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PUBLIC HEALTH SECURITY AND BIOTERRORISM PREPAREDNESS AND RESPONSE
ACT OF 2002
Public Law 107-188 107th Congress
An Act
To improve the ability of the United States to prevent, prepare
for, and respond to bioterrorism and other public health
emergencies. <<NOTE: June 12, 2002 - [H.R. 3448]>>
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled, <<NOTE:
Public Health Security and Bioterrorism Preparedness and Response
Act of 2002.>>
SECTION 1. SHORT TITLE; TABLE <<NOTE: 42 USC 201
note.>> OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Public Health
Security and Bioterrorism Preparedness and Response Act of 2002''.
(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 Public Health Emergency Preparedness;
National Disaster Medical System. Sec. 103. Improving ability of
Centers for Disease Control and Prevention. Sec. 104. Advisory
committees and communications; study regarding communications
abilities of public health agencies. 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 advance registration of health
professions volunteers. Sec. 108. Working group. Sec. 109.
Antimicrobial resistance. Sec. 110. Supplies and services in lieu
of award funds. Sec. 111. Additional amendments.
Subtitle B--Strategic National Stockpile; Development of
Priority Countermeasures
Sec. 121. Strategic national stockpile. Sec. 122. Accelerated
approval of priority countermeasures. Sec. 123. Issuance of rule
on animal trials. 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--Improving State, Local, and Hospital Preparedness
for and Response to Bioterrorism and Other Public Health
Emergencies
Sec. 131. Grants to improve State, local, and hospital
preparedness for and response to bioterrorism and other public
health emergencies.
Subtitle D--Emergency Authorities; Additional Provisions
Sec. 141. Reporting deadlines. Sec. 142. Streamlining and
clarifying communicable disease quarantine provisions.
Sec. 143. Emergency waiver of Medicare, Medicaid, and SCHIP
requirements. Sec. 144. Provision for expiration of public health
emergencies.
Subtitle E--Additional Provisions
Sec. 151. Designated State public emergency announcement plan.
Sec. 152. Expanded research by Secretary of Energy. Sec. 153.
Expanded research on worker health and safety. Sec. 154.
Enhancement of emergency preparedness of Department of Veterans
Affairs. Sec. 155. Reauthorization of existing program. Sec. 156.
Sense of Congress. Sec. 157. General Accounting Office report.
Sec. 158. Certain awards. Sec. 159. Public access defibrillation
programs and public access defibrillation demonstration projects.
TITLE II--ENHANCING CONTROLS ON DANGEROUS BIOLOGICAL AGENTS AND
TOXINS
Subtitle A--Department of Health and Human Services
Sec. 201. Regulation of certain biological agents and toxins.
Sec. 202. Implementation by Department of Health and Human
Services. Sec. 203. Effective dates. Sec. 204. Conforming
amendment.
Subtitle B--Department of Agriculture
Sec. 211. Short title. Sec. 212. Regulation of certain
biological agents and toxins. Sec. 213. Implementation by
Department of Agriculture.
Subtitle C--Interagency Coordination Regarding Overlap Agents
and Toxins
Sec. 221. Interagency coordination.
Subtitle D--Criminal Penalties Regarding Certain Biological
Agents and Toxins
Sec. 231. Criminal penalties.
TITLE III--PROTECTING SAFETY AND SECURITY OF FOOD AND DRUG
SUPPLY
Subtitle A--Protection of Food Supply
Sec. 301. Food safety and security strategy. Sec. 302.
Protection against adulteration of food. Sec. 303. Administrative
detention. Sec. 304. Debarment for repeated or serious food import
violations. Sec. 305. Registration of food facilities. Sec. 306.
Maintenance and inspection of records for foods. Sec. 307. Prior
notice of imported food shipments. Sec. 308. Authority to mark
articles refused admission into United States. Sec. 309.
Prohibition against port shopping. Sec. 310. Notices to States
regarding imported food. Sec. 311. Grants to States for
inspections. Sec. 312. Surveillance and information grants and
authorities. Sec. 313. Surveillance of zoonotic diseases. Sec.
314. Authority to commission other Federal officials to conduct
inspections. Sec. 315. Rule of construction.
Subtitle B--Protection of Drug Supply
Sec. 321. Annual registration of foreign manufacturers;
shipping information; drug and device listing. Sec. 322.
Requirement of additional information regarding import components
intended for use in export products.
Subtitle C--General Provisions Relating to Upgrade of
Agricultural Security
Sec. 331. Expansion of Animal and Plant Health Inspection
Service activities. Sec. 332. Expansion of Food Safety Inspection
Service activities. Sec. 333. Biosecurity upgrades at the
Department of Agriculture. Sec. 334. Agricultural biosecurity.
Sec. 335. Agricultural bioterrorism research and development. Sec.
336. Animal enterprise terrorism penalties.
TITLE IV--DRINKING WATER SECURITY AND SAFETY
Sec. 401. Terrorist and other intentional acts. Sec. 402. Other
Safe Drinking Water Act amendments. Sec. 403. Miscellaneous and
technical amendments.
TITLE V--ADDITIONAL PROVISIONS
Subtitle A--Prescription Drug User Fees
Sec. 501. Short title. Sec. 502. Findings. Sec. 503.
Definitions. Sec. 504. Authority to assess and use drug fees. Sec.
505. Accountability and reports. Sec. 506. Reports of
postmarketing studies. Sec. 507. Savings clause. Sec. 508.
Effective date. Sec. 509. Sunset clause.
Subtitle B--Funding Provisions Regarding Food and Drug
Administration
Sec. 521. Office of Drug Safety. Sec. 522. Division of Drug
Marketing, Advertising, and Communications. Sec. 523. Office of
Generic Drugs.
Subtitle C--Additional Provisions
Sec. 531. Transition to digital television. Sec. 532. 3-year
delay in lock in procedures for Medicare+Choice plans; change in
Medicare+Choice reporting deadlines and annual, coordinated
election period for 2003, 2004, and 2005.
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.
(a) In General.--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 <<NOTE: 42 USC 300hh.>>
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) 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 local governments. ``(3) 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) should
include provisions in furtherance of the following: ``(1)
Providing effective assistance to State and local governments in
the event of bioterrorism or other public health emergency. ``(2)
Ensuring that State and local governments have 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) Appropriate laboratory readiness. ``(C)
Properly trained and equipped emergency response, public health,
and medical personnel. ``(D) Health and safety protection of
workers 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, medical devices, and other supplies) against biological
agents and toxins that may be involved in such emergencies. ``(4)
Ensuring coordination and minimizing duplication of Federal,
State, and local planning, preparedness, and response activities,
including during the investigation of a suspicious disease
outbreak or other potential public health emergency. ``(5)
Enhancing the readiness of hospitals and other health care
facilities to respond effectively to such emergencies.
``(c) Reports to Congress.-- ``(1) In general.--Not
<<NOTE: Deadline.>> later than one year after the date
of the enactment of the Public Health Security and Bioterrorism
Preparedness and Response Act of 2002, and biennially thereafter,
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) Additional authority.--Reports
submitted under paragraph (1) by the Secretary (other than the
first report) 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 of an emergency described in section 319(a).
``(d) 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 Preparedness and Response Act of
2002, were in effect with respect to preparing for and responding
effectively to bioterrorism and other public health
emergencies.''. (b) Other <<NOTE: 42 USC 247d-6
note.>> Reports.-- (1) In general.--Not <<NOTE:
Deadline.>> later than one year after the date of the
enactment of this Act, the Secretary of Health and Human Services
(referred to in this subsection as 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-- (A) the
recommendations and findings of the National Advisory Committee on
Children and Terrorism under section 319F(c)(2) of the Public
Health Service Act; (B) the recommendations and findings of the
EPIC Advisory Committee under section 319F(c)(3) of such Act; (C)
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 characteristics; (D) the
characteristics that may render areas or populations designated as
medically underserved populations (as defined in section 330 of
such Act) 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 characteristics; (E) 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 of such Act); and (F) the need for and
benefits of a National Disaster Response Medical Volunteer Service
that would be a private-sector, community-based rapid response
corps of medical volunteers.
(2) Study regarding local emergency response methods.--The
Secretary shall conduct a study of effective methods for the
provision of emergency response services through local governments
(including through private response contractors and volunteers of
such governments) in a consistent manner in response to acts of
bioterrorism or other public health emergencies. Not <<NOTE:
Deadline. Reports.>> 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 describing the findings of the study.
SEC. 102. ASSISTANT SECRETARY FOR PUBLIC HEALTH 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 <<NOTE: 42 USC
300hh-11.>> OF PREPAREDNESS FOR AND RESPONSE TO BIOTERRORISM
AND OTHER PUBLIC HEALTH EMERGENCIES.
``(a) Assistant Secretary for Public Health Emergency
Preparedness.-- ``(1) In general.--There is <<NOTE:
Establishment.>> established within the Department of Health
and Human Services the position of Assistant Secretary for Public
Health Emergency Preparedness. <<NOTE: President.>>
The President 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 Public Health Emergency Preparedness shall
carry out the following duties with respect to bioterrorism and
other public health emergencies: ``(A) Coordinate on behalf of the
Secretary-- ``(i) 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; and ``(ii) 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 and other public health emergencies.
``(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) 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. The Secretary shall designate
the Assistant Secretary for Public Health Emergency Preparedness
as the head of the National Disaster Medical System, subject to
the authority of the Secretary. ``(2) Federal and state
collaborative system.-- ``(A) In general.--The National Disaster
Medical 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 Disaster Medical 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 limited 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
Disaster Medical 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 Disaster Medical 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 Preparedness and Response Act of 2002,
the Secretary shall conduct an exercise to test the capability and
timeliness of the National Disaster Medical 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 Disaster Medical
System as the Secretary determines to be appropriate.
``(c) Criteria.-- ``(1) In general.--The Secretary shall
establish criteria for the operation of the National Disaster
Medical System.
``(2) 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 Disaster Medical 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 to respond to emergency situations for which
the National Disaster Medical System has not been activated by the
Secretary pursuant to subsection (b)(3)(A). Any such custody and
use of Federal personal property shall be on a reimbursable basis.
``(B) Provisions relating to circumstances in which an individual
or entity has agreements with both the National Disaster Medical
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 Disaster
Medical 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 Public
Health 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
appointment 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 Public Health 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 Disaster Medical System or when the
individual participates in a training program authorized by the
Assistant Secretary for Public Health 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
Disaster Medical 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) Rule of Construction Regarding Use of Commissioned
Corps.--If the Secretary assigns commissioned officers of the
Regular or Reserve Corps to serve with the National Disaster
Medical System, such assignments do not affect the terms and
conditions of their appointments as commissioned officers of the
Regular or Reserve Corps, respectively (including with respect to
pay and allowances, retirement, benefits, rights, privileges, and
immunities). ``(g) 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). ``(h) Authorization of Appropriations.--For
the purpose of providing for the Assistant Secretary for Public
Health Emergency Preparedness and the operations of the National
Disaster Medical 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 Disaster Medical
System.--It is the sense of the Congress that the Secretary of
Health and Human Services should provide sufficient resources to
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 the National Disaster Medical System.
SEC. 103. IMPROVING ABILITY OF CENTERS FOR DISEASE CONTROL AND
PREVENTION.
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) Facilities; Capacities.-- ``(1) Findings.--Congress finds
that the Centers for Disease Control and Prevention has an
essential role in defending against and combatting public health
threats and requires secure and modern facilities, and expanded
and improved capabilities related to bioterrorism and other public
health emergencies, sufficient to enable such Centers to conduct
this important mission. ``(2) Facilities.-- ``(A) 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 public health activities. ``(B)
Multiyear contracting authority.--For any project of designing,
constructing, equipping, or renovating any facility under
subparagraph (A), 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. ``(3) Improving the capacities of the
centers for disease control and prevention.--The Secretary, taking
into account evaluations under section 319B(a), 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, including
delivery of necessary information to rural areas;
``(C) improving capabilities for public health surveillance and
reporting activities, taking into account the integrated system or
systems of public health alert communications and surveillance
networks under subsection (b); and ``(D) improving laboratory
facilities related to bioterrorism and other public health
emergencies, including increasing the security of such facilities.
