Sec. 202. AMENDMENTS TO PREPAREDNESS AND RESPONSE PROGRAMS
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## SEC. 202 AMENDMENTS TO PREPAREDNESS AND RESPONSE PROGRAMS ###
(a)Cooperative Agreement Applications for Improving State and Local Public Health Security Section 319C-1 (42 U.S.C. 247d-3a) is amended— ####
(1)in subsection (a), by inserting “, acting through the Director of the Centers for Disease Control and Prevention,” after “the Secretary”; and ####
(2)in subsection (b)(2)(A)— #####
(A)in clause (vi), by inserting “, including public health agencies with specific expertise that may be relevant to public health security, such as environmental health agencies,” after “stakeholders”; #####
(B)by redesignating clauses
(vii)through
(ix)as clauses
(viii)through (x); #####
(C)by inserting after clause
(vi)the following: > > ###### “(vii) > > a description of how, as applicable, such entity may integrate information to account for individuals with behavioral health needs following a public health emergency;” > ; #####
(D)in clause (ix), as so redesignated, by striking “; and” and inserting a semicolon; and #####
(E)by adding at the end the following: > > ###### “(xi) > > a description of how the entity will partner with health care facilities, including hospitals and nursing homes and other long-term care facilities, to promote and improve public health preparedness and response; and > > > ###### “(xii) > > a description of how, as appropriate and practicable, the entity will include critical infrastructure partners, such as utility companies within the entity’s jurisdiction, in planning pursuant to this subparagraph to help ensure that critical infrastructure will remain functioning during, or return to function as soon as practicable after, a public health emergency;” > . ###
(b)Exception Relating to Application of Certain Requirements ####
(1)In general Section 319C-1(g) (42 U.S.C. 247d-3a(g)) is amended— #####
(A)in paragraph (5)— ######
(i)in the matter preceding subparagraph (A), by striking “Beginning with fiscal year 2009” and inserting “Beginning with fiscal year 2019”; and ######
(ii)in subparagraph (A)— ######
(I)by striking “for the immediately preceding fiscal year” and inserting “for either of the 2 immediately preceding fiscal years”; and ######
(II)by striking “2008” and inserting “2018”; and #####
(B)in paragraph (6), by amending subparagraph
(A)to read as follows: > > ##### “(A) In general > > The amounts described in this paragraph are the following amounts that are payable to an entity for activities described in this section or section 319C-2: > > > ###### “(i) > > For no more than one of each of the first 2 fiscal years immediately following a fiscal year in which an entity experienced a failure described in subparagraph
(A)or
(B)of paragraph (5), an amount equal to 10 percent of the amount the entity was eligible to receive for the respective fiscal year. > > > ###### “(ii) > > For no more than one of the first 2 fiscal years immediately following the third consecutive fiscal year in which an entity experienced such a failure, in lieu of applying clause (i), an amount equal to 15 percent of the amount the entity was eligible to receive for the respective fiscal year.” > . ####
(2)Effective date **[**[42 U.S.C. 247d-3a note](/us/usc/t42/s247d-3a)**]** The amendments made by paragraph
(1)shall apply with respect to cooperative agreements awarded on or after the date of enactment of this Act. ###
(c)Partnership for State and Regional Hospital Preparedness To Improve Surge Capacity Section 319C-2 (42 U.S.C. 247d-3b) is amended— ####
(1)in subsection (a)— #####
(A)by inserting “, acting through the Assistant Secretary for Preparedness and Response,” after “The Secretary”; and #####
(B)by striking “preparedness for public health emergencies” and inserting “preparedness for, and response to, 133 STAT. 910 public health emergencies in accordance with subsection (c)”; ####
(2)in subsection (b)(1)(A)— #####
(A)by striking “partnership consisting of” and inserting “coalition that includes”; #####
(B)in clause (ii), by striking “; and” and inserting a semicolon; and #####
(C)by adding at the end the following: > > ###### “(iv) > > one or more emergency medical service organizations or emergency management organizations; and” > ; ####
(3)in subsection (d)— #####
(A)in paragraph (1)(B), by striking “partnership” each place it appears and inserting “coalition”; and #####
(B)in paragraph (2)(C), by striking “medical preparedness” and inserting “preparedness and response”; ####
(4)in subsection (f), by striking “partnership” and inserting “coalition”; ####
(5)in subsection (g)(2)— #####
(A)by striking “Partnerships” and inserting “Coalitions”; #####
(B)by striking “partnerships” and inserting “coalitions”; and #####
(C)by inserting “and response” after “preparedness”; and ####
(6)in subsection (i)(1)— #####
(A)by striking “An entity” and inserting “A coalition”; and #####
(B)by striking “such partnership” and inserting “such coalition”. ###
(d)Public Health Security Grants Authorization of Appropriations Section 319C-1(h)(1)(A) (42 U.S.C. 247d-3a(h)(1)(A)) is amended by striking “$641,900,000 for fiscal year 2014” and all that follows through the period at the end and inserting “$685,000,000 for each of fiscal years 2019 through 2023 for awards pursuant to paragraph
(3)(subject to the authority of the Secretary to make awards pursuant to paragraphs
(4)and (5)).”. ###
(e)Partnership for State and Regional Hospital Preparedness Authorization of Appropriations Section 319C-2(j) (42 U.S.C. 247d-3b(j)) is amended— ####
(1)by amending paragraph
(1)to read as follows: > > #### “(1) In general > > > ##### “(A) Authorization of appropriations > > For purposes of carrying out this section and section 319C-3, in accordance with subparagraph (B), there is authorized to be appropriated $385,000,000 for each of fiscal years 2019 through 2023. > > > ##### “(B) Reservation of amounts for regional systems > > > ###### “(i) In general > > Subject to clause (ii), of the amount appropriated under subparagraph
(A)for a fiscal year, the Secretary may reserve up to 5 percent for the purpose of carrying out section 319C-3. > > > ###### “(ii) Reservation contingent on continued appropriations for this section > > If for fiscal year 2019 or a subsequent fiscal year, the amount appropriated under subparagraph
(A)is such that, after application of clause (i), the amount remaining for the purpose of carrying out this section would be less than the amount available for such purpose for the previous fiscal year, the amount that may be reserved under clause
(i)shall be reduced such that the amount remaining for the purpose of carrying out this section is not less than the amount available for such purpose for the previous fiscal year. > > > ###### “(iii) Sunset > > The authority to reserve amounts under clause
(i)shall expire on September 30, 2023.” > ; ####
(2)in paragraph (2), by striking “paragraph
(1)for a fiscal year” and inserting “paragraph (1)(A) for a fiscal year and not reserved for the purpose described in paragraph (1)(B)(i)”; and ####
(3)in paragraph (3)(A), by striking “paragraph
(1)and not reserved under paragraph (2)” and inserting “paragraph (1)(A) and not reserved under paragraph (1)(B)(i) or (2)”.
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