and infrastructure), and upgrade security of such
facilities, in order to better conduct the capacities described
in section 319A, and for supporting related public health
activities.
``(2) Multiyear contracting authority.--For any project of
designing, constructing, equipping, or renovating any facility
under paragraph (1), the Director of the Centers for Disease
Control and Prevention may enter into a single contract or
related contracts that collectively include the full scope of
the project, and the solicitation and contract shall contain
the clause `availability of funds' found at section 52.232-18
of title 48, Code of Federal Regulations.
``(d) Authorization of Appropriations.--
``(1) In general.--For the purposes of achieving the
mission of the Centers for Disease Control and Prevention
described in subsection (a), for carrying out subsection (b),
for better conducting the capacities described in section 319A,
and for supporting related public health activities, there are
authorized to be appropriated such sums as may be necessary for
each of the fiscal years 2002 through 2006.
``(2) Facilities.--For the purpose of carrying out
subsection (c), there are authorized to be appropriated
$300,000,000 for each of the fiscal years 2002 and 2003, and
such sums as may be necessary for each of the fiscal years 2004
through 2006.''.
SEC. 104. ADVISORY COMMITTEES AND COMMUNICATIONS.
Section 319F of the Public Health Service Act (42 U.S.C. 247d-6) is
amended--
(1) by redesignating subsections (c) through (i) as
subsections (e) through (k), respectively; and
(2) by inserting after subsection (b) the following
subsections:
``(c) Advice to the Federal Government.--
``(1) Required advisory committees.--In coordination with
the working groups under subsections (a) and (b), the Secretary
shall establish advisory committees in accordance with
paragraphs (2) and (3) to provide expert recommendations to
assist such working groups in carrying out their respective
responsibilities under subsections (a) and (b).
``(2) National advisory committee on children and
terrorism.--
``(A) In general.--For purposes of paragraph (1),
the Secretary shall establish an advisory committee to
be known as the National Advisory Committee on Children
and Terrorism (referred to in this paragraph as the
`Advisory Committee').
``(B) Duties.--The Advisory Committee shall provide
recommendations regarding--
``(i) the preparedness of the health care
(including mental health care) system to
respond to bioterrorism as it relates to
children;
``(ii) needed changes to the health care
and emergency medical service systems and
emergency medical services protocols to meet
the special needs of children; and
``(iii) changes, if necessary, to the
national stockpile under section 121 of the
Public Health Security and Bioterrorism
Response Act of 2001 to meet the special needs
of children.
``(C) Composition.--The Advisory Committee shall be
composed of such Federal officials as may be
appropriate to address the special needs of the diverse
population groups of children, and child health experts
on infectious disease, environmental health,
toxicology, and other relevant professional
disciplines.
``(D) Termination.--The Advisory Committee
terminates one year after the date of the enactment of
the Public Health Security and Bioterrorism Response
Act of 2001.
``(3) Emergency public information and communications
advisory committee.--
``(A) In general.--For purposes of paragraph (1),
the Secretary shall establish an advisory committee to
be known as the Emergency Public Information and
Communications Advisory Committee (referred to in this
paragraph as the `EPIC Advisory Committee').
``(B) Duties.--The EPIC Advisory Committee shall
make recommendations and report on appropriate ways to
communicate public-health information regarding
biological attacks to the public.
``(C) Composition.--The EPIC Advisory Committee
shall be composed of individuals representing a diverse
group of experts in public health, communications,
behavioral psychology, and other areas determined
appropriate by the Secretary.
``(D) Dissemination.--The Secretary shall ensure
that the recommendations of the EPIC Advisory Committee
are widely disseminated to the media, State and local
governments, poison control centers, and others as the
Secretary determines appropriate.
``(E) Termination.--The EPIC Advisory Committee
terminates one year after the date of the enactment of
the Public Health Security and Bioterrorism Response
Act of 2001.
``(d) Strategy for Communication of Information Regarding
Biological Attack.--In coordination with the joint interdepartmental
working group under subsection (b), the Secretary, acting through the
Assistant Secretary for Emergency Preparedness, shall de
2000
velop a
strategy for effectively communicating information regarding a
biological attack, and shall develop means by which to communicate such
information. The Secretary may carry out the preceding sentence
directly or through grants, contracts, or cooperative agreements.''.
SEC. 105. EDUCATION OF HEALTH CARE PERSONNEL; TRAINING REGARDING
PEDIATRIC ISSUES.
Section 319F(g) of the Public Health Service Act, as redesignated
by section 104(1) of this Act, is amended to read as follows:
``(g) Education; Training Regarding Pediatric Issues.--
``(1) Materials; core curriculum.--The Secretary, in
collaboration with members of the working group described in
subsection (b), and professional organizations and societies,
shall--
``(A) develop materials for teaching the elements
of a core curriculum for the recognition and
identification (including proficiency testing) of
potential bioweapons and other agents that may create a
public health emergency, and for the care of victims of
such emergencies, recognizing the special needs of
children and other vulnerable populations, to public
health officials, medical professionals, emergency
physicians and other emergency department staff,
laboratory personnel, and other personnel working in
health care facilities (including poison control
centers);
``(B) develop a core curriculum and materials for
community-wide planning by State and local governments,
hospitals and other health care facilities, emergency
response units, and appropriate public and private
sector entities to respond to a bioterrorist attack or
other public health emergency;
``(C) provide for dissemination and teaching of the
materials described in subparagraphs (A) and (B) by all
appropriate means, including telemedicine, long-
distance learning, or other such means; and
``(D) to the extent practicable, establish and
maintain an electronic database of individuals
participating in training or education programs carried
out under this section, for the purpose of providing
continuing education materials and information to such
participants.
``(2) Grants.--In carrying out paragraph (1), the Secretary
may award grants to, or enter into cooperative agreements with,
professional organizations and societies, private accrediting
organizations, or other nonprofit institutions or entities
meeting criteria established by the Secretary, and may enter
into interagency cooperative agreements with other Federal
agencies.
``(3) Health-Related Assistance for Emergency Response
Personnel Training.--The Secretary, in consultation with the
Attorney General and the Director of the Federal Emergency
Management Agency, may provide assistance with respect to
health-related aspects of emergency response personnel training
carried out by the Department of Justice and the Federal
Emergency Management Agency.''.
SEC. 106. GRANTS REGARDING SHORTAGES OF CERTAIN HEALTH PROFESSIONALS.
Part B of title III of the Public Health Service Act (42 U.S.C. 243
et seq.) is amended by inserting after section 319G the following
section:
``SEC. 319H. GRANTS REGARDING TRAINING AND EDUCATION OF CERTAIN HEALTH
PROFESSIONALS.
``(a) In General.--The Secretary may make awards of grants and
cooperative agreements to appropriate public and nonprofit private
health or educational entities, including health professions schools
and programs as defined in section 799B, for the purpose of providing
low-interest loans, partial scholarships, partial fellowships,
revolving loan funds, or other cost-sharing forms of assistance for the
education and training of individuals in any category of health
professions for which there is a shortage that the Secretary determines
should be alleviated in order to prepare for or respond effectively to
bioterrorism and other public health emergencies.
``(b) Authority Regarding Non-Federal Contributions.--The Secretary
may require as a condition of an award under subsection (a) that a
grantee under such subsection provide non-Federal contributions toward
the purpose described in such subsection.
``(c) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated such sums as
may be necessary for each of the fiscal years 2002 through 2006.''.
SEC. 107. EMERGENCY SYSTEM FOR VERIFICATION OF CREDENTIALS OF HEALTH
PROFESSIONS VOLUNTEERS.
Part B of title III of the Public Health Service Act, as amended by
section 106 of this Act, is amended by inserting after section 319H the
following section:
``SEC. 319I. EMERGENCY SYSTEM FOR VERIFICATION OF HEALTH PROFESSIONS
VOLUNTEERS.
``(a) In General.--The Secretary shall, directly or through an
award of a grant, contract, or cooperative agreement, establish and
maintain a system for verifying the credentials, licenses,
accreditations, and hospital privileges of individuals, who during
public health emergencies volunteer to serve as health professionals
(referred to in this section as the `verification system'). In carrying
out the preceding sentence, the Secretary shall provide for an
electronic database for the verification system.
``(b) Certain Criteria.--The Secretary shall establish criteria
regarding the verification system under subsection (a), including
provisions regarding the promptness and efficiency of the system in
collecting, storing, updating, and disseminating information on the
credentials, licenses, accreditations, and hospital privileges of
volunteers described in subsection (a).
``(c) Advance Registration of Volunteers.--In order to facilitate
the availability of health professionals during a public health
emergency, the Secretary shall provide for the advance registration
with the system of health professionals who are willing to serve as
volunteers described in subsection (a), and may carry out activities to
encourage health professionals to register with the system.
``(d) Other Assistance.--The Secretary may make grants and provide
technical assistance to States and other public or nonprofit private
entities for activities relating to the verification system developed
under subsection (a).
``(e) Coordination Among States.--The Secretary shall encourage
each State to provide legal authority during a public health emergency
for health professionals authorized in another State to provide certain
health services to provide such health services in the State.
``(f) Rule of Construction.--This section may not be construed as
authorizing the Secretary to issue requirements regarding the provision
by the States of credentials, licenses, accreditations, or hospital
privileges.
``(g) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated $2,000,000
for fiscal year 2002, and such sums as may be necessary for each of the
fiscal years 2003 through 2006.''.
SEC. 108. ENHANCING PREPAREDNESS ACTIVITIES FOR BIOTERRORISM AND OTHER
PUBLIC HEALTH EMERGENCIES.
Section 319F of the Public Health Service Act (42 U.S.C. 247d-6) is
amended--
(1) by amending subsection (a) to read as follows:
``(a) Working Group on Preparedness for Acts of Bioterrorism.--The
Secretary, in coordination with the Secretary of Defense, the Director
of the Federal Emergency Management Agency, the Attorney General, the
Secretary of Veterans Affairs, the Secretary of Agriculture, t
2000
he
Secretary of Energy, and the Administrator of the Environmental
Protection Agency shall establish a joint interdepartmental working
group on preparedness and readiness for the medical and public health
effects of a bioterrorist attack on the civilian population. Such joint
working group shall--
``(1) coordinate and prioritize research on, and the
development of countermeasures against, pathogens likely to be
used in a bioterrorist attack on the civilian population;
``(2) facilitate the development, production, and
regulatory review of priority countermeasures (as defined in
subsection (h)(2)(C)) for a bioterrorist attack on the civilian
population;
``(3) coordinate research and development into equipment to
detect pathogens likely to be used in a bioterrorist attack on
the civilian population and protect against infection from such
pathogens;
``(4) develop shared standards for equipment to detect and
to protect against infection from pathogens likely to be used
in a bioterrorist attack on the civilian population; and
``(5) coordinate the development, maintenance, and
procedures for the release and distribution of strategic
reserves of vaccines, drugs, and medical supplies which may be
needed rapidly after a bioterrorist attack upon the civilian
population, including consideration of vulnerable populations
(such as children, the elderly, and individuals with
disabilities).'';
(2) in subsection (b)(1), by striking ``The Secretary'' and
all that follows through ``shall establish'' and inserting the
following: ``The Secretary, in collaboration with the Secretary
of Defense, the Director of the Federal Emergency Management
Agency, the Attorney General, the Secretary of Veterans
Affairs, the Secretary of Agriculture, the Secretary of Labor,
and the Administrator of the Environmental Protection Agency,
shall establish'';
(3) in subsection (b)(2)--
(A) in subparagraph (A), by striking ``respond to a
bioterrorist attack; and'' and inserting the following:
``respond to a bioterrorist attack, including the
provision of appropriate safety and health training and
protective measures for medical, emergency service, and
other personnel responding to such attacks;'';
(B) in subparagraph (B), by striking the period and
inserting ``; and''; and
(C) by adding at the end the following
subparagraph:
``(C) subject to compliance with other provisions
of Federal law, clarify the responsibilities among
Federal officials for the investigation of suspicious
outbreaks of disease, and revise the interagency plan
known as the Federal response plan accordingly.'';
(4) in subsection (b)(3), by striking ``Assistant Secretary
for Health'' and inserting ``Assistant Secretary for Emergency
Preparedness''; and
(5) in subsection (e) (as redesignated by section 104(1) of
this Act)--
(A) in paragraph (1), by striking ``The Secretary''
and all that follows and inserting the following: ``In
consultation with the working group established under
subsection (b), the Secretary shall, based on criteria
established by the Secretary, award grants to or enter
into cooperative agreements with eligible entities to
increase their capacity to detect, diagnose, and
respond to acts of bioterrorism upon the civilian
population.'';
(B) in paragraph (2)--
(i) by striking ``or'' after ``clinic,'';
and
(ii) by inserting before the period the
following: ``, professional organizations and
societies, schools or programs that train
medical laboratory personnel, private
accrediting organizations, or other nonprofit
institutions or entities meeting criteria
established by the Secretary'';
(C) in paragraph (3)--
(i) in the matter preceding subparagraph
(A), by striking ``the priorities'' and
inserting ``any priorities''; and
(ii) by striking subparagraphs (A) through
(D) and inserting the following:
``(A) developing community-wide plans involving the
public and private health care infrastructure to
respond to bioterrorism or other public health
emergencies, which are coordinated with the capacities
of applicable national, State, and local health
agencies;
``(B) training health care professionals and public
health personnel to enhance the ability of such
personnel to recognize the symptoms and epidemiological
characteristics of exposure to a potential bioweapon,
or other agents that may cause a public health
emergency;
``(C) addressing rapid and accurate identification
of potential bioweapons, or other agents that may cause
a public health emergency;
``(D) coordinating medical care for individuals
during public health emergencies, including
bioterrorism;
``(E) conducting exercises to test the capability
and timeliness of public health emergency response
activities;
``(F) facilitating and coordinating rapid
communication of data generated from a bioterrorist
attack or public health emergency among national,
State, and local health agencies, emergency response
personnel, and health care providers and facilities;
and
``(G) purchasing or upgrading equipment, supplies,
pharmaceuticals or other countermeasures to enhance
preparedness for and response to bioterrorism or other
public health emergencies, consistent with a plan
described in subparagraph (A).''; and
(D) in paragraph (4)--
(i) in subparagraph (A), by striking
``and'' after the semicolon at the end;
(ii) in subparagraph (B), by striking the
period at the end and inserting ``; and''; and
(iii) by adding at the end the following
subparagraph:
``(C) coordinate grants under this subsection with
grants under 319C.''.