``(b) National Communications and Surveillance Networks.--
``(1) In general.--The Secretary, directly or through awards of
grants, contracts, or cooperative agreements, shall provide for
the establishment of an integrated system or systems of public
health alert communications and surveillance networks between and
among-- ``(A) Federal, State, and local public health officials;
``(B) public and private health-related laboratories, hospitals,
and other health care facilities; and ``(C) any other entities
determined appropriate by the Secretary. ``(2) Requirements.--The
Secretary shall ensure that networks under paragraph (1) allow for
the timely sharing and discussion, in a secure manner, of
essential information concerning bioterrorism or another public
health emergency, or recommended methods for responding to such an
attack or emergency. ``(3) Standards.--Not <<NOTE:
Deadline.>> later than one year after the date of the
enactment of the Public Health Security and Bioterrorism
Preparedness and Response Act of 2002, the Secretary, in
cooperation with health care providers and State and local public
health officials, shall establish any additional technical and
reporting standards (including standards for interoperability) for
networks under paragraph (1).
``(c) Authorization of Appropriations.-- ``(1) Facilities;
capacities.-- ``(A) Facilities.--For the purpose of carrying out
subsection (a)(2), 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. ``(B) Mission; Improving capacities.--For the purposes of
achieving the mission of the Centers for Disease Control and
Prevention described in subsection (a)(1), for carrying out
subsection (a)(3), for better conducting the capacities described
in section 319A, and for supporting 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)
National communications and surveillance networks.-- For the
purpose of carrying out subsection (b), there are authorized to be
appropriated such sums as may be necessary for each of the fiscal
years 2002 through 2006.''.
SEC. 104. ADVISORY COMMITTEES AND COMMUNICATIONS; STUDY
REGARDING COMMUNICATIONS ABILITIES OF PUBLIC HEALTH AGENCIES.
(a) In General.--Section 319F of the Public Health Service Act
(42 U.S.C. 247d-6) is amended-- (1) by striking subsections (b)
and (i); (2) by redesignating subsections (c) through (h) as
subsections (e) through (j), respectively; and (3) by inserting
after subsection (a) the following subsections:
``(b) Advice to the Federal Government.-- ``(1) Required
advisory committees.-- In <<NOTE: Establishment.>>
coordination with the working group under subsection (a), 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 <<NOTE: Establishment.>> 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 Preparedness and Response Act of 2002 to meet the
emergency health security 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
Preparedness and Response Act of 2002. ``(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 to
the Secretary and the working group under subsection (a) and
report on appropriate ways to communicate public health
information regarding bioterrorism and other public health
emergencies to the public. ``(C) Composition.--The EPIC Advisory
Committee shall be composed of individuals representing a diverse
group of experts in public health, medicine, communications,
behavioral psychology, and other areas determined appropriate by
the Secretary. ``(D) Dissemination.--The Secretary shall review
the recommendations of the EPIC Advisory Committee and ensure that
appropriate information is disseminated to the public. ``(E)
Termination.--The EPIC Advisory Committee terminates one year
after the date of the enactment of Public Health Security and
Bioterrorism Preparedness and Response Act of 2002.
``(c) Strategy for Communication of Information Regarding
Bioterrorism and Other Public Health Emergencies.--In coordination
with working group under subsection (a), the Secretary shall
develop a strategy for effectively communicating information
regarding bioterrorism and other public health emergencies, 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. ``(d) Recommendation
of Congress Regarding Official Federal Internet Site on
Bioterrorism.--It is the recommendation of Congress that there
should be established an official Federal Internet site on
bioterrorism, either directly or through provision of a grant to
an entity that has expertise in bioterrorism and the development
of websites, that should include information relevant to diverse
populations (including messages directed at the general public and
such relevant groups as medical personnel, public safety workers,
and agricultural workers) and links to appropriate State and local
government sites.''. (b) Study <<NOTE: 42 USC 247d-6
note.>> 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
determine whether 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,
particularly with respect to mobile communications, 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. 105. EDUCATION OF HEALTH CARE PERSONNEL; TRAINING
REGARDING PEDIATRIC ISSUES.
Section 319F(g) of the Public Health Service Act, as
redesignated by section 104(a)(2) of this <<NOTE: 42 USC
247d-6.>> 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 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) develop materials for proficiency testing of laboratory and
other public health personnel for the recognition and
identification of potential bioweapons and other agents that may
create a public health emergency; and ``(D) provide for
dissemination and teaching of the materials described in
subparagraphs (A) through (C) by appropriate means, which may
include telemedicine, long- distance learning, or other such
means. ``(2) Certain entities.--The entities through which
education and training activities described in paragraph (1) may
be carried out include Public Health Preparedness Centers, the
Public Health Service's Noble Training Center, the Emerging
Infections Program, the Epidemic Intelligence Service, the Public
Health Leadership Institute, multi-State, multi- institutional
consortia, other appropriate educational entities, professional
organizations and societies, private accrediting organizations,
and other nonprofit institutions or entities meeting criteria
established by the Secretary. ``(3) Grants and contracts.--In
carrying out paragraph (1), the Secretary may carry out activities
directly and through the award of grants and contracts, and may
enter into interagency cooperative agreements with other Federal
agencies. ``(4) 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 technical 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 <<NOTE: 42 USC 247d-7a.>>
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 ADVANCE REGISTRATION 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 <<NOTE: 42 USC 247d-7b.>>
SYSTEM FOR ADVANCE REGISTRATION 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 the advance registration of health
professionals for the purpose of verifying the credentials,
licenses, accreditations, and hospital privileges of such
professionals when, during public health emergencies, the
professionals volunteer to provide health services (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 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) 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). ``(d)
Coordination Among States.--The Secretary may 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. ``(e) 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. ``(f) 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. WORKING GROUP.
Section 319F of the Public Health Service Act, as amended by
section 104(a), <<NOTE: 42 USC 247d-6.>> is amended by
striking subsection (a) and inserting the following:
``(a) Working Group on Bioterrorism and Other Public Health
Emergencies.-- ``(1) In general.--The Secretary, in coordination
with the Secretary of Agriculture, the Attorney General, the
Director of Central Intelligence, the Secretary of Defense, the
Secretary of Energy, the Administrator of the Environmental
Protection Agency, the Director of the Federal Emergency
Management Agency, the Secretary of Labor, the Secretary of
Veterans Affairs, and with other similar Federal officials as
determined appropriate, shall establish a working group on the
prevention, preparedness, and response to bioterrorism and other
public health emergencies. Such joint working group, or
subcommittees thereof, shall meet periodically for the purpose of
consultation on, assisting in, and making recommendations on--
``(A) responding 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) prioritizing countermeasures required to
treat, prevent, or identify exposure to a biological agent or
toxin pursuant to section 351A; ``(C) facilitation of the awarding
of grants, contracts, or cooperative agreements for the
development, manufacture, distribution, supply-chain management,
and purchase of priority countermeasures; ``(D) research on
pathogens likely to be used in a biological threat or attack on
the civilian population; ``(E) development of shared standards for
equipment to detect and to protect against biological agents and
toxins; ``(F) assessment of the priorities for and enhancement of
the preparedness of public health institutions, providers of
medical care, and other emergency service personnel (including
firefighters) to detect, diagnose, and respond (including mental
health response) to a biological threat or attack; ``(G) in the
recognition that medical and public health professionals are
likely to provide much of the first response to such an attack,
development and enhancement of the quality of joint planning and
training programs that address the public health and medical
consequences of a biological threat or attack on the civilian
population between-- ``(i) local firefighters, ambulance
personnel, police and public security officers, or other emergency
response personnel (including private response contractors); and
``(ii) hospitals, primary care facilities, and public health
agencies; ``(H) development of strategies for Federal, State, and
local agencies to communicate information to the public regarding
biological threats or attacks;
``(I) ensuring that the activities under this subsection
address the health security needs of children and other vulnerable
populations; ``(J) strategies for decontaminating facilities
contaminated as a result of a biological attack, including
appropriate protections for the safety of workers conducting such
activities; ``(K) subject to compliance with other provisions of
Federal law, clarifying the responsibilities among Federal
officials for the investigation of suspicious outbreaks of disease
and other potential public health emergencies, and for related
revisions of the interagency plan known as the Federal response
plan; and ``(L) in consultation with the National Highway Traffic
Safety Administration and the U.S. Fire Administration, ways to
enhance coordination among Federal agencies involved with State,
local, and community based emergency medical services, including
issuing a report that-- ``(i) identifies needs of community-based
emergency medical services; and ``(ii) identifies ways to
streamline and enhance the process through which Federal agencies
support community-based emergency medical services. ``(2)
Consultation with experts.--In carrying out subparagraphs (B) and
(C) of paragraph (1), the working group under such paragraph shall
consult with the pharmaceutical, biotechnology, and medical device
industries, and other appropriate experts. ``(3) Use of
subcommittees regarding consultation requirements.--With respect
to a requirement under law that the working group under paragraph
(1) be consulted on a matter, the working group may designate an
appropriate subcommittee of the working group to engage in the
consultation. ``(4) Discretion in exercise of
duties.--Determinations made by the working group under paragraph
(1) with respect to carrying out duties under such paragraph are
matters committed to agency discretion for purposes of section
701(a) of title 5, Unites States Code. ``(5) Rule of
construction.--This subsection may not be construed as
establishing new regulatory authority for any of the officials
specified in paragraph (1), or as having any legal effect on any
other provision of law, including the responsibilities and
authorities of the Environmental Protection Agency.''.
SEC. 109. ANTIMICROBIAL RESISTANCE.
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 DNA analysis, or other 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. 110. 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 <<NOTE: 42 USC 247d-7c.>> 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. 111. 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), <<NOTE:
42 USC 247d-1.>> by striking ``10 years'' and inserting
``five years''; (2) in section 319B(a), in <<NOTE: 42 USC
247d-2.>> the first sentence, by striking ``10 years'' and
inserting ``five years''; and (3) in section 391F(e)(2), as
<<NOTE: 42 USC 247d- 6.>> redesignated by section
104(a)(2) of this Act-- (A) by striking ``or'' after ``clinic,'';
and (B) by inserting before the period following: ``, professional
organization or society, school or program that trains medical
laboratory personnel, private accrediting organization, or other
nonprofit private institution or entity meeting criteria
established by the Secretary''.
Subtitle B--Strategic National Stockpile; Development of
Priority Countermeasures
SEC. 121. STRATEGIC <<NOTE: 42 USC 300hh-12.>>
NATIONAL STOCKPILE.
(a) Strategic National Stockpile.-- (1) In general.--The
Secretary of Health and Human Services (referred to in this
section as the ``Secretary''), in coordination with the Secretary
of Veterans Affairs, 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 appropriate and practicable,
taking into account other available sources, to provide for the
emergency health security of the United States, including the
emergency health security of children and other vulnerable
populations, in the event of a bioterrorist attack or other public
health emergency. (2) Procedures.--The Secretary, in managing the
stockpile under paragraph (1), shall-- (A) consult with the
working group under section 319F(a) of the Public Health Service
Act; (B) ensure that adequate procedures are followed with respect
to such stockpile for inventory management and accounting, and for
the physical security of the stockpile; (C) in consultation with
Federal, State, and local officials, take into consideration the
timing and location of special events; (D) 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; (E) devise plans for
the effective and timely supply-chain management of the stockpile,
in consultation with appropriate Federal, State and local
agencies, and the public and private health care infrastructure;
and (F) ensure the adequate physical security of the stockpile.
(b) Smallpox Vaccine Development.-- (1) In general.--The
<<NOTE: Contracts.>> Secretary shall award contracts,
enter into cooperative agreements, or carry out such other
activities as may reasonably be required in order to ensure that
the stockpile under subsection (a) includes an amount of vaccine
against smallpox as determined by the Secretary to be sufficient
to meet the health security needs of the United States. (2) Rule
of construction.--Nothing in this section shall be construed to
limit the private distribution, purchase, or sale of vaccines from
sources other than the stockpile described in subsection (a).
(c) Disclosures.--No Federal agency shall disclose under
section 552, United States Code, any information identifying the
location at which materials in the stockpile under subsection (a)
are stored. (d) 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).
(e) Authorization of Appropriations.--
(1) Strategic national stockpile.--For the purpose of carrying
out subsection (a), there are authorized to be appropriated
$640,000,000 for fiscal year 2002, and such sums as may be
necessary for each of fiscal years 2003 through 2006. (2) Smallpox
vaccine development.--For the purpose of carrying out subsection
(b), there are authorized to be appropriated $509,000,000 for
fiscal year 2002, and such sums as may be necessary for each of
fiscal years 2003 through 2006.
SEC. 122. ACCELERATED <<NOTE: 21 USC 356-1.>>
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) or as a device granted review priority
pursuant to section 515(d)(5) of such Act (21 U.S.C. 360e(d)(5)).
Such a designation may be made prior to the submission of-- (1) a
request for designation by the sponsor or applicant; 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 or applicant from declining such a designation. (b) Use of
Animal Trials.--A drug for which approval is sought under section
505(b) of the Federal Food, Drug, and Cosmetic Act or section 351
of the Public Health Service Act on the basis of evidence of
effectiveness that is derived from animal studies pursuant to
section 123 may be designated as a fast track product for purposes
of this section. (c) Priority Review of Drugs and Biological
Products.--A priority countermeasure that is a drug or biological
product shall be considered a priority drug or biological product
for purposes of performance goals for priority drugs or biological
products agreed to by the Commissioner of Food and Drugs. (d)
Definitions.--For purposes of this title: (1) The term ``priority
countermeasure'' has the meaning given such term in section
319F(h)(4) of the Public Health Service Act. (2) The term
``priority drugs or biological products'' means a drug or
biological product that is the subject of a drug or biologics
application referred to in section 101(4) of the Food and Drug
Administration Modernization Act of 1997.
SEC. 123. ISSUANCE OF RULE ON ANIMAL TRIALS.
Not later <<NOTE: Deadline.>> than 90 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 under authority of section 505 of the Federal Food,
Drug, and Cosmetic Act and section 351 of the Public Health
Service Act 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), and shall promulgate a
final rule.
SEC. 124. SECURITY FOR COUNTERMEASURE DEVELOPMENT AND
PRODUCTION.
Part B of title III of the Public Health Service Act, as
amended by section 110 of this Act, is amended by inserting after
section 319J the following section:
``SEC. 319K. SECURITY <<NOTE: 42 USC 247d-7d.>> FOR
COUNTERMEASURE DEVELOPMENT AND PRODUCTION.
``(a) In General.--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)(4)). ``(b) Guidelines.--The Secretary may develop
guidelines to enable entities eligible to receive assistance under
subsection (a) to secure their facilities against potential
terrorist attack.''.
SEC. 125. ACCELERATED COUNTERMEASURE RESEARCH AND DEVELOPMENT.
Section 319F(h) of the Public Health Service Act, as
redesignated by section 104(a)(2) of this Act, <<NOTE: 42
USC 247d-6.>> is amended to read as follows:
``(h) Accelerated Research and Development on Priority
Pathogens and Countermeasures.-- ``(1) 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-- ``(A) the epidemiology and pathogenesis of such
pathogens; ``(B) the sequencing of the genomes, or other DNA
analysis, or other comparative analysis, of priority pathogens (as
determined by the Director of the National Institutes of Health in
consultation with the working group established in subsection
(a)), in collaboration and coordination with the activities of the
Department of Defense and the Joint Genome Institute of the
Department of Energy; ``(C) the development of priority
countermeasures; and ``(D) other relevant areas of research; with
consideration given to the needs of children and other vulnerable
populations. ``(2) Priority.--The Secretary shall give priority
under this section to the funding of research and other studies
related to priority countermeasures. ``(3) Role of department of
veterans affairs.--In carrying out paragraph (1), 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 paragraph, the Secretary may enter into
cooperative agreements with the Secretary of Veterans Affairs to
achieve such purposes.
``(4) Priority countermeasures.--For purposes of this section,
the term `priority countermeasure' means a drug, biological
product, device, vaccine, vaccine adjuvant, antiviral, or
diagnostic test that the Secretary determines to be-- ``(A) a
priority 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; or ``(B)
a priority to diagnose conditions that may result in adverse
health consequences or death and may be caused by the
administering of a drug, biological product, device, vaccine,
vaccine adjuvant, antiviral, or diagnostic test that is a priority
under subparagraph (A).''.
SEC. 126. EVALUATION OF NEW <<NOTE: 42 USC
300hh-13.>> 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 periodically evaluate new and emerging
technologies that, in the determination of the Secretary, are
designed to improve or enhance the ability of public health or
safety officials to 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, to the extent practicable-- (1)
survey existing technology programs funded by the Federal
Government for potentially useful technologies; (2) promptly issue
a request, as necessary, 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 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 <<NOTE: Deadline.>>
later than 180 days after the date of the enactment of this Act,
and periodically thereafter, 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 on the activities under this section.
SEC. 127. POTASSIUM <<NOTE: 42 USC 300hh-12 note.>>
IODIDE.
(a) In General.--Through the national stockpile under section
121, the President, subject to subsections (b) and (c), 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, in quantities
sufficient to provide adequate protection for the population
within 20 miles of a nuclear power plant. (b) State and Local
Plans.-- (1) In general.--Subsection (a) applies with respect to a
State or local government, subject to paragraph (2), if the
government involved meets the following conditions: (A) Such
government submits to the President 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.
(B) The plan is accompanied by certifications by such government
that the government has not already received sufficient quantities
of potassium iodide tablets from the Federal Government. (2) Local
governments.--Subsection (a) applies with respect to a local
government only if, in addition to the conditions described in
paragraph (1), the following conditions are met: (A) The State in
which the locality involved is located-- (i) does not have a plan
described in paragraph (1)(A); or (ii) has a plan described in
such paragraph, but the plan does not address populations at a
distance greater than 10 miles from the nuclear power plant
involved. (B) The local government has petitioned the State to
modify the State plan to address such populations, not exceeding
20 miles from such plant, and 60 days have elapsed without the
State modifying the State plan to address populations at the full
distance sought by the local government through the petition. (C)
The local government has submitted its local plan under paragraph
(1)(A) to the State, and the State has approved the plan and
certified that the plan is not inconsistent with the State
emergency plan.
(c) Guidelines.--Not <<NOTE: Deadline.>> later than
one year after the date of the enactment of this Act, the
President, in consultation with individuals representing
appropriate Federal, State, and local agencies, 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. Such tablets may not be made
available under subsection (a) until such guidelines have been
established.
(d) Information.--The President shall carry out activities to
inform State and local governments of the program under this
section. (e) Reports.-- (1) President.--Not later <<NOTE:
Deadline.>> than six months after the date on which the
guidelines under subsection (c) are issued, the President shall
submit to the Congress a report-- (A) on whether potassium iodide
tablets have been made available under subsection (a) or other
Federal, State, or local programs, and the extent to which State
and local governments have established stockpiles of such tablets;
and (B) the measures taken by the President to implement this
section. (2) National academy of sciences.-- (A) In general.--The
President <<NOTE: Contracts.>> shall request the
National Academy of Sciences to enter into an agreement with the
President under which the Academy conducts a study to determine
what is the most effective and safe way to distribute and
administer potassium iodide tablets on a mass scale. If the
Academy declines to conduct the study, the President shall enter
into an agreement with another appropriate public or nonprofit
private entity to conduct the study. (B) Report.--The
<<NOTE: Deadline.>> President shall ensure that, not
later than six months after the date of the enactment of this Act,
the study required in subparagraph (A) is completed and a report
describing the findings made in the study is submitted to the
Congress.
(f) Applicability.--Subsections (a) and (d) cease to apply as
requirements if the President determines that there is an
alternative and more effective prophylaxis or preventive measures
for adverse thyroid conditions that may result from the release of
radionuclides from nuclear power plants.
Subtitle C--Improving State, Local, and Hospital Preparedness
for and Response to Bioterrorism and Other Public Health
Emergencies
SEC. 131. GRANTS TO IMPROVE STATE, LOCAL, AND HOSPITAL
PREPAREDNESS FOR AND RESPONSE TO BIOTERRORISM AND OTHER PUBLIC
HEALTH EMERGENCIES.
(a) In General.--Part B of title III of the Public Health
Service Act (42 U.S.C. 243 et seq.) is amended by inserting after
section 319C the following sections:
``SEC. 319C-1. GRANTS <<NOTE: 42 USC 247d-3a.>> TO
IMPROVE STATE, LOCAL, AND HOSPITAL PREPAREDNESS FOR AND RESPONSE
TO BIOTERRORISM AND OTHER PUBLIC HEALTH EMERGENCIES.
``(a) In General.--To enhance the security of the United States
with respect to bioterrorism and other public health emergencies,
the Secretary shall make awards of grants or cooperative
agreements to eligible entities to enable such entities to conduct
the activities described in subsection (d). ``(b) Eligible
Entities.-- ``(1) In general.--To be eligible to receive an award
under subsection (a), an entity shall-- ``(A)(i) be a State; and
``(ii) prepare and submit to the Secretary an application at such
time, and in such manner, and containing such information as the
Secretary may require, including an assurance that the State--
``(I) has completed an evaluation under section 319B(a), or an
evaluation that is substantially equivalent to an evaluation
described in such section (as determined by the Secretary); ``(II)
has prepared, or will (within 60 days of receiving an award under
this section) prepare, a Bioterrorism and Other Public Health
Emergency Preparedness and Response Plan in accordance with
subsection (c); ``(III) has established a means by which to obtain
public comment and input on the plan prepared under subclause
(II), and on the implementation of such plan,
that shall include an advisory committee or other similar
mechanism for obtaining comment from the public at large as well
as from other State and local stakeholders; ``(IV) will use
amounts received under the award in accordance with the plan
prepared under subclause (II), including making expenditures to
carry out the strategy contained in the plan; and ``(V) with
respect to the plan prepared under subclause (II), will establish
reasonable criteria to evaluate the effective performance of
entities that receive funds under the award and include relevant
benchmarks in the plan; or ``(B)(i) be a political subdivision of
a State or a consortium of 2 or more such subdivisions; and ``(ii)
prepare and submit to the Secretary an application at such time,
and in such manner, and containing such information as the
Secretary may require. ``(2) Coordination with statewide
plans.--An award under subsection (a) to an eligible entity
described in paragraph (1)(B) may not be made unless the
application of such entity is in coordination with, and consistent
with, applicable Statewide plans described in subsection (d)(1).
``(c) Bioterrorism and Other Public Health Emergency
Preparedness and Response Plan.--Not later <<NOTE:
Deadline.>> than 60 days after receiving amounts under an
award under subsection (a), an eligible entity described in
subsection (b)(1)(A) shall prepare and submit to the Secretary a
Bioterrorism and Other Public Health Emergency Preparedness and
Response Plan. Recognizing the assessment of public health needs
conducted under section 319B, such plan shall include a
description of activities to be carried out by the entity to
address the needs identified in such assessment (or an equivalent
assessment).
``(d) Use of Funds.--An award under subsection (a) may be
expended for activities that may include the following and similar
activities: ``(1) To develop Statewide plans (including the
development of the Bioterrorism and Other Public Health Emergency
Preparedness and Response Plan required under subsection (c)), and
community-wide plans for responding to bioterrorism and other
public health emergencies that are coordinated with the capacities
of applicable national, State, and local health agencies and
health care providers, including poison control centers. ``(2) To
address deficiencies identified in the assessment conducted under
section 319B. ``(3) To purchase or upgrade equipment (including
stationary or mobile communications equipment), supplies,
pharmaceuticals or other priority countermeasures to enhance
preparedness for and response to bioterrorism or other public
health emergencies, consistent with the plan described in
subsection (c). ``(4) To conduct exercises to test the capability
and timeliness of public health emergency response activities.
``(5) To develop and implement the trauma care and burn center
care components of the State plans for the provision of emergency
medical services.