SEC. 109. IMPROVING STATE AND LOCAL CORE PUBLIC HEALTH CAPACITIES.
Section 319C of the Public Health Service Act (42 U.S.C. 247d-3) is
amended--
(1) in subsection (a), by striking ``competitive ''; and
(2) in subsection (c)--
(A) in paragraph (3), by striking ``health care
providers; and'' and inserting ``health care providers,
including poison control centers;'';
(B) by redesignating paragraph (4) as paragraph
(7); and
(C) by inserting after paragraph (3) the following
paragraphs:
``(4) purchase or upgrade equipment, supplies,
pharmaceuticals or o
2000
ther countermeasures to enhance
preparedness for and response to bioterrorism or other public
health emergencies, consistent with a plan described in
paragraph (3);
``(5) conduct exercises to test the capability and
timeliness of public health emergency response activities;
``(6) within the meaning of part B of title XII, develop
and implement the trauma care component of the State plan for
the provision of emergency medical services; and'';
SEC. 110. ANTIMICROBIAL RESISTANCE PROGRAM.
Section 319E of the Public Health Service Act (42 U.S.C. 247d-5) is
amended--
(1) in subsection (b)--
(A) by striking ``shall conduct and support'' and
inserting ``shall directly or through awards of grants
or cooperative agreements to public or private entities
provide for the conduct of''; and
(B) by amending paragraph (4) to read as follows:
``(4) the sequencing of the genomes, or other appropriate
DNA analysis, or other necessary comparative analysis, of
priority pathogens (as determined by the Director of the
National Institutes of Health in consultation with the task
force established under subsection (a)), in collaboration and
coordination with the activities of the Department of Defense
and the Joint Genome Institute of the Department of Energy;
and'';
(2) in subsection (e)(2), by inserting after ``societies,''
the following: ``schools or programs that train medical
laboratory personnel,''; and
(3) in subsection (g), by striking ``and such sums'' and
all that follows and inserting the following: ``$25,000,000 for
each of the fiscal years 2002 and 2003, and such sums as may be
necessary for each of the fiscal years 2004 through 2006.''.
SEC. 111. STUDY REGARDING COMMUNICATIONS ABILITIES OF PUBLIC HEALTH
AGENCIES.
The Secretary of Health and Human Services, in consultation with
the Federal Communications Commission, the National Telecommunications
and Information Administration, and other appropriate Federal agencies,
shall conduct a study to ensure that local public health entities have
the ability to maintain communications in the event of a bioterrorist
attack or other public health emergency. The study shall examine
whether redundancies are required in the telecommunications system for
public health entities to maintain systems operability and connectivity
during such emergencies. The study shall also include recommendations
to industry and public health entities about how to implement such
redundancies if necessary.
SEC. 112. SUPPLIES AND SERVICES IN LIEU OF AWARD FUNDS.
Part B of title III of the Public Health Service Act, as amended by
section 107 of this Act, is amended by inserting after section 319I the
following section:
``SEC. 319J. SUPPLIES AND SERVICES IN LIEU OF AWARD FUNDS
``(a) In General.--Upon the request of a recipient of an award
under any of sections 319 through 319I or section 319K, the Secretary
may, subject to subsection (b), provide supplies, equipment, and
services for the purpose of aiding the recipient in carrying out the
purposes for which the award is made and, for such purposes, may detail
to the recipient any officer or employee of the Department of Health
and Human Services.
``(b) Corresponding Reduction in Payments.--With respect to a
request described in subsection (a), the Secretary shall reduce the
amount of payments under the award involved by an amount equal to the
costs of detailing personnel and the fair market value of any supplies,
equipment, or services provided by the Secretary. The Secretary shall,
for the payment of expenses incurred in complying with such request,
expend the amounts withheld.''.
SEC. 113. ADDITIONAL AMENDMENTS.
Part B of title III of the Public Health Service Act (42 U.S.C. 243
et seq) is amended--
(1) in section 319A(a)(1), by striking ``10 years'' and
inserting ``five years''; and
(2) in section 319B(a), in the first sentence, by striking
``10 years'' and inserting ``five years''.
SEC. 114. STUDY REGARDING LOCAL EMERGENCY RESPONSE METHODS.
The Secretary of Health and Human Services shall conduct a study of
best-practices methods for the provision of emergency response services
through local governments (including through contractors and volunteers
of such governments) in a consistent manner in response to acts of
bioterrorism or other public health emergencies. Not later than 180
days after the date of the enactment of this Act, the Secretary shall
submit to the Congress a report describing the findings of the study.
Subtitle B--National Stockpile; Development of Priority Countermeasures
SEC. 121. NATIONAL STOCKPILE.
(a) In General.--The Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall maintain a
stockpile or stockpiles of drugs, vaccines and other biological
products, medical devices, and other supplies in such numbers, types,
and amounts as are determined by the Secretary to be adequate to meet
the health security needs of the United States, including consideration
of vulnerable populations (such as children, the elderly, and
individuals with disabilities), in the event of a bioterrorist attack
or other public health emergency.
(b) Procedures.--The Secretary, in managing the stockpile under
subsection (a), shall--
(1) consult with the Director of the Federal Emergency
Management Agency, the Secretary of Defense, the Secretary of
Veterans Affairs, the Attorney General, the Secretary of
Energy, and the Administrator of the Environmental Protection
Agency;
(2) ensure that adequate procedures are followed with
respect to such stockpile for inventory management and
accounting, and for the physical security of the stockpile;
(3) in consultation with Federal, State, and local
officials, take into consideration the timing and location of
special events;
(4) review and revise, as appropriate, the contents of the
stockpile on a regular basis to ensure that emerging threats,
advanced technologies, and new countermeasures are adequately
considered; and
(5) devise plans for the effective and timely distribution
of the stockpile, in consultation with appropriate Federal,
State and local agencies, and the public and private health
care infrastructure.
(c) Definition.--For purposes of subsection (a), the term
``stockpile'' includes--
(1) a physical accumulation (at one or more locations) of
the supplies described in subsection (a); or
(2) a contractual agreement between the Secretary and a
vendor or vendors under which such vendor or vendors agree to
provide to the Secretary supplies described in subsection (a).
(d) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated
$1,155,000,000 for fiscal year 2002, and such sums as may be necessary
for each of fiscal years 2003 through 2006.
SEC. 122. ACCELERATED APPROVAL OF PRIORITY COUNTERMEASURES.
(a) In General.--The Secretary of Health and Human Services may
designate a priority countermeasure as a fast-track product pursuant to
section 506 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
356). Such a designation may be made prior to the submission of--
(1) a request for designation by the sponsor; or
(2) an application for the investigation of the drug under
section 505(i) of such Act or section 351(a)(3) of the Public
Health Service Act. Nothing in this subsection shall be
construed to prohibit a sponsor from declining such a
designation.
(b) Review of
2000
Priority Countermeasure Not Designated as Fast-Track
Product.--A priority countermeasure shall be subject to the performance
goals established by the Commissioner of Food and Drugs, unless it is
designated as a fast-track product.
(c) Definition.--For purposes of this section, the term ``priority
countermeasure'' means a drug or biological product that is a
countermeasure to treat, identify, or prevent infection by a biological
agent or toxin listed pursuant to section 351A(a)(1) or harm from any
other agent that may cause a public health emergency.
SEC. 123. USE OF ANIMAL TRIALS IN APPROVAL OF CERTAIN DRUGS AND
BIOLOGICS; ISSUANCE OF RULE.
Not later than 180 days after the date of the enactment of this
Act, the Secretary of Health and Human Services shall complete the
process of rulemaking that was commenced with the issuance of the
proposed rule entitled ``New Drug and Biological Drug Products;
Evidence Needed to Demonstrate Efficacy of New Drugs for Use Against
Lethal or Permanently Disabling Toxic Substances When Efficacy Studies
in Humans Ethically Cannot be Conducted'' published in the Federal
Register on October 5, 1999 (64 Fed. Reg. 53960).
SEC. 124. SECURITY FOR COUNTERMEASURE DEVELOPMENT AND PRODUCTION.
Part B of title III of the Public Health Service Act, as amended by
section 112 of this Act, is amended by inserting after section 319J the
following section:
``SEC. 319K. SECURITY FOR COUNTERMEASURE DEVELOPMENT AND PRODUCTION.
``The Secretary, in consultation with the Attorney General and the
Secretary of Defense, may provide technical or other assistance to
provide security to persons or facilities that conduct development,
production, distribution, or storage of priority countermeasures (as
defined in section 319F(h)(2)(C)).''.
SEC. 125. ACCELERATED COUNTERMEASURE RESEARCH AND DEVELOPMENT.
Section 319F(h) of the Public Health Service Act, as redesignated
by section 104(1) of this Act, is amended--
(1) by redesignating paragraphs (1) through (4), as
subparagraphs (A) through (D), respectively;
(2) by striking ``The Secretary'' and inserting the
following:
``(1) In general.--The Secretary'';
(3) by moving each of subparagraphs (A) through (D) (as so
redesignated) two ems to the right; and
(4) by adding at the end the following:
``(2) Accelerated countermeasure research and
development.--
``(A) In general.--With respect to pathogens of
potential use in a bioterrorist attack, and other
agents that may cause a public health emergency, the
Secretary, taking into consideration any
recommendations of the working group under subsection
(a), shall conduct, and award grants, contracts, or
cooperative agreements for, research, investigations,
experiments, demonstrations, and studies in the health
sciences relating to--
``(i) the epidemiology and pathogenesis of
such pathogens;
``(ii) the development of new vaccines and
therapeutics for use against such pathogens and
other agents;
``(iii) the development of diagnostic tests
to detect such pathogens and other agents; and
``(iv) other relevant areas of research;
with consideration given to the needs of children and
other vulnerable populations.
``(B) Role of department of veterans affairs.--In
carrying out subparagraph (A), the Secretary shall
consider using the biomedical research and development
capabilities of the Department of Veterans Affairs, in
conjunction with that Department's affiliations with
health-professions universities. When advantageous to
the Government in furtherance of the purposes of such
subparagraph, the Secretary may enter into cooperative
agreements with the Secretary of Veterans Affairs to
achieve such purposes.
``(C) Priority countermeasures.--For purposes of
this paragraph, the term `priority countermeasure'
means a countermeasure, including a drug, medical or
other technological device, biological product, or
diagnostic test, to treat, identify, or prevent
infection by a biological agent or toxin listed
pursuant to section 351A(a)(1) or harm from any other
agent that may cause a public health emergency.''.
SEC. 126. EVALUATION OF NEW AND EMERGING TECHNOLOGIES REGARDING
BIOTERRORIST ATTACK AND OTHER PUBLIC HEALTH EMERGENCIES.