``(6) To improve training or workforce development to enhance
public health laboratories. ``(7) To train public health and
health care personnel to enhance the ability of such personnel--
``(A) to detect, provide accurate identification of, and recognize
the symptoms and epidemiological characteristics of exposure to a
biological agent that may cause a public health emergency; and
``(B) to provide treatment to individuals who are exposed to such
an agent. ``(8) To develop, enhance, coordinate, or improve
participation in systems by which disease detection and
information about biological attacks and other public health
emergencies can be rapidly communicated among national, State, and
local health agencies, emergency response personnel, and health
care providers and facilities to detect and respond to a
bioterrorist attack or other public health emergency, including
activities to improve information technology and communications
equipment available to health care and public health officials for
use in responding to a biological threat or attack or other public
health emergency. ``(9) To enhance communication to the public of
information on bioterrorism and other public health emergencies,
including through the use of 2-1-1 call centers. ``(10) To address
the health security needs of children and other vulnerable
populations with respect to bioterrorism and other public health
emergencies. ``(11) To provide training and develop, enhance,
coordinate, or improve methods to enhance the safety of workers
and workplaces in the event of bioterrorism. ``(12) To prepare and
plan for contamination prevention efforts related to public health
that may be implemented in the event of a bioterrorist attack,
including training and planning to protect the health and safety
of workers conducting the activities described in this paragraph.
``(13) To prepare a plan for triage and transport management in
the event of bioterrorism or other public health emergencies.
``(14) To enhance the training of health care professionals to
recognize and treat the mental health consequences of bioterrorism
or other public health emergencies. ``(15) To enhance the training
of health care professionals to assist in providing appropriate
health care for large numbers of individuals exposed to a
bioweapon. ``(16) To enhance training and planning to protect the
health and safety of personnel, including health care
professionals, involved in responding to a biological attack.
``(17) To improve surveillance, detection, and response activities
to prepare for emergency response activities including biological
threats or attacks, including training personnel in these and
other necessary functions and including early warning and
surveillance networks that use advanced information technology to
provide early detection of biological threats or attacks. ``(18)
To develop, enhance, and coordinate or improve the ability of
existing telemedicine programs to provide health care information
and advice as part of the emergency public health response to
bioterrorism or other public health emergencies.
Nothing in this subsection may be construed as establishing new
regulatory authority or as modifying any existing regulatory
authority. ``(e) Priorities in Use of Grants.-- ``(1) In
general.-- ``(A) Priorities.--Except as provided in subparagraph
(B), the Secretary shall, in carrying out the activities described
in this section, address the following hazards in the following
priority: ``(i) Bioterrorism or acute outbreaks of infectious
diseases. ``(ii) Other public health threats and emergencies.
``(B) Determination of the secretary.--In the case of the hazard
involved, the degree of priority that would apply to the hazard
based on the categories specified in clauses (i) and (ii) of
subparagraph (A) may be modified by the Secretary if the following
conditions are met: ``(i) The Secretary determines that the
modification is appropriate on the basis of the following factors:
``(I) The extent to which eligible entities are adequately
prepared for responding to hazards within the category specified
in clause (i) of subparagraph (A). ``(II) There has been a
significant change in the assessment of risks to the public health
posed by hazards within the category specified in clause (ii) of
such subparagraph. ``(ii) Prior to modifying the priority, the
Secretary notifies the appropriate committees of the Congress of
the determination of the Secretary under clause (i) of this
subparagraph. ``(2) Areas of emphasis within categories.--The
Secretary shall determine areas of emphasis within the category of
hazards specified in clause (i) of paragraph (1)(A), and shall
determine areas of emphasis within the category of hazards
specified in clause (ii) of such paragraph, based on an assessment
of the risk and likely consequences of such hazards and on an
evaluation of Federal, State, and local needs, and may also take
into account the extent to which receiving an award under
subsection (a) will develop capacities that can be used for public
health emergencies of varying types.
``(f) Certain Activities.--In administering activities under
section 319C(c)(4) or similar activities, the Secretary shall,
where appropriate, give priority to activities 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 entity, and
that cover geographic areas lacking advanced diagnostic and
laboratory capabilities. ``(g) Coordination with Local Medical
Response System.--An eligible entity and local Metropolitan
Medical Response Systems shall, to the extent practicable, ensure
that activities carried out under an award under subsection (a)
are coordinated with activities that are carried out by local
Metropolitan Medical Response Systems. ``(h) Coordination of
Federal Activities.--In making awards under subsection (a), the
Secretary shall-- ``(1) annually notify the Director of the
Federal Emergency Management Agency, the Director of the Office of
Justice Programs, and the Director of the National Domestic
Preparedness Office, as to the amount, activities covered under,
and status of such awards; and ``(2) coordinate such awards with
other activities conducted or supported by the Secretary to
enhance preparedness for bioterrorism and other public health
emergencies.
``(i) Definition.--For purposes of this section, the term
`eligible entity' means an entity that meets the conditions
described in subparagraph (A) or (B) of subsection (b)(1). ``(j)
Funding.-- ``(1) Authorizations of appropriations.-- ``(A) Fiscal
year 2003.-- ``(i) Authorizations.--For the purpose of carrying
out this section, there is authorized to be appropriated
$1,600,000,000 for fiscal year 2003, of which-- ``(I)
$1,080,000,000 is authorized to be appropriated for awards
pursuant to paragraph (3) (subject to the authority of the
Secretary to make awards pursuant to paragraphs (4) and (5)); and
``(II) $520,000,000 is authorized to be appropriated-- ``(aa) for
awards under subsection (a) to States, notwitstanding the
eligibility conditions under subsection (b), for the purpose of
enhancing the preparedness of hospitals (including children's
hospitals), clinics, health centers, and primary care facilities
for bioterrorism and other public health emergencies; and ``(bb)
for Federal, State, and local planning and administrative
activities related to such purpose. ``(ii) Contingent additional
authorization.-- If a significant change in circumstances warrants
an increase in the amount authorized to be appropriated under
clause (i) for fiscal year 2003, there are authorized to be
appropriated such sums as may be necessary for such year for
carrying out this section, in addition to the amount authorized in
clause (i). ``(B) Other fiscal years.--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 2004 through
2006. ``(2) Supplement not supplant.--Amounts appropriated under
paragraph (1) shall be used to supplement and not supplant other
State and local public funds provided for activities under this
section. ``(3) State bioterrorism and other public health
emergency preparedness and response block grant for fiscal year
2003.-- ``(A) In general.--For fiscal year 2003, the Secretary
shall, in an amount determined in accordance with subparagraphs
(B) through (D), make an award under subsection (a) to each State,
notwithstanding the eligibility conditions described in subsection
(b), that submits to the Secretary an application for the award
that meets the criteria of the Secretary for the receipt of such
an award and that meets other implementation conditions
established by the Secretary for such awards. No other awards may
be made under subsection (a) for such fiscal year, except as
provided in paragraph (1)(A)(i)(II) and paragraphs (4) and (5).
``(B) Base amount.--In determining the amount of an award pursuant
to subparagraph (A) for a State, the Secretary shall first
determine an amount the Secretary considers appropriate for the
State (referred to in this paragraph as the `base amount'), except
that such amount may not be greater than the minimum amount
determined under subparagraph (D). ``(C) Increase on basis of
population.--After determining the base amount for a State under
subparagraph (B), the Secretary shall increase the base amount by
an amount equal to the product of-- ``(i) the amount appropriated
under paragraph (1)(A)(i)(I) for the fiscal year, less an amount
equal to the sum of all base amounts determined for the States
under subparagraph (B), and less the amount, if any, reserved by
the Secretary under paragraphs (4) and (5); and ``(ii) subject to
paragraph (4)(C), the percentage constituted by the ratio of an
amount equal to the population of the State over an amount equal
to the total population of the States (as indicated by the most
recent data collected by the Bureau of the Census). ``(D) Minimum
amount.--Subject to the amount appropriated under paragraph
(1)(A)(i)(I), an award pursuant to subparagraph (A) for a State
shall be the greater of the base amount as increased under
subparagraph (C), or the minimum amount under this subparagraph.
The minimum amount under this subparagraph is-- ``(i) in the case
of each of the several States, the District of Columbia, and the
Commonwealth of Puerto Rico, an amount equal to the lesser of--
``(I) $5,000,000; or ``(II) if the amount appropriated under
paragraph (1)(A)(i)(I) is less than $667,000,000, an amount equal
to 0.75 percent of the amount appropriated under such paragraph,
less the amount, if any, reserved by the Secretary under
paragraphs (4) and (5); or ``(ii) in the case of each of American
Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and
the Virgin Islands, an amount determined by the Secretary to be
appropriate, except that such amount may not exceed the amount
determined under clause (i). ``(4) Certain political
subdivisions.-- ``(A) In general.--For fiscal year 2003, the
Secretary may, before making awards pursuant to paragraph (3) for
such year, reserve from the amount appropriated under paragraph
(1)(A)(i)(I) for the year an amount determined necessary by the
Secretary to make awards under subsection (a) to political
subdivisions that have a substantial number of residents, have a
substantial local infrastructure for responding to public health
emergencies, and face a high degree of risk from bioterrorist
attacks or other public health emergencies. Not more than three
political subdivisions may receive awards pursuant to this
subparagraph. ``(B) Coordination with statewide plans.--An award
pursuant to subparagraph (A) may not be made unless the
application of the political subdivision involved is in
coordination with, and consistent with, applicable Statewide plans
described in subsection (c). ``(C) Relationship to formula
grants.--In the case of a State that will receive an award
pursuant to paragraph (3), and in which there is located a
political subdivision that will receive an award pursuant to
subparagraph (A), the Secretary shall, in determining the amount
under paragraph (3)(C) for the State, subtract from the population
of the State an amount equal to the population of such political
subdivision. ``(D) Continuity of funding.--In determining whether
to make an award pursuant to subparagraph (A) to a political
subdivision, the Secretary may consider, as a factor indicating
that the award should be made, that the political subdivision
received public health funding from the Secretary for fiscal year
2002. ``(5) Significant unmet needs; degree of risk.-- ``(A) In
general.--For fiscal year 2003, the Secretary may, before making
awards pursuant to paragraph (3) for such year, reserve from the
amount appropriated under paragraph (1)(A)(i)(I) for the year an
amount determined necessary by the Secretary to make awards under
subsection (a) to eligible entities that-- ``(i) have a
significant need for funds to build capacity to identify, detect,
monitor, and respond to a bioterrorist or other threat to the
public health, which need will not be met by awards pursuant to
paragraph (3); and ``(ii) face a particularly high degree of risk
of such a threat. ``(B) Recipients of grants.--Awards pursuant to
subparagraph (A) may be supplemental awards to States that receive
awards pursuant to paragraph (3), or may be awards to eligible
entities described in subsection (b)(1)(B) within such States.
``(C) Finding with respect to district of columbia.--The Secretary
shall consider the District of Columbia to have a significant
unmet need for purposes of subparagraph (A), and to face a
particularly high degree of risk for such purposes, on the basis
of the concentration of entities of national significance located
within the District. ``(6) Funding of local entities.--For fiscal
year 2003, the Secretary shall in making awards under this section
ensure that appropriate portions of such awards are made available
to political subdivisions, local departments of public health,
hospitals (including children's hospitals), clinics, health
centers, or primary care facilities, or consortia of such
entities.
``SEC. 319C-2. PARTNERSHIPS <<NOTE: 42 USC
247d-3b.>> FOR COMMUNITY AND HOSPITAL PREPAREDNESS.
``(a) Grants.--The Secretary shall make awards of grants or
cooperative agreements to eligible entities to enable such
entities to improve community and hospital preparedness for
bioterrorism and other public health emergencies. ``(b)
Eligibility.--To be eligible for an award under subsection (a), an
entity shall-- ``(1) be a partnership consisting of-- ``(A) one or
more hospitals (including children's hospitals), clinics, health
centers, or primary care facilities; and ``(B)(i) one or more
political subdivisions of States; ``(ii) one or more States; or
``(iii) one or more States and one or more political subdivisions
of States; and ``(2) prepare, in consultation with the Chief
Executive Officer of the State, District, or territory in which
the hospital, clinic, health center, or primary care facility
described in paragraph (1)(A) is located, and submit to the
Secretary, an application at such time, in such manner, and
containing such information as the Secretary may require.
``(c) Regional Coordination.--In making awards under subsection
(a), the Secretary shall give preference to eligible entities that
submit applications that, in the determination of the Secretary,
will-- ``(1) enhance coordination-- ``(A) among the entities
described in subsection (b)(1)(A); and ``(B) between such entities
and the entities described in subsection (b)(1)(B); and ``(2)
serve the needs of a defined geographic area.
``(d) Consistency of Planned Activities.--An entity described
in subsection (b)(1) shall utilize amounts received under an award
under subsection (a) in a manner that is coordinated and
consistent, as determined by the Secretary, with an applicable
State Bioterrorism and Other Public Health Emergency Preparedness
and Response Plan. ``(e) Use of Funds.--An award under subsection
(a) may be expended for activities that may include the following
and similar activities-- ``(1) planning and administration for
such award; ``(2) preparing a plan for triage and transport
management in the event of bioterrorism or other public health
emergencies; ``(3) enhancing the training of health care
professionals to improve the ability of such professionals to
recognize the symptoms of exposure to a potential bioweapon, to
make appropriate diagnosis, and to provide treatment to those
individuals so exposed; ``(4) enhancing the training of health
care professionals to recognize and treat the mental health
consequences of bioterrorism or other public health emergencies;
``(5) enhancing the training of health care professionals to
assist in providing appropriate health care for large numbers of
individuals exposed to a bioweapon; ``(6) enhancing training and
planning to protect the health and safety of personnel involved in
responding to a biological attack; ``(7) developing and
implementing the trauma care and burn center care components of
the State plans for the provision of emergency medical services;
or ``(8) conducting such activities as are described in section
319C-1(d) that are appropriate for hospitals (including children's
hospitals), clinics, health centers, or primary care facilities.
``(f) Limitation on Awards.--A political subdivision of a State
shall not participate in more than one partnership described in
subsection (b)(1). ``(g) Priorities in Use of Grants.-- ``(1) In
general.-- ``(A) Priorities.--Except as provided in subparagraph
(B), the Secretary shall, in carrying out the activities described
in this section, address the following hazards in the following
priority: ``(i) Bioterrorism or acute outbreaks of infectious
diseases. ``(ii) Other public health threats and emergencies.
``(B) Determination of the secretary.--In the case of the hazard
involved, the degree of priority that would apply to the hazard
based on the categories specified in clauses (i) and (ii) of
subparagraph (A) may be modified by the Secretary if the following
conditions are met: ``(i) The Secretary determines that the
modification is appropriate on the basis of the following factors:
``(I) The extent to which eligible entities are adequately
prepared for responding to hazards within the category specified
in clause (i) of subparagraph (A). ``(II) There has been a
significant change in the assessment of risks to the public health
posed by hazards within the category specified in clause (ii) of
such subparagraph. ``(ii) Prior to modifying the priority, the
Secretary notifies the appropriate committees of the Congress of
the determination of the Secretary under clause (i) of this
subparagraph. ``(2) Areas of emphasis within categories.--The
Secretary shall determine areas of emphasis within the category of
hazards specified in clause (i) of paragraph (1)(A), and shall
determine areas of emphasis within the category of hazards
specified in clause (ii) of such paragraph, based on an assessment
of the risk and likely consequences of such hazards and on an
evaluation of Federal, State, and local needs, and may also take
into account the extent to which receiving an award under
subsection (a) will develop capacities that can be used for public
health emergencies of varying types. ``(h) Coordination with Local
Medical Response System.--An eligible entity and local
Metropolitan Medical Response Systems shall, to the extent
practicable, ensure that activities carried out under an award
under subsection (a) are coordinated with activities that are
carried out by local Metropolitan Medical Response Systems. ``(i)
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 fiscal years 2004 through 2006.''.
(b) Certain Grants.--Section 319C of the Public Health Service Act
(42 U.S.C. 247d-3) is amended by striking subsection (f).
Subtitle D--Emergency Authorities; Additional Provisions
SEC. 141. REPORTING DEADLINES.
Section 319 of the Public Health Service Act (42 U.S.C. 247d)
is amended by adding at the end the following: ``(d) 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 determined 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 <<NOTE: Federal Register,
publication.>> 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. 142. 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-- (A)
by striking ``(1)'' and ``(2)'' and inserting ``(A)'' and ``(B)'',
respectively; (B) by striking ``(d)'' and inserting ``(d)(1)'';
(C) in paragraph (1) (as designated by subparagraph (B) of this
paragraph), in the first sentence, by striking ``in a communicable
stage'' each place such term appears and inserting ``in a
qualifying stage''; and (D) by adding at the end the following
paragraph:
``(2) For purposes of this subsection, the term `qualifying
stage', with respect to a communicable disease, means that such
disease-- ``(A) is in a communicable stage; or ``(B) is in a
precommunicable stage, if the disease would be likely to cause a
public health emergency if transmitted to other individuals.''.
(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 striking ``in
a communicable stage''.
(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. 143. 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. (a) Purpose.--The <<NOTE: 42 USC
1320b-5.>> 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 (as defined in
subsection (g)(1))-- ``(1) 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 ``(2) that health care providers (as defined in subsection
(g)(2)) that furnish such items and services in good faith, but
that are unable to comply 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.
``(b) Secretarial Authority.--To the extent necessary to
accomplish the purpose 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 by a health care provider
(or classes of health care providers) in any emergency area (or
portion of such an area) during any portion of an emergency
period, the requirements of titles XVIII, XIX, or XXI, or any
regulation thereunder (and the requirements of this title other
than this section, and regulations thereunder, insofar as they
relate to such titles), pertaining to-- ``(1)(A) conditions of
participation or other certification requirements for an
individual health care provider or types of providers, ``(B)
program participation and similar requirements for an individual
health care provider or types of providers, and ``(C) 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
and are not affirmatively excluded from practice in that State or
in any State a part of which is included in the emergency area;
``(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);
``(5) deadlines and timetables for performance of required
activities, except that such deadlines and timetables may only be
modified, not waived; and ``(6) limitations on payments under
section 1851(i) for health care items and services furnished to
individuals enrolled in a Medicare+Choice plan by health care
professionals or facilities not included under such plan.
Insofar as the Secretary exercises authority under paragraph
(6) with respect to individuals enrolled in a Medicare+Choice
plan, to the extent possible given the circumstances, the
Secretary shall reconcile payments made on behalf of such
enrollees to ensure that the enrollees do not pay more than would
be required had they received services from providers within the
network of the plan and may reconcile payments to the organization
offering the plan to ensure that such organization pays for
services for which payment is included in the capitation payment
it receives under part C of title XVIII. ``(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)
Certification to Congress.--The Secretary shall provide a
certification and 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 certification and notice
shall include-- ``(1) a description of-- ``(A) the specific
provisions that will be waived or modified; ``(B) the health care
providers to whom the waiver or modification will apply; ``(C) the
geographic area in which the waiver or modification will apply;
and ``(D) the period of time for which the waiver or modification
will be in effect; and ``(2) a certification that the waiver or
modification is necessary to carry out the purpose specified in
subsection (a).
``(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 (g)(1)(A); ``(B) the
termination of the applicable declaration of public health
emergency described in subsection (g)(1)(B); or ``(C) subject to
paragraph (2), the termination of a period of 60 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 60-day periods.--The
Secretary may, by notice, provide for an extension of a 60-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, 60 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 such approaches and recommendations for improved
approaches should the need for such emergency authority arise in
the future. ``(g) Definitions.--For purposes of this section:
``(1) Emergency area; emergency period.--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. ``(2)
Health care provider.--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 amendment <<NOTE: 42 USC 1320b-5
note.>> made by subsection (a) shall be effective on and
after September 11, 2001.
SEC. 144. PROVISION FOR EXPIRATION OF PUBLIC HEALTH
EMERGENCIES.
(a) In General.--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. Not later than 48
hours after making a determination under this subsection of a
public health emergency (including a renewal), the Secretary shall
submit to the Congress written notification of the
determination.''. (b) Applicability.--The <<NOTE: 42 USC
247d note.>> amendment made by subsection (a) applies to any
public health emergency under section 319(a) of the Public Health
Service Act, including any such emergency that was in effect as of
the day before the date of the enactment of this Act. In the case
of such an emergency that was in effect as of such day, the 90-day
period described in such section with respect to the termination
of the emergency is deemed to begin on such date of enactment.
Subtitle E--Additional Provisions
SEC. 151. 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. 152. EXPANDED <<NOTE: 42 USC 7257d.>> RESEARCH
BY SECRETARY OF ENERGY.
(a) Detection and Identification Research.-- (1) In
general.--In conjunction with the 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. (2) Authorized
activities.--Activities carried out under paragraph (1) may
include-- (A) the improvement of methods for detecting biological
agents or toxins of potential use in a biological attack and the
testing of such methods under variable conditions; (B) the
improvement or pursuit of methods for testing, verifying, and
calibrating new detection and surveillance tools and techniques;
and (C) carrying out other research activities in relevant areas.
(3) Report.--Not <<NOTE: Deadline.>> later than 180
days after the date of the enactment of this Act, the
Administrator of the National Nuclear Security Administration
shall submit to the Committee on Energy and Natural Resources and
the Committee on Armed Services of the Senate, and the Committee
on Energy and Commerce and the Committee on Armed Services of the
House of Representatives, a report setting forth the programs and
projects that will be funded prior to the obligation of funds
appropriated under subsection (b).
(b) Authorization.--For the purpose of carrying out this
section, there are authorized to be appropriated such sums as may
be necessary in each of fiscal years 2002 through 2006.
SEC. 153. EXPANDED <<NOTE: 29 USC 669a.>> RESEARCH
ON WORKER HEALTH AND SAFETY.
The Secretary of Health and Human Services (referred to in this
section as 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, including research on the health effects
of measures taken to treat or protect such workers for diseases or
disorders resulting from a bioterrorist threat or attack. Nothing
in this section may be construed as establishing new regulatory
authority for the Secretary or the Director to issue or modify any
occupational safety and health rule or regulation.
SEC. 154. ENHANCEMENT <<NOTE: 38 USC note prec.
8101.>> OF EMERGENCY PREPAREDNESS OF DEPARTMENT OF VETERANS
AFFAIRS.
(a) Readiness of Department Medical Center.--(1) The Secretary
of Veterans Affairs shall take appropriate actions to enhance the
readiness of Department of Veterans Affairs medical centers to
protect the patients and staff of such centers from chemical or
biological attack or otherwise to respond to such an attack and so
as to enable such centers to fulfil their obligations as part of
the Federal response to public health emegencies. (2) Actions
under paragraph (1) shall include-- (A) the provision of
decontamination equipment and personal protection equipment at
Department medical centers; and (B) the provision of training in
the use of such equipment to staff of such centers.
(b) Security at Department Medical and Research
Facilities.--(1) Not <<NOTE: Deadline.>> later than
180 days after the date of the enactment of this Act, the
Secretary shall carry out an evaluation of the security needs at
Department medical centers and research facilities. The evaluation
shall address the following needs: (A) Needs for the protection of
patients and medical staff during emergencies, including a
chemical or biological attack or other terrorist attack. (B)
Needs, if any, for screening personnel engaged in research
relating to biological pathogens or agents, including work
associated with such research. (C) Needs for securing laboratories
or other facilities engaged in research relating to biological
pathogens or agents. (D) Any other needs the Secretary considers
appropriate.