(a) In General.--The Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall promptly carry
out a program to evaluate new and emerging technologies that are
designed to improve or enhance the ability of public health or safety
officials to detect, identify, diagnose, or conduct public health
surveillance activities relating to a bioterrorist attack or other
public health emergency.
(b) Certain Activities.--In carrying out this subsection, the
Secretary shall--
(1) survey existing technology programs funded by the
Federal Government for potentially useful technologies;
(2) promptly issue a request for information from non-
Federal public and private entities for ongoing activities in
this area; and
(3) evaluate technologies identified under paragraphs (1)
and (2) pursuant to subsection (c).
(c) Consultation and Evaluation.--In carrying out subsection
(b)(3), the Secretary shall consult with the joint interdepartmental
working group under section 319F(a) of the Public Health Service Act,
as well as other appropriate public, nonprofit, and private entities,
to develop criteria for the evaluation of such technologies and to
conduct such evaluations.
(d) Report.--Not later than 180 days after the date of the
enactment of this Act, the Secretary 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 that
provides a list of priority technologies whose development or
deployment or both should be accelerated, and the estimated cost of
doing so.
SEC. 127. POTASSIUM IODIDE.
(a) In General.--Through the national stockpile under section 121,
the Secretary of Health and Human Services (in this section referred to
as the ``Secretary''), subject to subsection (b), shall make available
to State and local governments potassium iodide tablets for stockpiling
and for distribution as appropriate to public facilities, such as
schools and hospitals, that are within 20 miles of a nuclear power
plant, in quantities sufficient to provide adequate protection for the
populations within such miles.
(b) State and Local Plans.--Subsection (a) applies with respect to
a State or local government if the government involved meets the
following conditions:
(1) Such government submits to the Secretary, and to the
Director of the Federal Emergency Management Agency, a plan for
the stockpiling of potassium iodide tablets, and for the
distribution and utilization of potassium iodide tablets in the
event of a nuclear incident.
(2) The plan is accompanied by certifications by such
government that--
(A) the government has not received sufficient
quantities of potassium iodide tablets from the Nuclear
Regulatory Commission; and
(B) in the case of a local government, such
2000
government has submitted the plan to the State
involved.
(c) Guidelines.--In consultation with the Director of the Federal
Emergency Management Agency and with the Nuclear Regulatory Commission,
the Secretary shall establish guidelines for the stockpiling of
potassium iodide tablets, and for the distribution and utilization of
potassium iodide tablets in the event of a nuclear incident.
(d) Information.--The Secretary shall carry out activities to
inform State and local governments of the program under this section.
(e) Report.--Not later than six months after the date of the
enactment of this Act, the Secretary shall submit to the Congress a
report--
(1) on whether potassium iodide tablets have been made
available under subsection (a) and the extent to which State
and local governments have established stockpiles of such
tablets; and
(2) the measures taken by the Secretary to implement this section.
(f) Applicability.--Subsections (a) and (d) cease to apply as
requirements if the Secretary determines that there is an alternative
and more effective medical treatment to address adverse thyroid
conditions that may result from the release of radionuclides from
nuclear power plants.
Subtitle C--Emergency Authorities; Additional Provisions
SEC. 131. EXPANDED AUTHORITY OF SECRETARY OF HEALTH AND HUMAN SERVICES
TO RESPOND TO PUBLIC HEALTH EMERGENCIES.
(a) Transfers of Funds.--Section 319 of the Public Health Service
Act (42 U.S.C. 247d) is amended by adding at the end the following:
``(d) Transfers of Funds Between Programs and Accounts.--
``(1) In general.--At any time during a public health
emergency declared by the Secretary under subsection (a), the
Secretary may, subject to paragraph (2), transfer funds, to the
extent authorized by law, between appropriations accounts
administered by the Secretary under this Act, without regard to
any waiting period imposed by any other provision of law,
including any provision of an appropriations Act, except as
provided in paragraphs (3) and (4).
``(2) Amount of transfers.--With respect to the public
health emergency involved:
``(A) The Secretary may not make a transfer under
paragraph (1) in an amount exceeding a reasonable
estimate by the Secretary of the amount necessary to
respond to the emergency involved for a period of 60
days.
``(B) Subsequent transfers under paragraph (1) may
be made by the Secretary, subject to compliance with
subparagraph (A).
``(3) Notification.--Not later than 48 hours prior to
making a transfer under paragraph (1), the Secretary shall
submit a notice of the intent to make such transfer to the
Committee on Appropriations of the House of Representatives,
the Committee on Energy and Commerce of the House of
Representatives, the Committee on Appropriations of the Senate,
and the Committee on Health, Education, Labor, and Pensions of
the Senate.
``(4) Scope.--Paragraph (1) shall apply, notwithstanding
any other provision of law including any provision of an
appropriations Act and any Act enacted after the date of
enactment of this subsection, unless such provision
specifically refers to and overrides this subsection.''.
(b) Reporting Deadlines.--Section 319 of the Public Health Service
Act (42 U.S.C. 247d), as amended by subsection (a), is further amended
by adding at the end the following:
``(e) Data Submittal and Reporting Deadlines.--In any case in which
the Secretary determines that, wholly or partially as a result of a
public health emergency that has been declared pursuant to subsection
(a), individuals or public or private entities are unable to comply
with deadlines for the submission to the Secretary of data or reports
required under any law administered by the Secretary, the Secretary
may, notwithstanding any other provision of law, grant such extensions
of such deadlines as the circumstances reasonably require, and may
waive, wholly or partially, any sanctions otherwise applicable to such
failure to comply. Before or promptly after granting such an extension
or waiver, the Secretary shall notify the Congress of such action and
publish in the Federal Register a notice of the extension or waiver.''.
SEC. 132. STREAMLINING AND CLARIFYING COMMUNICABLE DISEASE QUARANTINE
PROVISIONS.
(a) Elimination of Prerequisite for National Advisory Health
Council Recommendation Before Issuing Quarantine Rules.--
(1) Executive orders specifying diseases subject to
individual detentions.--Section 361(b) of the Public Health Act
(42 U.S.C. 264(b)) is amended by striking ``Executive orders of
the President upon the recommendation of the National Advisory
Health Council and the Surgeon General'' and inserting
``Executive orders of the President upon the recommendation of
the Secretary, in consultation with the Surgeon General,''.
(2) Regulations providing for apprehension of
individuals.--Section 361(d) of the Public Health Act (42
U.S.C. 264(d)) is amended by striking ``On recommendation of
the National Advisory Health Council, regulations'' and
inserting ``Regulations''.
(3) Regulations providing for apprehension of individuals
in wartime.--Section 363 of the Public Health Act (42 U.S.C.
266) is amended by striking ``the Surgeon General, on
recommendation of the National Advisory Health Council,'' and
inserting ``the Secretary, in consultation with the Surgeon
General,''.
(b) Apprehension Authority To Apply in Cases of Exposure to
Disease.--
(1) Regulations providing for apprehension of
individuals.--Section 361(d) of the Public Health Act (42
U.S.C. 264(d)), as amended by subsection (a)(2), is further
amended by inserting ``or exposed to'' after ``to be infected
with''.
(2) Regulations providing for apprehension of individuals
in wartime.--Section 363 of the Public Health Act (42 U.S.C.
266), as amended by subsection (a)(3), is further amended by
inserting ``or exposed to'' after ``to be infected with''.
(c) State Authority.--Section 361 of the Public Health Act (42
U.S.C. 264) is amended by adding at the end the following:
``(e) Nothing in this section or section 363, or the regulations
promulgated under such sections, may be construed as superseding any
provision under State law (including regulations and including
provisions established by political subdivisions of States), except to
the extent that such a provision conflicts with an exercise of Federal
authority under this section or section 363.''.
SEC. 133. EMERGENCY WAIVER OF MEDICARE, MEDICAID, AND SCHIP
REQUIREMENTS.
(a) Waiver Authority.--Title XI of the Social Security Act (42
U.S.C. 1301 et seq.) is amended by inserting after section 1134 the
following new section:
``SEC. 1135. AUTHORITY TO WAIVE REQUIREMENTS DURING NATIONAL
EMERGENCIES.
``(a) Purpose.--
``(1) In general.--The purpose of this section is to enable
the Secretary to ensure to the maximum extent feasible, in any
emergency area and during an emergency period--
``(A) that sufficient health care items and
services are available to meet the needs of individuals
in such area enrolled in the programs under titles
XVIII, XIX, and XXI; and
``(B) that health care providers (as defined in
subsection (g)) that furnish such items and services in
good faith, but that are unable to comply
2000
with one or
more requirements described in subsection (b), may be
reimbursed for such items and services and exempted
from sanctions for such noncompliance, absent any
determination of fraud or abuse.
``(2) Emergency area; emergency period.--For purposes of
this section, an `emergency area' is a geographical area in
which, and an `emergency period' is the period during which,
there exists--
``(A) an emergency or disaster declared by the
President pursuant to the National Emergencies Act or
the Robert T. Stafford Disaster Relief and Emergency
Assistance Act; and
``(B) a public health emergency declared by the
Secretary pursuant to section 319 of the Public Health
Service Act.
``(b) Secretarial Authority.--To the extent necessary to accomplish
the purposes specified in subsection (a), the Secretary is authorized,
subject to the provisions of this section, to temporarily waive or
modify the application of, with respect to health care items and
services furnished in any emergency area (or portion of such an area)
during an emergency period, the requirements of titles XVIII, XIX, or
XXI, or any regulation thereunder (and the requirements of this title,
and regulations thereunder, insofar as they relate to such titles),
pertaining to--
``(1) conditions of participation or other certification
requirements for an individual health care provider or types of
providers; program participation and similar requirements for
an individual health care provider or types of providers; and
pre-approval requirements;
``(2) requirements that physicians and other health care
professionals be licensed in the State in which they provide
such services, if they have equivalent licensing in another
State;
``(3) sanctions under section 1867 (relating to examination
and treatment for emergency medical conditions and women in
labor) for a transfer of an individual who has not been
stabilized in violation of subsection (c) of such section if
the transfer arises out of the circumstances of the emergency;
``(4) sanctions under section 1877(g) (relating to
limitations on physician referral); and
``(5) deadlines and timetables for performance of required
activities, except that such deadlines and timetables may only
be modified, not waived.
``(c) Authority for Retroactive Waiver.--A waiver or modification
of requirements pursuant to this section may, at the Secretary's
discretion, be made retroactive to the beginning of the emergency
period or any subsequent date in such period specified by the
Secretary.
``(d) Notification of Congress.--The Secretary shall provide
advance written notice to the Congress at least two days before
exercising the authority under this section with respect to an
emergency area. Such a notice shall include a description of the
specific provisions that will be waived or modified, the health care
providers to whom the waiver or modification will apply, the geographic
area in which the waiver or modification will apply, and the period of
time for which the waiver or modification will be in effect.
``(e) Duration of Waiver.--
``(1) In general.--A waiver or modification of requirements
pursuant to this section terminates upon--
``(A) the termination of the applicable declaration
of emergency or disaster described in subsection
(a)(2)(B);
``(B) the termination of the applicable declaration
of public health emergency described in subsection
(a)(2)(B); or
``(C) subject to paragraph (2), the termination of
a period of 90 days from the date the waiver or
modification is first published (or, if applicable, the
date of extension of the waiver or modification under
paragraph (2)).
``(2) Extension of 90-day periods.--The Secretary may, by
notice, provide for an extension of a 90-day period described
in paragraph (1)(C) (or an additional period provided under
this paragraph) for additional period or periods (not to
exceed, except as subsequently provided under this paragraph,
90 days each), but any such extension shall not affect or
prevent the termination of a waiver or modification under
subparagraph (A) or (B) of paragraph (1).
``(f) Report to Congress.--Within one year after the end of the
emergency period in an emergency area in which the Secretary exercised
the authority provided under this section, the Secretary shall report
to the Congress regarding the approaches used to accomplish the
purposes described in subsection (a), including an evaluation of the
success of such approaches and recommendations for improved approaches
should the need for such emergency authority arise in the future.
``(g) Health Care Provider Defined.--For purposes of this section,
the term `health care provider' means any entity that furnishes health
care items or services, and includes a hospital or other provider of
services, a physician or other health care practitioner or
professional, a health care facility, or a supplier of health care
items or services.''.
(b) Effective Date.--The amendments made by subsection (a) shall be
effective on and after September 11, 2001.
SEC. 134. PROVISION FOR EXPIRATION OF PUBLIC HEALTH EMERGENCIES.