(2) The Secretary shall take appropriate actions to enhance the
security of Department medical centers and research facilities,
including staff and patients at such centers and facilities. In
taking such actions, the Secretary shall take into account the
results of the evaluation required by paragraph (1). (c) Tracking
of Pharmaceuticals and Medical Supplies and Equipment.--The
Secretary shall develop and maintain a centralized system for
tracking the current location and availability of pharmaceuticals,
medical supplies, and medical equipment throughout the Department
health care system in order to permit the ready identification and
utilization of such pharmaceuticals, supplies, and equipment for a
variety of purposes, including response to a chemical or
biological attack or other terrorist attack. (d) Training.--The
Secretary shall ensure that the Department medical centers, in
consultation with the accredited medical school affiliates of such
medical centers, develop and implement curricula to train resident
physicians and health care personnel in medical matters relating
to biological, chemical, or radiological attacks. (e)
Participation in National Disaster Medical System.--(1) The
Secretary shall, in consultation with the Secretary of Defense,
the Secretary of Health and Human Services, and the Director of
the Federal Emergency Management Agency, establish and maintain a
training program to facilitate the participation of the staff of
Department medical centers, and of the community partners of such
centers, in the National Disaster Medical System. (2) The
Secretary shall establish and maintain the training program under
paragraph (1) in accordance with the recommendations of the
working group under section 319F(a) of the Public Health Service
Act. (f) Mental Health Counseling.--(1) With respect to activities
conducted by personnel serving at Department medical centers, the
Secretary shall, in consultation with the Secretary of Health and
Human Services, the American Red Cross, and the working group
under section 319F(a) of the Public Health Service Act, develop
and maintain various strategies for providing mental health
counseling and assistance, including counseling and assistance for
post-traumatic stress disorder, to local and community emergency
response providers, veterans, active duty military personnel, and
individuals seeking care at Department medical centers following a
bioterrorist attack or other public health emergency. (2) The
strategies under paragraph (1) shall include the following: (A)
Training and certification of providers of mental health
counseling and assistance. (B) Mechanisms for coordinating the
provision of mental health counseling and assistance to emergency
response providers referred to in that paragraph.
(g) Authorization of Appropriations.--There is hereby
authorized to be appropriated for the Department of Veterans
Affairs amounts as follows: (1) To carry out activities required
by subsection (a)-- (A) $100,000,000 for fiscal year 2002; and (B)
such sums as may be necessary for each of fiscal years 2003
through 2006. (2) To carry out activities required by subsections
(b) through (f)-- (A) $33,000,000 for fiscal year 2002; and (B)
such sums as may be necessary for each of fiscal years 2003
through 2006.
SEC. 155. REAUTHORIZATION OF EXISTING PROGRAM.
Section 582(f) of the Public Health Service Act (42 U.S.C.
290hh- 1(f)) is amended by striking ``2002 and 2003'' and
inserting ``2003 through 2006''.
SEC. 156. SENSE OF CONGRESS.
It is the sense of the Congress that-- (1) many excellent
university-based programs are already functioning and developing
important biodefense products and solutions throughout the United
States; (2) accelerating the crucial work done at university
centers and laboratories will contribute significantly to the
United States capacity to defend against any biological threat or
attack; (3) maximizing the effectiveness of, and extending the
mission of, established university programs would be one
appropriate use of the additional resources provided for in this
Act and the amendments made by this Act; and (4) the Secretary of
Health and Human Services should, as appropriate, recognize the
importance of existing public and private university-based
research, training, public awareness, and safety related
biological defense programs when the Secretary makes awards of
grants and contracts in accordance with this Act and the
amendments made by this Act.
SEC. 157. GENERAL <<NOTE: 42 USC 300hh note.>>
ACCOUNTING OFFICE REPORT.
(a) In General.--The Comptroller General shall submit to the
Committee on Health, Education, Labor, and Pensions and the
Committee on Appropriations of the Senate, and to the Committee on
Energy and Commerce and the Committee on Appropriations of the
House of Representatives, a report that describes-- (1) Federal
activities primarily related to research on, preparedness for, and
the management of the public health and medical consequences of a
bioterrorist attack against the civilian population; (2) the
coordination of the activities described in paragraph (1); (3) the
effectiveness of such efforts in preparing national, State, and
local authorities to address the public health and medical
consequences of a potential bioterrorist attack against the
civilian population; (4) the activities and costs of the Civil
Support Teams of the National Guard in responding to biological
threats or attacks against the civilian population; (5) the
activities of the working group under subsection (a) and the
efforts made by such group to carry out the activities described
in such subsection; and (6) the ability of private sector
contractors to enhance governmental responses to biological
threats or attacks.
SEC. 158. CERTAIN AWARDS.
Section 319(a) of the Public Health Service Act (42 U.S.C.
247d(a)) is amended in the matter after and below paragraph (2) by
striking ``grants and'' and inserting ``grants, providing awards
for expenses, and''.
SEC. 159. PUBLIC <<NOTE: Community Access to Emergency
Defibrillation Act of 2002.>> ACCESS DEFIBRILLATION PROGRAMS
AND PUBLIC ACCESS DEFIBRILLATION DEMONSTRATION PROJECTS.
(a) Short Title.--This <<NOTE: 42 USC 201 note.>>
section may be cited as the ``Community Access to Emergency
Defibrillation Act of 2002''.
(b) Findings.--Congress <<NOTE: 42 USC 244 note.>>
makes the following findings: (1) Over 220,000 Americans die each
year from cardiac arrest. Every 2 minutes, an individual goes into
cardiac arrest in the United States. (2) The chance of
successfully returning to a normal heart rhythm diminishes by 10
percent each minute following sudden cardiac arrest. (3) Eighty
percent of cardiac arrests are caused by ventricular fibrillation,
for which defibrillation is the only effective treatment. (4)
Sixty percent of all cardiac arrests occur outside the hospital.
The average national survival rate for out-of-hospital cardiac
arrest is only 5 percent. (5) Communities that have established
and implemented public access defibrillation programs have
achieved average survival rates for out-of-hospital cardiac arrest
as high as 50 percent. (6) According to the American Heart
Association, wide use of defibrillators could save as many as
50,000 lives nationally each year. (7) Successful public access
defibrillation programs ensure that cardiac arrest victims have
access to early 911 notification, early cardiopulmonary
resuscitation, early defibrillation, and early advanced care.
(c) Public Access Defibrillation Programs and Projects.--Part B
of title III of the Public Health Service Act (42 U.S.C. 243 et
seq.), as amended by Public Law 106-310, is amended by adding
after section 311 the following:
``SEC. 312. PUBLIC <<NOTE: 42 USC 244.>> ACCESS
DEFIBRILLATION PROGRAMS.
``(a) In General.--The <<NOTE: Grants.>> Secretary
shall award grants to States, political subdivisions of States,
Indian tribes, and tribal organizations to develop and implement
public access defibrillation programs-- ``(1) by training and
equipping local emergency medical services personnel, including
firefighters, police officers, paramedics, emergency medical
technicians, and other first responders, to administer immediate
care, including cardiopulmonary resuscitation and automated
external defibrillation, to cardiac arrest victims; ``(2) by
purchasing automated external defibrillators, placing the
defibrillators in public places where cardiac arrests are likely
to occur, and training personnel in such places to administer
cardiopulmonary resuscitation and automated external
defibrillation to cardiac arrest victims; ``(3) by setting
procedures for proper maintenance and testing of such devices,
according to the guidelines of the manufacturers of the devices;
``(4) by providing training to members of the public in
cardiopulmonary resuscitation and automated external
defibrillation; ``(5) by integrating the emergency medical
services system with the public access defibrillation programs so
that emergency medical services personnel, including dispatchers,
are informed about the location of automated external
defibrillators in their community; and ``(6) by encouraging
private companies, including small businesses, to purchase
automated external defibrillators and provide training for their
employees to administer cardiopulmonary resuscitation and external
automated defibrillation to cardiac arrest victims in their
community.
``(b) Preference.--In awarding grants under subsection (a), the
Secretary shall give a preference to a State, political
subdivision of a State, Indian tribe, or tribal organization
that-- ``(1) has a particularly low local survival rate for
cardiac arrests, or a particularly low local response rate for
cardiac arrest victims; or ``(2) demonstrates in its application
the greatest commitment to establishing and maintaining a public
access defibrillation program.
``(c) Use of Funds.--A State, political subdivision of a State,
Indian tribe, or tribal organization that receives a grant under
subsection (a) may use funds received through such grant to--
``(1) purchase automated external defibrillators that have been
approved, or cleared for marketing, by the Food and Drug
Administration; ``(2) provide automated external defibrillation
and basic life support training in automated external
defibrillator usage through nationally recognized courses; ``(3)
provide information to community members about the public access
defibrillation program to be funded with the grant; ``(4) provide
information to the local emergency medical services system
regarding the placement of automated external defibrillators in
public places; ``(5) produce materials to encourage private
companies, including small businesses, to purchase automated
external defibrillators; and ``(6) further develop strategies to
improve access to automated external defibrillators in public
places.
``(d) Application.-- ``(1) In general.--To be eligible to
receive a grant under subsection (a), a State, political
subdivision of a State, Indian tribe, or tribal organization shall
prepare and submit an application to the Secretary at such time,
in such manner, and containing such information as the Secretary
may reasonably require. ``(2) Contents.--An application submitted
under paragraph (1) shall-- ``(A) describe the comprehensive
public access defibrillation program to be funded with the grant
and demonstrate how such program would make automated external
defibrillation accessible and available to cardiac arrest victims
in the community; ``(B) contain procedures for implementing
appropriate nationally recognized training courses in performing
cardiopulmonary resuscitation and the use of automated external
defibrillators; ``(C) contain procedures for ensuring direct
involvement of a licensed medical professional and coordination
with the local emergency medical services system in the oversight
of training and notification of incidents of the use of the
automated external defibrillators; ``(D) contain procedures for
proper maintenance and testing of the automated external
defibrillators, according to the labeling of the manufacturer;
``(E) contain procedures for ensuring notification of local
emergency medical services system personnel, including
dispatchers, of the location and type of devices used in the
public access defibrillation program; and ``(F) provide for the
collection of data regarding the effectiveness of the public
access defibrillation program to be funded with the grant in
affecting the out-of-hospital cardiac arrest survival rate.
``(e) Authorization of Appropriations.--For the purpose of
carrying out this section, there are authorized to be appropriated
$25,000,000 for fiscal year 2003, and such sums as may be
necessary for each of the fiscal years 2004 through 2006. Not more
than 10 percent of amounts received under a grant awarded under
this section may be used for administrative expenses.
``SEC. 313. PUBLIC <<NOTE: 42 USC 245.>> ACCESS
DEFIBRILLATION DEMONSTRATION PROJECTS.
``(a) In General.--The Secretary shall award grants to
political subdivisions of States, Indian tribes, and tribal
organizations to develop and implement innovative, comprehensive,
community-based public access defibrillation demonstration
projects that-- ``(1) provide cardiopulmonary resuscitation and
automated external defibrillation to cardiac arrest victims in
unique settings; ``(2) provide training to community members in
cardiopulmonary resuscitation and automated external
defibrillation; and ``(3) maximize community access to automated
external defibrillators.
``(b) Use of Funds.--A recipient of a grant under subsection
(a) shall use the funds provided through the grant to-- ``(1)
purchase automated external defibrillators that have been
approved, or cleared for marketing, by the Food and Drug
Administration; ``(2) provide basic life training in automated
external defibrillator usage through nationally recognized
courses; ``(3) provide information to community members about the
public access defibrillation demonstration project to be funded
with the grant; ``(4) provide information to the local emergency
medical services system regarding the placement of automated
external defibrillators in the unique settings; and ``(5) further
develop strategies to improve access to automated external
defibrillators in public places.
``(c) Application.-- ``(1) In general.--To be eligible to
receive a grant under subsection (a), a political subdivision of a
State, Indian tribe, or tribal organization shall prepare and
submit an application to the Secretary at such time, in such
manner, and containing such information as the Secretary may
reasonably require. ``(2) Contents.--An application submitted
under paragraph (1) may-- ``(A) describe the innovative,
comprehensive, community-based public access defibrillation
demonstration project to be funded with the grant; ``(B) explain
how such public access defibrillation demonstration project
represents innovation in providing public access to automated
external defibrillation; and ``(C) provide for the collection of
data regarding the effectiveness of the demonstration project to
be funded with the grant in-- ``(i) providing emergency
cardiopulmonary resuscitation and automated external
defibrillation to cardiac arrest victims in the setting served by
the demonstration project; and ``(ii) affecting the cardiac arrest
survival rate in the setting served by the demonstration project.