Section 319(a) of the Public Health Service Act (42 U.S.C.
247d(a)), is amended by adding at the end the following new sentence:
``Any such determination of a public health emergency terminates upon
the Secretary declaring that the emergency no longer exists, or upon
the expiration of the 90-day period beginning on the date on which the
determination is made by the Secretary, whichever occurs first.
Determinations that terminate under the preceding sentence may be
renewed by the Secretary (on the basis of the same or additional
facts), and the preceding sentence applies to each such renewal.''.
SEC. 135. DESIGNATED STATE PUBLIC EMERGENCY ANNOUNCEMENT PLAN.
Section 613(b) of the Robert T. Stafford Disaster Relief and
Emergency Assistance Act (42 U.S.C. 5196b(b)) is amended--
(1) in paragraph (5), by striking ``and'' at the end;
(2) in paragraph (6), by striking the period and inserting
``; and''; and
(3) by adding at the end the following:
``(7) include a plan for providing information to the
public in a coordinated manner.''.
SEC. 136. EXPANDED RESEARCH BY SECRETARY OF ENERGY.
(a) In General.--In coordination with the joint interdepartmental
working group under section 319F(a) of the Public Health Service Act,
the Secretary of Energy and the Administrator of the National Nuclear
Security Administration shall expand, enhance, and intensify research
relevant to the rapid detection and identification of pathogens likely
to be used in a bioterrorism attack or other agents that may cause a
public health emergency.
(b) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section such sums as may be necessary
for each of the fiscal years 2002 through 2006.
SEC. 137. AGENCY FOR TOXIC SUBSTANCES AND DISEASE REGISTRY.
(a) In General.--In planning for and responding to bioterrorism and
other public health emergencies, including assisting State health
departments, the Secretary of Health and Human Services (in this
section referred to as the ``Secretary'') shall take into account the
role and expertise of the Agency for Toxic Substances and Disease
Registry (in this section referred to as ``ATSDR'').
(b) Authorization of Appropriations.--For the pur
2000
pose of providing
resources (including increased personnel, as appropriate) for ATSDR to
use authorities under section 104(i) of the Comprehensive Environmental
Response, Compensation, and Liability Act of 1980 to assist the
Secretary in planning for or responding to bioterrorism or other public
health emergencies, there are authorized to be appropriated to the
Secretary such sums as may be necessary for each of the fiscal years
2002 through 2006, in addition to any other authorizations of
appropriations that are available for such purpose.
SEC. 138. EXPANDED RESEARCH ON WORKER HEALTH AND SAFETY.
The Secretary, acting through the Director of the National
Institute of Occupational Safety and Health, shall enhance and expand
research as deemed appropriate on the health and safety of workers who
are at risk for bioterrorist threats or attacks in the workplace.
SEC. 139. TECHNOLOGY OPPORTUNITIES PROGRAM SUPPORT.
For fiscal years 2003 and 2004, all of the information
infrastructure grants provided by the National Telecommunications and
Information Administration (under the program also known as the
Technology Opportunities Program) shall be used to provide grants to
health providers to facilitate participation in the national public
health communications and surveillance networks authorized under
section 319D(b)(3) of the Public Health Service Act.
Subtitle D--Authorization of Appropriations
SEC. 151. AUTHORIZATION OF APPROPRIATIONS.
(a) In General.--For the purpose of carrying out activities of the
Department of Health and Human Services in accordance with the
provisions referred to in subsection (b), including making awards of
grants, cooperative agreements, or contracts and providing other
assistance to States and other public or private entities, there are
authorized to be appropriated $2,720,000,000 for fiscal year 2002, and
such sums as may be necessary for each of the fiscal years 2003 through
2006.
(b) Relevant Provisions.--For purposes of this section, the
provisions referred to in this subsection are--
(1) the provisions of this title;
(2) sections 319A through 319K of the Public Health Service
Act;
(3) title XXVIII of such Act; and
(4) section 301 of such Act, to the extent that such
section is used as the authority of the Secretary of Health and
Human Services to carry out activities to supplement the
activities carried out under the provisions referred to in
paragraphs (1) through (3);
except that this section does not have any applicability with respect
to the use of section 301 of such Act as authority for activities of
the National Institutes of Health.
(c) Fiscal Year 2002.--
(1) In general.--The aggregate amount of authorizations of
appropriations under this title and under the Public Health
Service Act for fiscal year 2002 for the purpose described in
subsection (a) does not exceed the amount specified for fiscal
year 2002 in such subsection, notwithstanding other
authorizations of appropriations.
(2) Allocations of authorizations.--Of the amount that is
authorized to be appropriated under subsection (a) for fiscal
year 2002, the following authorizations of appropriations for
such fiscal year for the purpose described in such subsection
apply:
(A) For making awards of grants, cooperative
agreements, or contracts and providing other assistance
to States and other public or private entities,
$1,000,000,000 is authorized, of which--
(i) $455,000,000 is authorized for grants
under section 319C of the Public Health Service
Act;
(ii) $455,000,000 is authorized for grants
or cooperative agreements under section 319F of
such Act; and
(iii) $40,000,000 is authorized for grants
or cooperative agreements under section 319H of
the Public Health Service Act, as added by
section 106 of this Act (relating to shortages
of certain health professionals).
(B) For the national stockpile under section 121 of
this Act, other than activities of the National
Institutes of Health regarding smallpox vaccine,
$1,155,000,000 is authorized, of which $509,000,0000 is
authorized for the acquisition of smallpox vaccine.
(C) For the Centers for Disease Control and
Prevention, other than purposes to which the
authorization established in subparagraph (A) applies,
$450,000,000, of which $300,000,000 is authorized for
facilities of such Centers for purposes described in
section 399D(c) of the Public Health Service Act.
(D) For activities on antimicrobial resistance
under section 319E of such Act, $25,000,000 is
authorized.
TITLE II--ENHANCING CONTROLS ON DANGEROUS BIOLOGICAL AGENTS AND TOXINS
SEC. 201. REGULATION OF CERTAIN BIOLOGICAL AGENTS AND TOXINS.
(a) Biological Agents Provisions of the Antiterrorism and Effective
Death Penalty Act of 1996; Codification in the Public Health Service
Act, With Amendments.--
(1) Public health service act.--Subpart 1 of part F of
title III of the Public Health Service Act (42 U.S.C. 262 et
seq.) is amended by inserting after section 351 the following:
``SEC. 351A. ENHANCED CONTROL OF DANGEROUS BIOLOGICAL AGENTS AND
TOXINS.
``(a) Regulatory Control of Certain Biological Agents and Toxins.--
``(1) List of biological agents and toxins.--
``(A) In general.--The Secretary shall by
regulation establish and maintain a list of each
biological agent and each toxin that has the potential
to pose a severe threat to public health and safety.
``(B) Criteria.--In determining whether to include
an agent or toxin on the list under subparagraph (A),
the Secretary shall--
``(i) consider--
``(I) the effect on human health of
exposure to the agent or toxin;
``(II) the degree of contagiousness
of the agent or toxin and the methods
by which the agent or toxin is
transferred to humans;
``(III) the availability and
effectiveness of immunizations to
prevent and treatments for any illness
resulting from infection by the agent
or toxin; and
``(IV) any other criteria that the
Secretary considers appropriate; and
``(ii) consult with scientific experts
representing appropriate professional groups.
``(2) Biennial publication.--The Secretary shall publish
the list under paragraph (1) biennially, or at such more
frequent intervals as the Secretary determines to be
appropriate. Before publishing the list, the Secretary shall
review the list, and shall make such revisions as are
appropriate to protect the public health and safety. In
reviewing and revising the list, the Secretary shall consider
the needs of vulnerable populations, including children, and
shall consult with appropriate Federal agencies and State and
2000
local public health officials.
``(b) Regulation of Transfers of Listed Biological Agents and
Toxins.--The Secretary shall by regulation provide for--
``(1) the establishment and enforcement of safety
procedures for the transfer of biological agents and toxins
listed pursuant to subsection (a)(1), including measures to
ensure--
``(A) proper training and appropriate skills to
handle such agents and toxins; and
``(B) proper laboratory facilities to contain and
dispose of such agents and toxins;
``(2) safeguards to prevent access to such agents and
toxins for use in domestic or international terrorism or for
any other criminal purpose;
``(3) the establishment of procedures to protect the public
safety in the event of a transfer or potential transfer of a
biological agent or toxin in violation of the safety procedures
established under paragraph (1) or the safeguards established
under paragraph (2); and
``(4) appropriate availability of biological agents and
toxins for research, education, and other legitimate purposes.
``(c) Possession and Use of Listed Biological Agents and Toxins.--
The Secretary shall by regulation provide for the establishment and
enforcement of standards and procedures governing the possession and
use of biological agents and toxins listed pursuant to subsection
(a)(1) in order to protect the public health and safety, including the
measures, safeguards, procedures, and availability of such agents and
toxins described in paragraphs (1) through (4) of subsection (b),
respectively.
``(d) Registration and Traceability Mechanisms; Database.--
Regulations under subsections (b) and (c) shall require registration of
the possession, use, and transfer of biological agents and toxins
listed pursuant to subsection (a)(1), and such registration shall
include (if available to the registered person) information regarding
the characterization of such biological agents and toxins to facilitate
their identification and traceability. The Secretary shall maintain a
national database of the location of such agents and toxins, with
information regarding their characterizations.
``(e) Inspections.--The Secretary may conduct inspections to ensure
that persons subject to regulations under subsection (b) or (c) are in
compliance with such regulations, including provisions regarding
security and restrictions on access under subsection (g).
``(f) Exemptions.--The Secretary may establish exemptions from the
applicability of provisions of regulations under subsection (b) or (c)
if the Secretary determines that such exemptions are consistent with
protecting the public health and safety. In the case of a clinical
laboratory that is in possession of a biological agent or toxin listed
pursuant to subsection (a)(1), such an exemption may be provided only
if such agent or toxin has been presented for diagnosis, verification,
or proficiency testing, and upon identification or verification of the
agent or toxin, such laboratory--
``(1) promptly notifies the Secretary or other public
health authorities when required under Federal or State law;
and
``(2) transfers or destroys the agent or toxin in
accordance with such regulations.
``(g) Security Requirements for Registered Persons.--
``(1) In general.--In carrying out the provisions of
subsections (b) and (c) that relate to safeguards, the
Secretary, in consultation with the Attorney General, shall by
regulation establish appropriate security requirements for
persons possessing, using, or transferring biological agents or
toxins listed pursuant to subsection (a)(1), and ensure
compliance with such requirements as a condition of
registration under subsection (b) or (c).
``(2) Limiting access to listed agents and toxins.--
``(A) In general.--Regulations issued under
subsections (b) and (c) shall include provisions--
``(i) to restrict access to biological
agents and toxins listed pursuant to subsection
(a)(1) to only those individuals who have a
legitimate need for access, as determined
according to the purposes for which the
registration under such regulations is
provided; and
``(ii) to ensure that individuals granted
such access are not--
``(I) restricted persons, as
defined in section 175b of title 18,
United States Code;
``(II) named in a warrant issued to
a Federal or State law enforcement
agency for participation in any
domestic or international act of
terrorism or other act of violence;
``(III) under investigation for
involvement with a domestic or
international terrorist or criminal
organization by any Federal law
enforcement or intelligence agency; or
``(IV) suspected by any Federal law
enforcement or intelligence agency of
seeking to obtain covertly information
relating to biological agents or toxins
on behalf of the intelligence or
military operations of a foreign
nation.
``(B) Screening protocol.--To carry out
subparagraph (A), the Secretary shall require that
registered persons promptly submit the names and other
identifying information for individuals described in
subparagraph (A)(i) to the Secretary and the Attorney
General, with which information the Attorney General
shall promptly use criminal, immigration, and national
security databases available to the Federal Government
to identify whether such individuals satisfy the
conditions for access under subparagraph (A)(ii). The
Secretary, in consultation with the Attorney General
and other Federal agencies, shall periodically review
and as appropriate revise the protocol for screening
individuals for purposes of subparagraph (A), and may
require by regulation additional screening measures if
determined necessary to achieve the purposes of this
section.
``(3) Assistance for certain entities.--The Secretary, in
consultation with the Attorney General, may make awards of
grants, contracts, or cooperative agreements to public and
nonprofit private entities (other than Federal agencies), and
may provide technical assistance to such entities, to improve
security of the facilities of registered persons.