``(d) Authorization of Appropriations.--There is authorized to
be appropriated to carry out this section $5,000,000 for each of
fiscal years 2002 through 2006. Not more than 10 percent of
amounts received under a grant awarded under this section may be
used for administrative expenses.''.
TITLE II--ENHANCING CONTROLS ON DANGEROUS BIOLOGICAL AGENTS AND
TOXINS
Subtitle A--Department of Health and Human Services
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.--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 <<NOTE: 42 USC 262a.>>
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 pharmacotherapies and immunizations to treat and prevent any
illness resulting from infection by the agent or toxin; and ``(IV)
any other criteria, including the needs of children and other
vulnerable populations, that the Secretary considers appropriate;
and ``(ii) consult with appropriate Federal departments and
agencies and with scientific experts representing appropriate
professional groups, including groups with pediatric expertise.
``(2) Biennial review.--The Secretary shall review and republish
the list under paragraph (1) biennially, or more often as needed,
and shall by regulation revise the list as necessary in accordance
with such paragraph.
``(b) Regulation of Transfers of Listed Agents and Toxins.--The
Secretary shall by regulation provide for-- ``(1) the
establishment and enforcement of safety procedures for the
transfer of listed agents and toxins, 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) the
establishment and enforcement of safeguard and security measures
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 such an agent or
toxin in violation of the safety procedures established under
paragraph (1) or the safeguard and security measures 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 Agents and Toxins.--The
Secretary shall by regulation provide for the establishment and
enforcement of standards and procedures governing the possession
and use of listed agents and toxins, including the provisions
described in paragraphs (1) through (4) of subsection (b), in
order to protect the public health and safety. ``(d) Registration;
Identification; Database.-- ``(1) Registration.--Regulations under
subsections (b) and (c) shall require registration with the
Secretary of the possession, use, and transfer of listed agents
and toxins, and shall include provisions to ensure that persons
seeking to register under such regulations have a lawful purpose
to possess, use, or transfer such agents and toxins, including
provisions in accordance with subsection (e)(6). ``(2)
Identification; database.--Regulations under subsections (b) and
(c) shall require that registration include (if available to the
person registering) information regarding the characterization of
listed agents and toxins to facilitate their identification,
including their source. The Secretary shall maintain a national
database that includes the names and locations of registered
persons, the listed agents and toxins such persons are possessing,
using, or transferring, and information regarding the
characterization of such agents and toxins.
``(e) Safeguard and Security Requirements for Registered
Persons.-- ``(1) In general.--Regulations under subsections (b)
and (c) shall include appropriate safeguard and security
requirements for persons possessing, using, or transferring a
listed agent or toxin commensurate with the risk such agent or
toxin poses to public health and safety (including the risk of use
in domestic or international terrorism). The Secretary shall
establish such requirements in consultation with the Attorney
General, and shall ensure compliance with such requirements as
part of the registration system under such regulations. ``(2)
Limiting access to listed agents and toxins.-- Requirements under
paragraph (1) shall include provisions to ensure that registered
persons-- ``(A) provide access to listed agents and toxins to only
those individuals whom the registered person involved determines
have a legitimate need to handle or use such agents and toxins;
``(B) submit the names and other identifying information for such
individuals to the Secretary and the Attorney General, promptly
after first determining that the individuals need access under
subparagraph (A), and periodically thereafter while the
individuals have such access, not less frequently than once every
five years; ``(C) deny access to such agents and toxins by
individuals whom the Attorney General has identified as restricted
persons; and ``(D) limit or deny access to such agents and toxins
by individuals whom the Attorney General has identified as within
any category under paragraph (3)(B)(ii), if limiting or denying
such access by the individuals involved is determined appropriate
by the Secretary, in consultation with the Attorney General. ``(3)
Submitted names; use of databases by attorney general.-- ``(A) In
general.--Upon the receipt of names and other identifying
information under paragraph (2)(B), the Attorney General shall,
for the sole purpose of identifying whether the individuals
involved are within any of the categories specified in
subparagraph (B), promptly use criminal, immigration, national
security, and other electronic databases that are available to the
Federal Government and are appropriate for such purpose. ``(B)
Certain individuals.--For purposes of subparagraph (A), the
categories specified in this subparagraph regarding an individual
are that-- ``(i) the individual is a restricted person; or ``(ii)
the individual is reasonably suspected by any Federal law
enforcement or intelligence agency of-- ``(I) committing a crime
set forth in section 2332b(g)(5) of title 18, United States Code;
``(II) knowing involvement with an organization that engages in
domestic or international terrorism (as defined in section 2331 of
such title 18) or with any other organization that engages in
intentional crimes of violence; or ``(III) being an agent of a
foreign power (as defined in section 1801 of title 50, United
States Code). ``(C) Notification by attorney general regarding
submitted names.--After the receipt of a name and other
identifying information under paragraph (2)(B), the Attorney
General shall promptly notify the Secretary whether the individual
is within any of the categories specified in subparagraph (B).
``(4) Notifications by secretary.--The Secretary, after receiving
notice under paragraph (3) regarding an individual, shall promptly
notify the registered person involved of whether the individual is
granted or denied access under paragraph (2). If the individual is
denied such access, the Secretary shall promptly notify the
individual of the denial. ``(5) Expedited review.--Regulations
under subsections (b) and (c) shall provide for a procedure
through which, upon request to the Secretary by a registered
person who submits names and other identifying information under
paragraph (2)(B) and who demonstrates good cause, the Secretary
may, as determined appropriate by the Secretary-- ``(A) request
the Attorney General to expedite the process of identification
under paragraph (3)(A) and notification of the Secretary under
paragraph (3)(C); and ``(B) expedite the notification of the
registered person by the Secretary under paragraph (4). ``(6)
Process regarding persons seeking to register.-- ``(A)
Individuals.--Regulations under subsections (b) and (c) shall
provide that an individual who seeks to register under either of
such subsections is subject to the same processes described in
paragraphs (2) through (4) as apply to names and other identifying
information submitted to the Attorney General under paragraph
(2)(B). Paragraph (5) does not apply for purposes of this
subparagraph. ``(B) Other persons.--Regulations under subsections
(b) and (c) shall provide that, in determining whether to deny or
revoke registration by a person other than an individual, the
Secretary shall submit the name of such person to the Attorney
General, who shall use criminal, immigration, national security,
and other electronic databases available to the Federal
Government, as appropriate for the purpose of promptly notifying
the Secretary whether the person, or, where relevant, the
individual who owns or controls such person, is a restricted
person or is reasonably suspected by any Federal law enforcement
or intelligence agency of being within any category specified in
paragraph (3)(B)(ii) (as applied to persons, including
individuals). Such regulations shall provide that a person who
seeks to register under either of such subsections is subject to
the same processes described in paragraphs
[[Page 116 STAT. 641]]
(2) and (4) as apply to names and other identifying information
submitted to the Attorney General under paragraph (2)(B).
Paragraph (5) does not apply for purposes of this subparagraph.
The Secretary may exempt Federal, State, or local governmental
agencies from the requirements of this subparagraph. ``(7)
Review.-- ``(A) Administrative review.-- ``(i) In
general.--Regulations under subsections (b) and (c) shall provide
for an opportunity for a review by the Secretary-- ``(I) when
requested by the individual involved, of a determination under
paragraph (2) to deny the individual access to listed agents and
toxins; and ``(II) when requested by the person involved, of a
determination under paragraph (6) to deny or revoke registration
for such person. ``(ii) Ex parte review.--During a review under
clause (i), the Secretary may consider information relevant to the
review ex parte to the extent that disclosure of the information
could compromise national security or an investigation by any law
enforcement agency. ``(iii) Final agency action.--The decision of
the Secretary in a review under clause (i) constitutes final
agency action for purposes of section 702 of title 5, United
States Code. ``(B) Certain procedures.-- ``(i) Submission of ex
parte materials in judicial proceedings.--When reviewing a
decision of the Secretary under subparagraph (A), and upon request
made ex parte and in writing by the United States, a court, upon a
sufficient showing, may review and consider ex parte documents
containing information the disclosure of which could compromise
national security or an investigation by any law enforcement
agency. If the court determines that portions of the documents
considered ex parte should be disclosed to the person involved to
allow a response, the court shall authorize the United States to
delete from such documents specified items of information the
disclosure of which could compromise national security or an
investigation by any law enforcement agency, or to substitute a
summary of the information to which the person may respond. Any
order by the court authorizing the disclosure of information that
the United States believes could compromise national security or
an investigation by any law enforcement agency shall be subject to
the processes set forth in subparagraphs (A) and (B)(i) of section
2339B(f)(5) of title 18, United States Code (relating to
interlocutory appeal and expedited consideration). ``(ii)
Disclosure of information.--In a review under subparagraph (A),
and in any judical proceeding conducted pursuant to such review,
neither the Secretary nor the Attorney General may be required to
disclose to the public any information that under subsection (h)
shall not be disclosed under section 552 of title 5, United States
Code. ``(8) Notifications regarding theft or loss of agents.--
Requirements under paragraph (1) shall include the prompt
notification of the Secretary, and appropriate Federal, State, and
local law enforcement agencies, of the theft or loss of listed
agents and toxins. ``(9) Technical assistance for registered
persons.--The Secretary, in consultation with the Attorney
General, may provide technical assistance to registered persons to
improve security of the facilities of such persons.
``(f) Inspections.--The Secretary shall have the authority to
inspect persons subject to regulations under subsection (b) or (c)
to ensure their compliance with such regulations, including
prohibitions on restricted persons and other provisions of
subsection (e). ``(g) Exemptions.-- ``(1) Clinical or diagnostic
laboratories.--Regulations under subsections (b) and (c) shall
exempt clinical or diagnostic laboratories and other persons who
possess, use, or transfer listed agents or toxins that are
contained in specimens presented for diagnosis, verification, or
proficiency testing, provided that-- ``(A) the identification of
such agents or toxins is reported to the Secretary, and when
required under Federal, State, or local law, to other appropriate
authorities; and ``(B) such agents or toxins are transferred or
destroyed in a manner set forth by the Secretary by regulation.
``(2) Products.-- ``(A) In general.--Regulations under subsections
(b) and (c) shall exempt products that are, bear, or contain
listed agents or toxins and are cleared, approved, licensed, or
registered under any of the Acts specified in subparagraph (B),
unless the Secretary by order determines that applying additional
regulation under subsection (b) or (c) to a specific product is
necessary to protect public health and safety. ``(B) Relevant
laws.--For purposes of subparagraph (A), the Acts specified in
this subparagraph are the following: ``(i) The Federal Food, Drug,
and Cosmetic Act. ``(ii) Section 351 of this Act. ``(iii) 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). ``(iv) The Federal Insecticide,
Fungicide, and Rodenticide Act. ``(C) Investigational use.-- ``(i)
In general.--The Secretary may exempt an investigational product
that is, bears, or contains a listed agent or toxin from the
applicability of provisions of regulations under subsection (b) or
(c) when such product is being used in an investigation authorized
under any Federal Act and the Secretary determines that applying
additional regulation under subsection (b) or (c) to such product
is not necessary to protect public health and safety. ``(ii)
Certain processes.--Regulations under subsections (b) and (c)
shall set forth the procedures for applying for an exemption under
clause (i). In <<NOTE: Deadline.>> the case of
investigational products authorized under any of the Acts
specified in subparagraph (B), the Secretary shall make a
determination regarding a request for an exemption not later than
14 days after the first date on which both of the following
conditions have been met by the person requesting the exemption:
``(I) The person has submitted to the Secretary an application for
the exemption meeting the requirements established by the
Secretary. ``(II) The person has notified the Secretary that the
investigation has been authorized under such an Act. ``(3) Public
health emergencies.--The Secretary may temporarily exempt a person
from the applicability of the requirements of this section, in
whole or in part, if the Secretary determines that such exemption
is necessary to provide for the timely participation of the person
in a response to a domestic or foreign public health emergency
(whether determined under section 319(a) or otherwise) that
involves a listed agent or toxin. With respect to the emergency
involved, such exemption for a person may not exceed 30 days,
except that the Secretary, after review of whether such exemption
remains necessary, may provide one extension of an additional 30
days. ``(4) Agricultural emergencies.--Upon request of the
Secretary of Agriculture, after the granting by such Secretary of
an exemption under section 212(g)(1)(D) of the Agricultural
Bioterrorism Protection Act of 2002 pursuant to a finding that
there is an agricultural emergency, the Secretary of Health and
Human Services may temporarily exempt a person from the
applicability of the requirements of this section, in whole or in
part, to provide for the timely participation of the person in a
response to the agricultural emergency. With respect to the
emergency involved, the exemption under this paragraph for a
person may not exceed 30 days, except that upon request of the
Secretary of Agriculture, the Secretary of Health and Human
Services may, after review of whether such exemption remains
necessary, provide one extension of an additional 30 days.