``(h) Disclosure of Information.--
``(1) In general.--Any information in the possession of any
Federal agency that identifies a person, or the geographic
location of a person, who is registered pursuant to regulations
under this section (including regulations promulgated before
the effective date of this subsection), and any site-specific
information relating to the type, quantity, or identity of a
biological agent or toxin
2000
listed pursuant to subsection (a)(1)
or the site-specific security mechanisms in place to protect
such agents and toxins, shall not be disclosed under section
552(a) of title 5, United States Code.
``(2) Disclosures for public health and safety; congress.--
Nothing in this section may be construed as preventing the head
of any Federal agency--
``(A) from making disclosures of information
described in paragraph (1) for purposes of protecting
the public health and safety; or
``(B) from making disclosures of such information
to any committee or subcommittee of the Congress with
appropriate jurisdiction, upon request.
``(i) Civil Money Penalty.--
``(1) In general.--In addition to any other penalties that
may apply under law, any person who violates any provision of
regulations under subsection (b) or (c) shall be subject to the
United States for a civil money penalty in an amount not
exceeding $250,000 in the case of an individual and $500,000 in
the case of any other person.
``(2) Applicability of certain provisions.--The provisions
of section 1128A of the Social Security Act (other than
subsections (a), (b), (h), and (i), the first sentence of
subsection (c), and paragraphs (1) and (2) of subsection (f))
shall apply to a civil money penalty under paragraph (1) in the
same manner as such provisions apply to a penalty or proceeding
under section 1128A(a) of such Act. The Secretary may delegate
authority under this subsection in the same manner as provided
in section 1128A(j)(2) of the Social Security Act, and such
authority shall include all powers as contained in section 6 of
the Inspector General Act of 1978.
``(j) Coordination With Regulations Under Virus-Serum-Toxin Act.--
``(1) In general.--In establishing and enforcing
regulations under subsections (b) and (c), the Secretary shall
consult with the Secretary of Agriculture to ensure that such
activities are coordinated, to the greatest extent practicable,
with regulations governing certain biological agents and toxins
listed pursuant to subsection (a)(1) issued by the Secretary of
Agriculture under the Act commonly known as the Virus-Serum-
Toxin Act (the eighth paragraph under the heading `Bureau of
Animal Industry' in the Act of March 4, 1913; 21 U.S.C. 151-
159) (in this subsection referred to as the `VST Act'). The
purpose of such coordination shall be--
``(A) to minimize any conflicts between the
regulations issued by, or the activities of, the
Secretary of Health and Human Services and the
Secretary of Agriculture with respect to such agents
and toxins;
``(B) to minimize the administrative burden on
persons subject to regulations under both this section
and the VST Act;
``(C) to ensure the appropriate availability of
such agents and toxins for legitimate agricultural or
veterinary research, education, or other such purposes;
and
``(D) to ensure the establishment of a national
database of such agents or toxins pursuant to
subsection (d).
``(2) Persons regulated by department of agriculture.--With
respect to persons possessing or using biological agents or
toxins listed pursuant to subsection (a)(1) who, as of the date
of enactment of the Public Health Security and Bioterrorism
Response Act of 2001, possess an unexpired, unrevoked, and
unsuspended permit or license from the Department of
Agriculture for such possession or use, such persons may, for
purposes of registration under subsection (b) or (c), submit to
the Secretary of Health and Human Services the same information
previously provided to the Secretary of Agriculture to obtain
such permit or license, provided that the information so
submitted is accurate as of the time of submittal to the
Secretary of Health and Human Services, and provided further
that such Secretary may, after review of such submission,
request such additional information as the Secretary determines
to be necessary to achieve the purposes of this section.
``(3) Savings provision.--Nothing in this section shall be
construed as limiting any authority of the Secretary of
Agriculture under the VST Act or any regulations issued
thereunder.
``(k) Definitions.--For purposes of this section:
``(1) The terms `biological agent' and `toxin' have the
meanings given such terms in section 178 of title 18, United
States Code.
``(2) The term `registered person' means a person
registered under regulations under subsection (b) or (c).
``(l) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated such sums as
may be necessary for each of the fiscal years 2002 through 2006.''.
(2) Relation to other laws.--
(A) Rule of construction.--Regulations promulgated
by the Secretary of Health and Human Services under
section 511 of the Antiterrorism and Effective Death
Penalty Act of 1996 are deemed to have been promulgated
under section 351A of the Public Health Service Act, as
added by paragraph (1) of this subsection. Such
regulations, including the list under subsection (d)(1)
of such section 511, that were in effect on the day
before the date of the enactment of this Act remain in
effect until modified by the Secretary (including any
revisions required under subsection (a)(2) of such
section 351A).
(B) Conforming amendment.--Subsections (d), (e),
(f), and (g) of section 511 of the Antiterrorism and
Effective Death Penalty Act of 1996 (42 U.S.C. 262
note) are repealed.
(3) Date certain for promulgation of certain regulations;
effective date regarding criminal and civil penalties.--With
respect to section 351A of the Public Health Service Act (as
added by paragraph (1) of this subsection):
(A) Not later than 30 days after the date of the
enactment of this Act, the Secretary of Health and
Human Services shall promulgate an interim final rule
requiring all persons in possession of biological
agents or toxins listed pursuant to subsection (a)(1)
of such section (unless exempt under subsection (e) of
such section) to provide notice to the Secretary of
such possession, and to include in the notice such
additional information as the Secretary may require for
compliance with subsection (d) of such section or any
other provision of such section, by not later than 30
days after the date on which such rule is promulgated.
Such interim final rule takes effect on the date on
which the rule is promulgated, except as follows:
(i) For purposes of section 175b(c) of title
18, United States Code (relating to criminal
penalties), as added by subsection (a)(1)(E) of
this section, the rule takes effect 60 days
after the date on w
2000
hich the rule is
promulgated.
(ii) For purposes of subsection (i) of such
section 351A (relating to civil penalties), the
rule takes effect 60 days after the date on
which the rule is promulgated.
(B) Not later than 120 days after the date of
enactment of this Act, such Secretary shall promulgate
an interim final rule for carrying out subsections (b)
and (c) of such section 351A. Such interim final rule
takes effect 60 days after the date on which the rule
is promulgated.
(4) Effective date regarding disclosure of information.--
Subsection (h) of section 351A of the Public Health Service
Act, as added by paragraph (1) of this subsection, is deemed to
have taken effect on the effective date of the Antiterrorism
and Effective Death Penalty Act of 1996.
(b) Criminal Penalties Regarding Select Agents.--
(1) In general.--Section 175b of title 18, United States
Code, as added by section 817 of Public Law 107-56, is
amended--
(A) by striking ``(a)'' and inserting ``(a)(1)'';
(B) by transferring subsection (c) from the current
placement of the subsection and inserting the
subsection before subsection (b);
(C) by striking ``(c)'' and inserting ``(2);
(D) by redesignating subsection (b) as subsection
(d); and
(E) by inserting before subsection (d) (as so
redesignated) the following subsections:
``(b) Transfer to Unregistered Person.--Whoever knowingly transfers
a select agent to a person without first verifying with the Secretary
of Health and Human Services that the person has obtained a
registration required by regulations under subsection (b) or (c) of
section 351A of the Public Health Service Act shall be fined under this
title, or imprisoned for not more than 5 years, or both.
``(c) Unregistered for Possession.--Whoever knowingly possesses a
biological agent or toxin where such agent or toxin is a select agent
for which such person has not obtained a registration required by
regulations under section 351A(c) of the Public Health Service Act
shall be fined under this title, or imprisoned for not more than 5
years, or both.''.
(2) Conforming amendments.--Chapter 10 of title 18, United
States Code, is amended--
(A) in section 175b (as added by section 817 of
Public Law 107-56 and amended by paragraph (1) of this
subsection)--
(i) in subsection (d)(1), by striking ``The
term'' and all that follows through ``does not
include'' and inserting the following: ``The
term `select agent' means a biological agent or
toxin to which subsection (a) applies. Such
term (including for purposes of subsection (a))
does not include''; and
(ii) in the heading for the section, by
striking ``Possession by restricted persons''
and inserting ``Select agents''; and
(B) in the chapter analysis, in the item relating
to section 175b, by striking ``Possession by restricted
persons.'' and inserting ``Select agents.''.
(3) Technical corrections.--Chapter 10 of title 18, United
States Code, as amended by section 817 of Public Law 107-56 and
paragraphs (1) and (2) of this subsection, is amended--
(A) in section 175--
(i) in subsection (a), in the second
sentence, by striking ``this section'' and
inserting ``this subsection''; and
(ii) in subsection (c), by striking
``protective'' and all that follows and
inserting ``protective, bona fide research, or
other peaceful purposes.'';
(B) in section 175b--
(i) in subsection (a)(1), by striking
``described in subsection (b)'' and all that
follows and inserting the following: ``shall
ship or transport in or affecting interstate or
foreign commerce, or possess in or affecting
interstate or foreign commerce, any biological
agent or toxin, or receive any biological agent
or toxin that has been shipped or transported
in interstate or foreign commerce, if the
biological agent or toxin is listed as a select
agent in Appendix A of part 72 of title 42,
Code of Federal Regulations, pursuant to
section 351A of the Public Health Service Act,
and is not exempted under subsection (h) of
section 72.6, or Appendix A of part 72, of
title 42, Code of Federal Regulations.''; and
(ii) in subsection (d)(3), by striking
``section 1010(a)(3)'' and inserting ``section
101(a)(3)'';
(C) in section 176(a)(1)(A), by striking ``exists
by reason of'' and inserting ``pertains to''; and
(D) in section 178--
(i) in paragraph (1), by striking ``means
any micro-organism'' and all that follows
through ``product, capable of'' and inserting
the following: ``means any microorganism
(including, but not limited to, bacteria,
viruses, fungi, rickettsiae or protozoa), or
infectious substance, or any naturally
occurring, bioengineered or synthesized
component of any such microorganism or
infectious substance, capable of'';
(ii) in paragraph (2), by striking ``means
the toxic'' and all that follows through
``including--'' and inserting the following:
``means the toxic material or product of
plants, animals, microorganisms (including, but
not limited to, bacteria, viruses, fungi,
rickettsiae or protozoa), or infectious
substances, or a recombinant or synthesized
molecule, whatever their origin and method of
production, and includes--''; and
(iii) in paragraph (4), by striking
``recombinant molecule,'' and all that follows
through ``biotechnology,'' and inserting
``recombinant or synthesized molecule,''.
(4) Additional technical correction.--Section 2332a of
title 18, United States Code, is amended--
(A) in subsection (a), in the matter preceding
paragraph (1), by striking ``section 229F)'' and all
that follows through ``section 178)--'' and inserting
``section 229F)--''; and
(B) in subsection (c)(2)(C), by striking ``a
disease organism'' and inserting ``a biological agent,
toxin, or vector (as those terms are defined in section
178 of this title)''.
(c) Security Upgrades at the
2000
Department of Health and Human
Services.--For the purpose of enabling the Secretary of Health and
Human Services to secure existing facilities of the Department of
Health and Human Services where biological agents or toxins listed
under section 351A(a)(1) of the Public Health Service Act are housed or
researched, or where vaccines are housed or researched, there are
authorized to be appropriated such sums as may be necessary for fiscal
year 2002 and each subsequent fiscal year.
(d) Report to Congress.--Not later than 1 year after the date of
the enactment of this Act, the Secretary of Health and Human Services,
after consultation with other appropriate Federal agencies, shall
submit to the Congress a report that--
(1) describes the extent to which there has been compliance
by governmental and private entities with applicable
regulations under section 351A of the Public Health Service Act
(as added by subsection (a) of this section), including the
extent of compliance before the date of the enactment of this
Act, and including the extent of compliance with regulations
promulgated after such date of enactment;
(2) describes the actions to date and future plans of the
Secretary for updating the list of biological agents and toxins
under such section 351A;
(3) describes the actions to date and future plans of the
Secretary for determining compliance with regulations under
such section 351A and for taking appropriate enforcement
actions; and
(4) provides any recommendations of the Secretary for
administrative or legislative initiatives regarding such
section 351A.
TITLE III-AMENDMENTS TO FEDERAL FOOD, DRUG, AND COSMETIC ACT
Subtitle A--Protection of Food Supply
SEC. 301. PROTECTION AGAINST INTENTIONAL ADULTERATION OF FOOD.
(a) Increasing Inspections for Detection of Intentional
Adulteration of Food.--Section 801 of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 381) is amended by adding at the end the
following subsection:
``(h)(1) The Secretary shall give high priority to increasing the
number of inspections under this section for the purpose of enabling
the Secretary to inspect food offered for import at ports of entry into
the United States, with the greatest priority given to inspections to
detect the intentional adulteration of food.''.
(b) Improvements to Information Management Systems.--Section 801(h)
of the Federal Food, Drug, and Cosmetic Act, as added by subsection (a)
of this section, is amended by adding at the end the following
paragraphs:
``(2) The Secretary shall give high priority to making necessary
improvements to the information management systems of the Food and Drug
Administration that contain information related to foods imported or
offered for import into the United States for purposes of improving the
ability of the Secretary to allocate resources, detect the intentional
adulteration of food, and facilitate the importation of food that is in
compliance with this Act.
``(3) The Secretary 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, periodic reports
describing the activities of the Secretary under paragraphs (1) and
(2).''.
(c) Testing for Rapid Detection of Intentional Adulteration of
Food.--Section 801 of the Federal Food, Drug, and Cosmetic Act, as
amended by subsection (a) of this section, is amended by adding at the
end the following:
``(i)(1) For use in inspections of food under this section, the
Secretary shall provide for research on the development of tests and
sampling methodologies--
``(A) whose purpose is to test food in order to
rapidly detect the adulteration of the food, with the
greatest priority given to detect the intentional
adulteration of food; and
``(B) whose results offer significant improvements
over the available technology in terms of accuracy,
timing, or costs.
``(2) In providing for research under paragraph (1), the Secretary
shall give priority to conducting research on the development of tests
that are suitable for inspections of food at ports of entry into the
United States.
``(3) In providing for research under paragraph (1), the Secretary
shall as appropriate coordinate with the Director of the Centers for
Disease Control and Prevention, the Director of the National Institutes
of Health, the Administrator of the Environmental Protection Agency,
and the Secretary of Agriculture.
``(4) The Secretary shall annually 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
describing the progress made in research under paragraph (1), including
progress regarding paragraph (2).''.
(d) Assessment of Threat of Intentional Adulteration of Food.--The
Secretary of Health and Human Services, acting through the Commissioner
of Food and Drugs, shall ensure that, not later than six months after
the date of the enactment of this Act--
(1) the assessment that (as of such date of enactment) is
being conducted on the threat of the intentional adulteration
of food is completed; and
(2) a report describing the findings of the assessment is
submitted to the Committee on Energy and Commerce of the House
of Representatives and to the Committee on Health, Education,
Labor, and Pensions of the Senate.
(e) Authorization of Appropriations.--For the purpose of carrying
out this section and the amendments made by this section, there are
authorized to be appropriated $100,000,000 for fiscal year 2002, and
such sums as may be necessary for each of the fiscal years 2003 through
2006, in addition to other authorizations of appropriations that are
available for such purpose.
SEC. 302. ADMINISTRATIVE DETENTION.
(a) Expanded Authority.--Section 304 of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 334) is amended by adding at the end the
following subsection:
``(h) Administrative Detention of Foods.--
``(1) Detention authority.--
``(A) In general.--An officer or qualified employee
of the Food and Drug Administration may order the
detention, in accordance with this subsection, of any
article of food that is found during an inspection,
examination, or investigation under this Act conducted
by such officer or qualified employee, if the officer
or qualified employee has credible evidence or
information indicating that such article presents a
threat of serious adverse health consequences or death
to humans or animals.
``(B) Secretary's approval.--An article of food may
be ordered detained under subparagraph (A) only if the
Secretary or an official designated by the Secretary
approves the order. An official may not be so
designated unless the official is the director of the
district under this Act in which the article involved
is located, or is an official senior to such director.
``(2) Period of detention.--An article of food may be
detained under paragraph (1) for a reasonable period, not to
exceed 20 days, unless a greater period, not to exceed 30 days,
is necessary, to enable the Secretary to institute an action
under subsection (a) or section 302. The Secretary shall by
regulation provide for procedures for instituting such action
on an expedited basis with respect to perishable foods.
``(3) Security of detained article.--A
2000
n order under
paragraph (1) with respect to an article of food may require
that such article be labeled or marked as detained, and may
require that the article be removed to a secure facility. An
article subject to such an order shall not be transferred by
any person from the place at which the article is ordered
detained, or from the place to which the article is so removed,
as the case may be, until released by the Secretary or until
the expiration of the detention period applicable under such
order, whichever occurs first.
``(4) Appeal of detention order.--With respect to an
article of food ordered detained under paragraph (1), any
person who would be entitled to be a claimant for such article
if the article were seized under subsection (a) may appeal the
order to the Secretary. Within 72 hours after such an appeal is
filed, the Secretary, after providing opportunity for an
informal hearing, shall confirm or terminate the order
involved, and such confirmation by the Secretary shall be
considered a final agency action for purposes of section 702 of
title 5, United States Code. If during such 72-hour period the
Secretary fails to provide such an opportunity, or to confirm
or terminate such order, the order is deemed to be
terminated.''.
(b) Prohibited Act.--Section 301 of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 331) is amended by adding at the end the
following:
``(bb) The transfer of an article of food in violation of an order
under section 304(h), or the removal or alteration of any mark or label
required by the order to identify the article as detained.''.
(c) Temporary Holds at Ports of Entry.--Section 801 of the Federal
Food, Drug, and Cosmetic Act, as amended by section 301(c) of this Act,
is amended by adding at the end the following:
``(j)(1) If an officer or qualified employee of the Food and Drug
Administration has credible evidence or information indicating that an
article of food presents a threat of serious adverse health
consequences or death to humans or animals, and such officer or
qualified employee is unable to inspect, examine, or investigate such
article upon the article being offered for import at a port of entry
into the United States, the officer or qualified employee shall request
the Secretary of Treasury to hold the food at the port of entry for a
reasonable period of time, not to exceed 24 hours, for the purpose of
enabling the Secretary to inspect, examine, or investigate the article
as appropriate.
``(2) The Secretary shall request the Secretary of Treasury to
remove an article held pursuant to paragraph (1) to a secure facility,
as appropriate. During the period of time that such article is so held,
the article shall not be transferred by any person from the port of
entry into the United States for the article, or from the secure
facility to which the article has been removed, as the case may be.
``(3) An officer or qualified employee of the Food and Drug
Administration may make a request under paragraph (1) only if the
Secretary or an official designated by the Secretary approves the
request. An official may not be so designated unless the official is
the director of the district under this Act in which the article
involved is located, or is an official senior to such director.
``(4) With respect to an article of food for which a request under
paragraph (1) is made, the Secretary, promptly after the request is
made, shall notify the State in which the port of entry involved is
located that the request has been made, and as applicable, that such
article is being held under this subsection.''.
SEC. 303. PERMISSIVE DEBARMENT REGARDING FOOD IMPORTATION.
(a) In General.--Section 306(b) of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 335a(b)) is amended--
(1) in paragraph (1)--
(A) in subparagraph (A), by striking ``or'' after
the comma at the end;
(B) in subparagraph (B), by striking the period at
the end and inserting ``, or''; and
(C) by adding at the end the following
subparagraph:
``(C) a person from importing an article of food or
offering such an article for import into the United
States.'';
(2) in paragraph (2), in the matter preceding subparagraph
(A), by inserting ``subparagraph (A) or (B) of'' before
``paragraph (1)'';
(3) by redesignating paragraph (3) as paragraph (4); and
(4) by inserting after paragraph (2) the following
paragraph:
``(3) Persons subject to permissive debarment; food
importation.--A person is subject to debarment under paragraph
(1)(C) if--
``(A) the person has been convicted of a felony for
conduct relating to the importation into the United
States of any article of food; or
``(B)(i) the person has repeatedly imported or
offered for import adulterated articles of food; and
``(ii) the person knew, or should have known, that
such articles were adulterated.''.
(b) Conforming Amendments.--Section 306 of the Federal Food, Drug,
and Cosmetic Act (21 U.S.C. 335a) is amended--
(1) in subsection (a), in the heading for the subsection,
by striking ``Mandatory Debarment.--'' and inserting
``Mandatory Debarment; Certain Drug Applications.--'';
(2) in subsection (b)--
(A) in the heading for the subsection, by striking
``Permissive Debarment.--'' and inserting ``Permissive
Debarment; Certain Drug Applications; Food Imports.--
''; and
(B) in paragraph (2), in the heading for the
paragraph, by striking ``permissive debarment.--'' and
inserting ``permissive debarment; certain drug
applications.--'';
(3) in subsection (c)(2)(A)(iii), by striking ``subsection
(b)(2)'' and inserting ``paragraph (2) or (3) of subsection
(b)'';
(4) in subsection (d)(3)--
(A) in subparagraph (A)(i), by striking ``or
(b)(2)(A)'' and inserting `` or paragraph (2)(A) or (3)
of subsection (b)'';
(B) in subparagraph (A)(ii)(II), by inserting ``in
applicable cases,'' before ``sufficient audits''; and
(C) in subparagraph (B), in each of clauses (i) and
(ii), by inserting ``or subsection (b)(3)'' after
``subsection (b)(2)(B).
(c) Effective Dates.--Section 306(l)(2) of the Federal Food, Drug,
and Cosmetic Act (21 U.S.C. 335a(l)(2)) is amended--
(1) in the first sentence--
(A) by striking ``and'' after ``subsection
(b)(2)''; and
(B) by inserting ``, and subsection (b)(3)'' after
``subsection (b)(2)(B)''; and
(2) in the second sentence, by inserting ``, subsection
(b)(3),'' after ``subsection (b)(2)(B)''.
(d) Prohibited Act.--Section 301 of the Federal Food, Drug, and
Cosmetic Act, as amended by section 302(b) of this Act, is amended by
adding at the end the following:
``(cc) The importing or offering for import into the United States
of an article of food by, with the assistance of, or at the direction
of, a person debarred under section 306(b)(1)(C).''.
SEC. 304. MAINTENANCE AND INSPECTION OF RECORDS FOR FOODS.
(a) In General.--Chapter IV of the Federal Food, Drug, and Cosmetic
Act (21 U.S.C. 341 et seq.) is amended by adding at the end the
following section:
``SEC. 414. MAINTENANCE AND INSPECTION OF RECORDS.
``(a) Records Inspection.--If the Secretary ha
2000
s credible evidence
or information indicating that an article of food presents a threat of
serious adverse health consequences or death to humans or animals, each
person (excluding farms and restaurants) who manufactures, processes,
packs, distributes, receives, holds, or imports such article shall, at
the request of an officer or employee duly designated by the Secretary,
permit such officer or employee, upon presentation of appropriate
credentials and a written notice to such person, at reasonable times
and within reasonable limits and in a reasonable manner, to have access
to and copy all records relating to such article that are needed to
assist the Secretary in investigating such credible evidence or
information. The requirement under the preceding sentence applies to
all records relating to the manufacture, processing, packing,
distribution, receipt, holding, or importation of such article
maintained by or on behalf of such person in any format (including
paper and electronic formats) and at any location.
``(b) Regulations Concerning Recordkeeping.--The Secretary, in
consultation and coordination, as appropriate, with other Federal
departments and agencies with responsibilities for regulating food
safety, may by regulation establish requirements regarding the
maintenance of records by persons (excluding farms and restaurants) who
manufacture, process, pack, transport, distribute, receive, hold, or
import food, as may be necessary to trace the source and chain of
distribution of food and its packaging in order to address credible
threats of serious adverse health consequences or death to humans or
animals. The Secretary shall take into account the size of a business
in promulgating regulations under this section.
``(c) Protection of Sensitive Information.--The Secretary shall
take appropriate measures to ensure that there are in effect effective
procedures to prevent the unauthorized disclosure of any trade secret
or confidential information that is obtained by the Secretary pursuant
to this section.
``(d) Limitations.--This section shall not be construed--
``(1) to limit the authority of the Secretary to inspect
records or to require maintenance of records under any other
provision of this Act;
``(2) to authorize the Secretary to impose any requirements
with respect to a food to the extent that it is within the
exclusive jurisdiction of the Secretary of Agriculture pursuant
to the Federal Meat Inspection Act (21 U.S.C. 601 et seq.), the
Poultry Products Inspection Act (21 U.S.C. 451 et seq.), or the
Egg Products Inspection Act (21 U.S.C. 1031 et seq);
``(3) to have any legal effect on section 552 of title 5,
United States Code, or section 1905 of title 18, United States
Code; or
``(4) to extend to recipes for food, financial data,
pricing data, personnel data, research data, or sales data
(other than shipment data regarding sales).''.
(b) Factory Inspection.--Section 704(a) of the Federal Food, Drug,
and Cosmetic Act (21 U.S.C. 374(a)) is amended--
(1) in paragraph (1), by inserting after the first sentence
the following new sentence: ``In the case of any person
(excluding farms and restaurants) who manufactures, processes,
packs, transports, distributes, holds, or imports foods, the
inspection shall extend to all records and other information
described in section 414 when the Secretary has credible
evidence or information indicating that an article of food
presents a threat of serious adverse health consequences or
death to humans or animals, subject to the limitations
established in section 414(d).''; and
(2) in paragraph (2), in the matter preceding subparagraph
(A), by striking ``second sentence'' and inserting ``third
sentence''.
(c) Prohibited Act.--Section 301(e) of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 331(e)) is amended--
(1) by striking ``by section 412, 504, or 703'' and
inserting ``by section 412, 414, 504, 703, or 704(a); and
(2) by striking ``under section 412'' and inserting ``under
section 412, 414(b)''.
SEC. 305. REGISTRATION.
(a) In General.--Chapter IV of the Federal Food, Drug, and Cosmetic
Act (21 U.S.C. 341 et seq.), as amended by section 304 of this Act, is
amended by adding at the end the following:
``SEC. 415. REGISTRATION.
``(a) Registration.--
``(1) In general.--Any facility (excluding farms) engaged
in manufacturing, processing, packing, or holding food for
consumption in the United States shall be registered with the
Secretary. To be registered--
``(A) for a domestic facility, the owner, operator,
or agent in charge of the facility shall submit a
registration to the Secretary; and
``(B) for a foreign facility, the owner, operator,
or agent in charge of the facility shall submit a
registration to the Secretary and shall include with
the registration the name of the United States agent
for the facility.
``(2) Registration.--An entity (referred to in this section
as the `registrant') shall submit a registration under
paragraph (1) to the Secretary containing information necessary
to notify the Secretary of the identity and address of each
facility at which, and all trade names under which, the
registrant conducts business and, when determined necessary by
the Secretary through guidance, the general food category (as
identified under section 170.3 of title 21, Code of Federal
Regulations, or successor regulations) of any food
manufactured, processed, packed, or held at such facility. The
registrant shall notify the Secretary in a timely manner of
changes to such information.
``(3) Procedure.--Upon receipt of a completed registration
described in paragraph (1), the Secretary shall notify the
registrant of the receipt of such registration and assign a
registration number to each registered facility.
``(4) List.--The Secretary shall compile and maintain an
up-to-date list of facilities that are registered under this
section. Such list and other information required to be
submitted under this subsection shall not be subject to the
disclosure requirements of section 552 of title 5, United
States Code.
``(b) Exemption.--The Secretary shall by regulation exempt types of
retail establishments from the requirements of subsection (a) only if
the Secretary determines that the registration of such facilities is
not needed for effective enforcement of this chapter and any
regulations issued under this chapter.
``(c) Facility.--For purposes of this section, the term `facility'
includes any factory, warehouse, or establishment (including a factory,
warehouse, or establishment of an importer), that manufactures,
processes, packs, or holds food. Such term does not include restaurants
or other establishments in which food is served solely for immediate
human consumption.
``(d) Rule of Construction.--Nothing in this section shall be
construed to authorize the Secretary to require an application, review,
or licensing process.''.
(b) Prohibited Acts.--
(1) In general.--Section 301 of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 331), as amended by section 303(d) of
this Act, is amended by adding at the end the following:
``(dd) The failure to register in accordance with section 415.''.
(2) Misbranded food.--Section 403 of the Federal Food,
Drug, and Cosmetic Act (21 U.S.C. 343) is amended by adding at
the end the following:
``(t) If it is manufactured, processed,
2000
packed, or held in a
facility that is not registered in accordance with section 415.''.
(c) Effective Date.--The amendment made by subsection (b) shall
take effect 180 days after the date of the enactment of this Act.
(d) Notice.--Not later than 60 days after the date of the enactment
of this Act, the Secretary of Health and Human Services, after
consultation with appropriate State and local officials, shall take
sufficient measures to notify entities that manufacture, process, pack,
or hold food for consumption in the United States of the requirement
pursuant to this section that facilities be registered with the
Secretary. The Secretary shall develop guidance, as needed, to identify
facilities required to register under this section.
(e) Electronic Filing.--For the purpose of reducing paperwork and
reporting burdens, the Secretary of Health and Human Services may
provide for, and encourage the use of, electronic methods of submitting
to the Secretary registrations required pursuant to this section. In
providing for the electronic submission of such registrations, the
Secretary shall ensure adequate authentication protocols are used to
enable identification of the registrant and validation of the data as
appropriate.
(f) Savings Clause.--This section may not be construed as
authorizing the Secretary of Health and Human Services to impose any
requirements with respect to a food to the extent that it is within the
exclusive jurisdiction of the Secretary of Agriculture pursuant to the
Federal Meat Inspection Act (21 U.S.C. 601 et seq.), the Poultry
Products Inspection Act (21 U.S.C. 451 et seq.), or the Egg Products
Inspection Act (21 U.S.C. 1031 et seq).
SEC. 306. PRIOR NOTICE OF IMPORTED FOOD SHIPMENTS.
(a) In General.--Section 801 of the Federal Food, Drug, and
Cosmetic Act, as amended by section 302(c) of this Act, is amended by
adding at the end the following subsection:
``(k)(1) In the case of an article of food that is being imported
or offered for import into the United States, the Secretary, after
consultation with the Secretary of the Treasury, shall by regulation
require, for the purpose of enabling such article to be inspected at
ports of entry into the United States, the submission to the Secretary
of a notice providing the identity of each of the following: The
article; the manufacturer and shipper of the article, and if known
within the specified period of time that notice is required to be
provided, the grower of the article; the country from which the article
originates; the country from which the article is shipped; and the
anticipated port of entry for the article. An article of food imported
or offered for import without submission of such notice in accordance
with regulations under this paragraph shall be refused admission into
the United States. Nothing in this section may be construed as a
limitation on the port of entry for an article of food.
``(2)(A) Regulations under paragraph (1) shall require that a
notice under such paragraph be provided by a specified period of time,
not fewer than 24 hours, in advance of the time of the importation of
the article of food involved or the offering of the food for import,
except that the advance period so required may not exceed 72 hours.
``(B)(i) If an article of food is being imported or offered for
import into the United States and a notice under paragraph (1) is not
provided in advance in accordance with subparagraph (A), such article
shall be held at the port of entry for the article, and may not be
delivered to the importer, owner, or consignee of the article, until
such notice is submitted to the Secretary, and the Secretary examines
the notice and determines that the notice is in accordance with
regulations under paragraph (1). The preceding sentence may not be
construed as authorizing such delivery pursuant to the execution of a
bond, pending such a determination by the Secretary.
``(ii) In carrying out clause (i) with respect to an article of
food, the Secretary shall determine whether there is in the possession
of the Secretary any credible evidence or information indicating that
such article presents a threat of serious adverse health consequences
or death to humans or animals.
``(3)(A) This subsection may not be construed as limiting the
authority of the Secretary to obtain information under any other
provision of this Act.
``(B) This subsection may not be construed as authorizing the
Secretary to impose any requirements with respect to a food to the
extent that it is within the exclusive jurisdiction of the Secretary of
Agriculture pursuant to the Federal Meat Inspection Act (21 U.S.C. 601
et seq.), the Poultry Products Inspection Act (21 U.S.C. 451 et seq.),
or the Egg Products Inspection Act (21 U.S.C. 1031 et seq).''.
(b) Prohibited Act.--Section 301 of the Federal Food, Drug, and
Cosmetic Act, as amended by section 305(b)(1) of this Act, is amended
by adding at the end the following:
``(ee) The importing or offering for import into the United States
of an article of food in violation of regulations under section
801(k).''.
SEC. 307. AUTHORITY TO MARK ARTICLES REFUSED ADMISSION INTO UNITED
STATES.
(a) In General.--Section 801 of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 381(a)), as amended by section 306(a) of this
Act, is amended by adding at the end the following:
``(l)(1) If a food has been refused admission under subsection (a),
other than such a food that is required to be destroyed, and the
Secretary determines that the food presents a threat of serious adverse
health consequences or death to humans or animals, the Secretary may
require the owner or consignee of the food to affix to the container of
the food a label that clearly and conspicuously bears the statement:
`UNITED STATES: REFUSED ENTRY'.
``(2) All expenses in connection with affixing a label under
paragraph (1) shall be paid by the owner or consignee of the food
involved, and in default of such payment, shall constitute a lien
against future importations made by such owner or consignee.
``(3) A requirement under paragraph (1) remains in effect until the
Secretary determines that the food involved has been brought into
compliance with this Act.''.
(b) Misbranded Foods.--Section 403 of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 343), as amended by section 305(b)(2) of this
Act, is amended by adding at the end the following:
``(u) If it fails to bear a label required by the Secretary under
section 801(l)(1) (relating to food refused admission into the United
States).''.
(c) Rule of Construction.--With respect to articles of food that
are imported or offered for import into the United States, nothing in
this section shall be construed to limit the authority of the Secretary
of Health and Human Services or the Secretary of the Treasury to
require the marking of refused articles of food under any other
provision of law.
SEC. 308. PROHIBITION AGAINST PORT SHOPPING FOR IMPORTATION.
Section 402 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
342) is amended by adding at the end the following:
``(h) If it is an article of food imported or offered for import
into the United States and such article has previously been refused
admission under section 801(a), unless the person reoffering the
article affirmatively establishes, at the expense of the owner or
consignee of the article, that the article is not adulterated, as
determined by the Secretary.''.
SEC. 309. NOTICES TO STATES REGARDING IMPORTED FOOD.
Chapter IX of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
391 et seq.) is amended by adding at the end the following new section:
``SEC. 908. NOTICES TO STATES REGARDING IMPORTED FOOD.
``(a) In General.--If the Secretary has credible evidence or
information indicating that a shipment of imported food or portion
thereof presents a threat of serious adverse health consequences or
death to humans or animals, the Secretary shall provide notice
regarding such th
2000
reat to the States in which the food is held or will
be held, and to the States in which the manufacturer, packer, or
distributor of the food is located, to the extent that the Secretary
has knowledge of which States are so involved. In providing the notice
to a State, the Secretary shall request the State to take such action
as the State considers appropriate, if any, to protect the public
health regarding the food involved.
``(b) Rule of Construction.--Subsection (a) may not be construed as
limiting the authority of the Secretary with respect to adulterated
food under any other provision of this Act.''.
SEC. 310. GRANTS TO STATES FOR INSPECTIONS; RESPONSE TO NOTICE
REGARDING ADULTERATED IMPORTED FOOD.
Chapter IX of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
391 et seq.), as amended by section 309 of this Act, is amended by
adding at the end the following new section:
``SEC. 909. GRANTS TO STATES REGARDING FOOD INSPECTIONS.
``(a) In General.--The Secretary may make grants to States and
Territories for the purpose of conducting with respect to food
examinations, inspections, investigations, and related activities under
section 702 through individuals who, under subsection (a) of such
section, are duly commissioned by the Secretary as officers of the
Department.
``(b) Notices Regarding Adulterated Imported Food.--The Secretary
may make grants to the States for the purpose of assisting the States
with the costs of taking appropriate action to protect the public
health in response to notices under section 908, including planning and
otherwise preparing to take such action.
``(c) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated such sums as
may be necessary for each of the fiscal years 2002 through 2006.''.
Subtitle B--Protection of Drug Supply
SEC. 311. ANNUAL REGISTRATION OF FOREIGN MANUFACTURERS; SHIPPING
INFORMATION; DRUG AND DEVICE LISTING.
(a) Annual Registration; Listing.--
(1) In general.--Section 510 of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 360) is amended--
(A) in subsection (i)(1)--
(i) by striking ``Any establishment'' and
inserting ``On or before December 31 of each
year, any establishment'';
(ii) by striking ``establishment and the
name'' and inserting ``establishment, the
name''; and
(iii) by inserting before the period the
following: ``, the name of each importer of
such drug or device in the United States that
is known to the establishment, and the name of
each carrier used by the establishment in
transporting such drug or device to the United
States for purposes of importation''; and
(B) in subsection (j)(1), in the first sentence, by
striking ``or (d)'' and inserting ``(d), or (i)''.
(2) Misbranding.--Section 502(o) of the Federal Food, Drug,
and Cosmetic Act (21 U.S.C. 352(o)) is amended by striking ``in
any State''.
(b) Importation; Statement Regarding Registration of
Manufacturer.--
(1) In general.--Section 801 of the Federal Food, Drug, and
Cosmetic Act, as amended by section 307(a) of this Act, is
amended by adding at the end the following subsection:
``(m) A drug or device that is imported or offered for import into
the United States may be refused admission if the importer of the drug
or device does not, at the time of offering the drug or device for
import, submit to the Secretary a statement that identifies the
registration under section 510(i) of each establishment that with
respect to such drug or device is required under such section to
register with the Secretary.''.
(2) Prohibited act.--Section 301 of the Federal Food, Drug,
and Cosmetic Act, as amended by section 306(b) of this Act, is
amended by adding at the end the following:
``(ff) The importing or offering for import into the United States
of a drug or device with respect to which there is a failure to comply
with an order of the Secretary to submit to the Secretary a statement
under section 801(m).''.
(c) Effective Date.--The amendments made by this section take
effect upon the expiration of the 180-day period beginning on the date
of the enactment of this Act.
SEC. 312. REQUIREMENT OF ADDITIONAL INFORMATION REGARDING IMPORT
COMPONENTS INTENDED FOR USE IN EXPORT PRODUCTS.
(a) In General.--Section 801(d)(3) of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 381(d)(3)) is amended to read as follows:
``(3)(A) Subject to subparagraph (B), no component of a drug, no
component part or accessory of a device, or other article of device
requiring further processing, which is ready or suitable for use for
health-related purposes, and no article of a food additive, color
additive, or dietary supplement, including a product in bulk form,
shall be excluded from importation into the United States under
subsection (a) if each of the following conditions is met:
``(i) The importer of such article of a drug or device or
importer of such article of a food additive, color additive, or
dietary supplement submits to the Secretary, at the time of
initial importation, a statement in accordance with the
following:
``(I) Such statement provides that such article is
intended to be further processed by the initial owner
or consignee, or incorporated by the initial owner or
consignee, into a drug, biological product, device,
food, food additive, color additive, or dietary
supplement that will be exported by the initial owner
or consignee from the United States in accordance with
subsection (e) or section 802, or with section 351(h)
of the Public Health Service Act.
``(II) The statement identifies the manufacturer of
such article and each processor, packer, distributor,
carrier, or other entity that had possession of the
article in the chain of possession of the article from
the manufacturer to such importer of the article.
``(ii) If such article is known to be, or to contain or
bear, any chemical substance or biological substance, the
statement under clause (i) is accompanied by such certificates
of analysis as are necessary to identify each such substance.
``(iii) At the time of initial importation and before the
delivery of such article to the importer or the initial owner
or consignee, such owner or consignee executes a good and
sufficient bond providing for the payment of such liquidated
damages in the event of default as may be required pursuant to
regulations of the Secretary of the Treasury.
``(iv) Such article is used and exported by the initial
owner or consignee in accordance with the intent described
under clause (i)(I), except for any portions of the article
that are destroyed.
``(v) The initial owner or consignee maintains records on
the use or destruction of such article or portions thereof, as
the case may be, and submits to the Secretary any such records
requested by the Secretary.
``(vi) Upon request of the Secretary, the initial owner or
consignee submits a report that provides an accounting of the
exportation or destruction of such article or portions thereof,
and the manner in which such owner or consignee complied with
2000
the requirements of this subparagraph.
``(B) Subparagraph (A) does not apply to the import or offering for
import into the United States of an article if the Secretary determines
that there is credible evidence or information indicating that such
article presents a threat of serious adverse health consequences or
death to humans or animals.
``(C) This section may not be construed as affecting the
responsibility of the Secretary to ensure that articles imported into
the United States under authority of subparagraph (A) meet each of the
conditions established in such subparagraph for importation.''.
(b) Prohibited Act.--Section 301(w) of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 331(w)) is amended to read as follows:
``(w) The making of a knowingly false statement in any statement,
certificate of analysis, record, or report required or requested under
section 801(d)(3); the failure to submit a certificate of analysis as
required under such section; the failure to maintain records or to
submit records or reports as required by such section; the release into
interstate commerce of any article or portion thereof imported into the
United States under such section or any finished product made from such
article or portion, except for export in accordance with section 801(e)
or 802, or with section 351(h) of the Public Health Service Act; or the
failure to so export or to destroy such an article or portions thereof,
or such a finished product.''.
(c) Effective Date.--The amendments made by this section take
effect upon the expiration of the 90-day period beginning on the date
of the enactment of this Act.
TITLE IV-DRINKING WATER SECURITY AND SAFETY
SEC. 401. AMENDMENT OF THE SAFE DRINKING WATER ACT.
The Safe Drinking Water Act (title XIV of the Public Health Service
Act) is amended as follows:
(1) By inserting the following new sections after section
1432:
``SEC. 1433. TERRORIST AND OTHER INTENTIONAL ACTS.
``(a) Vulnerability Assessments.--(1) Each community water system
serving a population of greater than 3,300 persons shall conduct an
assessment of the vulnerability of its system to a terrorist attack or
other intentional acts intended to substantially disrupt the ability of
the system to provide a safe and reliable supply of drinking water. The
vulnerability assessment shall include, but not be limited to, a review
of pipes and constructed conveyances, physical barriers, water
collection, pretreatment, treatment, storage and distribution
facilities, electronic, computer or other automated systems which are
utilized by the public water system, the use, storage, or handling of
various chemicals, and the operation and maintenance of such system.
The Administrator, not later than March 1, 2002, after consultation
with appropriate departments and agencies of the Federal Government and
with State and local governments, shall provide baseline information to
community water systems required to conduct vulnerability assessments
regarding which kinds of terrorist attacks or other intentional acts
are the probable threats to--
``(A) substantially disrupt the ability of the system to
provide a safe and reliable supply of drinking water; or
``(B) otherwise present significant public health concerns.
``(2) Each community water system referred to in paragraph (1)
shall certify to the Administrator that the system has conducted an
assessment complying with paragraph (1) prior to:
``(A) December 31, 2002, in the case of systems serving a
population of 100,000 or more.
``(B) June 30, 2003, in the case of systems serving a
population of 50,000 or more but less than 100,000.
``(C) December 31, 2003, in the case of systems serving a
population greater than 3,300 but less than 50,000.
``(b) Emergency Response Plan.--Each community water system serving
a population greater than 3,300 shall prepare or revise, where
necessary, an emergency response plan that incorporates the results of
vulnerability assessments that have been completed. Each such community
water system shall certify to the Administrator, as soon as reasonably
possible after the enactment of this section, but not later than 6
months after the completion of the vulnerability assessment under
subsection (a), that the system has completed such plan. The emergency
response plan shall include, but not be limited to, plans, procedures,
and identification of equipment that can be implemented or utilized in
the event of a terrorist or other intentional attack on the public
water system. The emergency response plan shall also include actions,
procedures, and identification of equipment which can obviate or
significantly lessen the impact of terrorist attacks or other
intentional actions on the public health and the safety and supply of
drinking water provided to communities and individuals. Community water
systems shall, to the extent possible, coordinate with existing Local
Emergency Planning Committees established under the Emergency Planning
and Community Right-to-Know Act (42 U.S.C. 11001, et seq.) when
preparing or revising an emergency response plan under this subsection.
``(c) Guidance to Small Public Water Systems.--The Administrator
shall provide guidance to community water systems serving a population
of less than 3,300 persons on how to conduct vulnerability assessments,
prepare emergency response plans, and address threats from terrorist
attacks or other intentional actions designed to disrupt the provision
of safe drinking water or significantly affect the public health or
significantly affect the safety or supply or drinking water provided to
communities and individuals.
``(d) Funding.--There are authorized to be appropriated to carry
out this section not more than $120,000,000 for the fiscal year 2002
and such sums as may be necessary for fiscal year 2003 and fiscal year
2004. The Administrator, in coordination with State and local
governments, may provide financial assistance to community water
systems for purposes of compliance with the requirements of subsections
(a) and (b) and to community water systems for expenses and contracts
designed to address basic security enhancements of critical importance
and significant threats to public health and the supply of drinking
water as determined by a vulnerability assessment under subsection (a).
``SEC. 1434. CONTAMINANT PREVENTION, DETECTION AND RESPONSE.
``(a) In General.--The Administrator, in consultation with the
Centers for Disease Control and, after consultation with appropriate
departments and agencies of the Federal Government and with State and
local governments, shall review (or enter into contracts or cooperative
agreements to provide for a review of) current and future methods to
prevent, detect and respond to the intentional introduction of
chemical, biological or radiological contaminants into community water
systems and source water for community water systems, including each of
the following:
``(1) Methods, means and equipment designed to monitor and
detect chemical, biological, and radiological contaminants and
reduce the likelihood that such contaminants can be
successfully introduced into water supplies intended to be used
for drinking water.
``(2) Methods and means to provide sufficient notice to
operators of public water systems, and individuals served by
such systems, of the introduction of chemical, biological or
radiological contaminants and the possible effect of such
introduction on public health and the safety and supply of
drinking water.
``(3) Procedures and equipment necessary to prevent the
flow of contaminated drinking water to individuals served by
public water systems.
``(4) Methods, means, and equipment which could negate or
mitigate deleterious effects on public health and the
13bb
safety
and supply caused by the introduction of contaminants into
water intended to be used for drinking water, including an
examination of the effectiveness of various drinking water
technologies in removing, inactivating, or neutralizing
biological, chemical, and radiological contaminants.
``(5) Biomedical research into the short-term and long-term
impact on public health of various chemical, biological and
radiological contaminants that may be introduced into public
water systems through terrorist of other intentional acts.
``(b) Funding.--For the authorization of appropriations to carry
out this section, see section 1435(c).
``SEC. 1435. SUPPLY DISRUPTION PREVENTION, DETECTION AND RESPONSE.
``(a) Disruption of Supply or Safety.--The Administrator, in
coordination with the appropriate departments and agencies of the
Federal Government, shall review (or enter into contracts or
cooperative agreements to provide for a review of) methods and means by
which terrorists or other individuals or groups could disrupt the
supply of safe drinking water or take other actions against water
collection, pretreatment, treatment, storage and distribution
facilities which could render such water significantly less safe for
human consumption, including each of the following:
``(1) Methods and means by which pipes and other
constructed conveyances utilized in public water systems could
be destroyed or otherwise prevented from providing adequate
supplies of drinking water meeting applicable public health
standards.
``(2) Methods and means by which collection, pretreatment,
treatment, storage and distribution facilities utilized or used
in connection with public water systems and collection and
pretreatment storage facilities used in connection with public
water systems could be destroyed or otherwise prevented from
providing adequate supplies of drinking water meeting
applicable public health standards.
``(3) Methods and means by which pipes, constructed
conveyances, collection, pretreatment, treatment, storage and
distribution systems that are utilized in connection with
public water systems could be altered or affected so as to be
subject to cross-contamination of drinking water supplies.
``(4) Methods and means by which pipes, constructed
conveyances, collection, pretreatment, treatment, storage and
distribution systems that are utilized in connection with
public water systems could be reasonably protected from
terrorist attacks or other acts intended to disrupt the supply
or affect the safety of drinking water.
``(b) Alternative Sources.--the review under this section shall
also include a review of the methods and means by which alternative
supplies of drinking water could be provided in the event of the
destruction, impairment or contamination of public water systems.
``(c) Funding.--There are authorized to be appropriated to carry
out this section and section 1434 not more than $15,000,000 for the
fiscal year 2002 and such sums as may be necessary for fiscal year 2003
and fiscal year 2004.''.
(2) Section 1414(i)(1) is amended by inserting ``1433''
after ``1417''.
(3) Section 1431 is amended by inserting in the first
sentence after ``drinking water'' the following: ``, or that
there is a threatened or potential terrorist attack (or other
intentional act designed to disrupt the provision of safe
drinking water or to impact adversely the safety of drinking
water supplied to communities and individuals), which''.
(4) Section 1432 is amended as follows:
(A) By striking ``5 years'' in subsection (a) and
inserting ``20 years''.
(B) By striking ``3 years'' in subsection (b) and
inserting ``10 years''.
(C) By striking ``$50,000'' in subsection (c) and
inserting ``$1,000,000''.
(D) By striking ``$20,000'' in subsection (c) and
inserting ``$100,000''.
(5) Section 1442 is amended as follows:
(A) By striking ``this subparagraph'' in subsection
(b) and inserting ``this subsection''.
(B) By amending subsection (d) to read as follows:
``(d) There are authorized to be appropriated to carry out
subsection (b) not more than $35,000,000 for the fiscal year 2002 and
such sums as may be necessary for each fiscal year thereafter.''.
Passed the House of Representatives December 12, 2001.
Attest:
JEFF TRANDAHL,
Clerk.
0