``(h) Disclosure of Information.-- ``(1) Nondisclosure of
certain information.--No Federal agency specified in paragraph (2)
shall disclose under section 552 of title 5, United States Code,
any of the following: ``(A) Any registration or transfer
documentation submitted under subsections (b) and (c) for the
possession, use, or transfer of a listed agent or toxin; or
information derived therefrom to the extent that it identifies the
listed agent or toxin possessed, used, or transferred by a
specific registered person or discloses the identity or location
of a specific registered person. ``(B) The national database
developed pursuant to subsection (d), or any other compilation of
the registration or transfer information submitted under
subsections (b) and (c) to the extent that such compilation
discloses site-specific registration or transfer information.
``(C) Any portion of a record that discloses the site-specific or
transfer-specific safeguard and security measures used by a
registered person to prevent unauthorized access to listed agents
and toxins. ``(D) Any notification of a release of a listed agent
or toxin submitted under subsections (b) and (c), or any
notification of theft or loss submitted under such subsections.
``(E) Any portion of an evaluation or report of an inspection of a
specific registered person conducted under subsection (f) that
identifies the listed agent or toxin possessed by a specific
registered person or that discloses the identity or location of a
specific registered person if the agency determines that public
disclosure of the information would endanger public health or
safety. ``(2) Covered agencies.--For purposes of paragraph (1)
only, the Federal agencies specified in this paragraph are the
following: ``(A) The Department of Health and Human Services, the
Department of Justice, the Department of Agriculture, and the
Department of Transportation. ``(B) Any Federal agency to which
information specified in paragraph (1) is transferred by any
agency specified in subparagraph (A) of this paragraph. ``(C) Any
Federal agency that is a registered person, or has a sub-agency
component that is a registered person. ``(D) Any Federal agency
that awards grants or enters into contracts or cooperative
agreements involving listed agents and toxins to or with a
registered person, and to which information specified in paragraph
(1) is transferred by any such registered person. ``(3) Other
exemptions.--This subsection may not be construed as altering the
application of any exemptions to public disclosure under section
552 of title 5, United States Code, except as to subsection
552(b)(3) of such title, to any of the information specified in
paragraph (1). ``(4) Rule of construction.--Except as specifically
provided in paragraph (1), this subsection may not be construed as
altering the authority of any Federal agency to withhold under
section 552 of title 5, United States Code, or the obligation of
any Federal agency to disclose under section 552 of title 5,
United States Code, any information, including information
relating to-- ``(A) listed agents and toxins, or individuals
seeking access to such agents and toxins; ``(B) registered
persons, or persons seeking to register their possession, use, or
transfer of such agents and toxins; ``(C) general safeguard and
security policies and requirements under regulations under
subsections (b) and (c); or ``(D) summary or statistical
information concerning registrations, registrants, denials or
revocations of registrations, listed agents and toxins, inspection
evaluations and reports, or individuals seeking access to such
agents and toxins. ``(5) Disclosures to congress; other
disclosures.--This subsection may not be construed as providing
any authority-- ``(A) to withhold information from the Congress or
any committee or subcommittee thereof; or ``(B) to withhold
information from any person under any other Federal law or treaty.
``(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 (5 U.S.C. App.).
``(j) Notification in Event of Release.--Regulations under
subsections (b) and (c) shall require the prompt notification of
the Secretary by a registered person whenever a release, meeting
criteria established by the Secretary, of a listed agent or toxin
has occurred outside of the biocontainment area of a facility of
the registered person. Upon receipt of such notification and a
finding by the Secretary that the release poses a threat to public
health or safety, the Secretary shall take appropriate action to
notify relevant State and local public health authorities, other
relevant Federal authorities, and, if necessary, other appropriate
persons (including the public). If the released listed agent or
toxin is an overlap agent or toxin (as defined in subsection (l)),
the Secretary shall promptly notify the Secretary of Agriculture
upon notification by the registered person. ``(k) Reports.--The
Secretary shall report to the Congress annually on the number and
nature of notifications received under subsection (e)(8) (relating
to theft or loss) and subsection (j) (relating to releases). ``(l)
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
`listed agents and toxins' means biological agents and toxins
listed pursuant to subsection (a)(1). ``(3) The term `listed
agents or toxins' means biological agents or toxins listed
pursuant to subsection (a)(1). ``(4) The term `overlap agents and
toxins' means biological agents and toxins that-- ``(A) are listed
pursuant to subsection (a)(1); and ``(B) are listed pursuant to
section 212(a)(1) of the Agricultural Bioterrorism Protection Act
of 2002. ``(5) The term `overlap agent or toxin' means a
biological agent or toxin that-- ``(A) is listed pursuant to
subsection (a)(1); and ``(B) is listed pursuant to section
212(a)(1) of the Agricultural Bioterrorism Protection Act of 2002.
``(6) The term `person' includes Federal, State, and local
governmental entities. ``(7) The term `registered person' means a
person registered under regulations under subsection (b) or (c).
``(8) The term `restricted person' has the meaning given such term
in section 175b of title 18, United States Code.
``(m) 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 2007.''. (b) Report to Congress.--Not <<NOTE:
Deadline. 42 USC 262a note.>> later than one 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; (4) evaluates
the impact of such section 351A on research on biological agents
and toxins listed pursuant to such section; and (5) provides any
recommendations of the Secretary for administrative or legislative
initiatives regarding such section 351A.
SEC. 202. IMPLEMENTATION <<NOTE: Deadlines. 42 USC 262a
note.>> BY DEPARTMENT OF HEALTH AND HUMAN SERVICES.
(a) Date Certain for Notice of Possession.--Not later than 90
days after the date of the enactment of this Act, all persons
(unless exempt under subsection (g) of section 351A of the Public
Health Service Act, as added by section 201 of this Act) in
possession of biological agents or toxins listed under such
section 351A of the Public Health Service Act shall notify the
Secretary of Health and Human Services of such possession. Not
later <<NOTE: Guidelines.>> than 30 days after such
date of enactment, the Secretary shall provide written guidance on
how such notice is to be provided to the Secretary.
(b) Date Certain for Promulgation; Effective Date Regarding
Criminal and Civil Penalties.--Not <<NOTE: Rules.>>
later than 180 days after the date of the enactment of this Act,
the Secretary of Health and Human Services shall promulgate an
interim final rule for carrying out section 351A of the Public
Health Service Act, subject to subsection (c). Such interim final
rule shall take effect 60 days after the date on which such rule
is promulgated, including for purposes of--
(1) section 175b(c) of title 18, United States Code (relating
to criminal penalties), as added by section 231(a)(5) of this Act;
and (2) section 351A(i) of the Public Health Service Act (relating
to civil penalties).
(c) Transitional Provision Regarding Current Research and
Education.--The interim final rule under subsection (b) shall
include time frames for the applicability of the rule that
minimize disruption of research or educational projects that
involve biological agents and toxins listed pursuant to section
351A(a)(1) of the Public Health Service Act and that were underway
as of the effective date of such rule.
SEC. 203. EFFECTIVE <<NOTE: 42 USC 262a note.>>
DATES.
(a) In General.--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 section 201 of this Act. 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 in accordance
with such section 351A and with section 202 of this Act. (b)
Effective Date Regarding Disclosure of Information.--Subsection
(h) of section 351A of the Public Health Service Act, as added by
section 201 of this Act, is deemed to have taken effect on the
effective date of the Antiterrorism and Effective Death Penalty
Act of 1996.
SEC. 204. 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.
Subtitle B--Department <<NOTE: Agricultural Bioterrorism
Protection Act of 2002.>> of Agriculture
SEC. 211. <<NOTE: 7 USC 8401 note.>> SHORT TITLE.
This subtitle may be cited as the ``Agricultural Bioterrorism
Protection Act of 2002''.
SEC. 212. REGULATION <<NOTE: 7 USC 8401.>> OF
CERTAIN 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 of Agriculture shall by regulation
establish and maintain a list of each biological agent and each
toxin that the Secretary determines has the potential to pose a
severe threat to animal or plant health, or to animal or plant
products. (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 of exposure to the agent or
toxin on animal or plant health, and on the production and
marketability of animal or plant products;
(II) the pathogenicity of the agent or the toxicity of the
toxin and the methods by which the agent or toxin is transferred
to animals or plants; (III) the availability and effectiveness of
pharmacotherapies and prophylaxis to treat and prevent any illness
caused by the agent or toxin; and (IV) any other criteria that the
Secretary considers appropriate to protect animal or plant health,
or animal or plant products; and (ii) consult with appropriate
Federal departments and agencies and with scientific experts
representing appropriate professional groups. (2) Biennial
<<NOTE: Publication.>> review.--The Secretary shall
review and republish the list under paragraph (1) biennially, or
more often as needed, and shall by regulation revise the list as
necessary in accordance with such paragraph.
(b) Regulation of Transfers <<NOTE: Safety.>> of
Listed Agents and Toxins.--The Secretary shall by regulation
provide for-- (1) the establishment and enforcement of safety
procedures for the transfer of listed agents and toxins, 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)
the establishment and enforcement of safeguard and security
measures 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 animal and
plant health, and animal and plant products, in the event of a
transfer or potential transfer of such an agent or toxin in
violation of the safety procedures established under paragraph (1)
or the safeguard and security measures 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 Agents and Toxins.--The
Secretary shall by regulation provide for the establishment and
enforcement of standards and procedures governing the possession
and use of listed agents and toxins, including the provisions
described in paragraphs (1) through (4) of subsection (b), in
order to protect animal and plant health, and animal and plant
products. (d) Registration; Identification; Database.-- (1)
Registration.--Regulations under subsections (b) and (c) shall
require registration with the Secretary of the possession, use,
and transfer of listed agents and toxins, and shall include
provisions to ensure that persons seeking to register under such
regulations have a lawful purpose to possess, use, or transfer
such agents and toxins, including provisions in accordance with
subsection (e)(6). (2) Identification; database.--Regulations
under subsections (b) and (c) shall require that registration
include (if available to the person registering) information
regarding the characterization of listed agents and toxins to
facilitate their identification, including their source. The
<<NOTE: Records.>> Secretary shall maintain a national
database that includes the names and locations of registered
persons, the listed agents and toxins such persons are possessing,
using, or transferring, and information regarding the
characterization of such agents and toxins.
(e) Safeguard and Security Requirements for Registered
Persons.-- (1) In general.--Regulations under subsections (b) and
(c) shall include appropriate safeguard and security requirements
for persons possessing, using, or transferring a listed agent or
toxin commensurate with the risk such agent or toxin poses to
animal and plant health, and animal and plant products (including
the risk of use in domestic or international terrorism). The
Secretary shall establish such requirements in consultation with
the Attorney General, and shall ensure compliance with such
requirements as part of the registration system under such
regulations. (2) Limiting access to listed agents and toxins.--
Requirements under paragraph (1) shall include provisions to
ensure that registered persons-- (A) provide access to listed
agents and toxins to only those individuals whom the registered
person involved determines have a legitimate need to handle or use
such agents and toxins; (B) submit the names and other identifying
information for such individuals to the Secretary and the Attorney
General, promptly after first determining that the individuals
need access under subparagraph (A), and periodically thereafter
while the individuals have such access, not less frequently than
once every five years; and (C)(i) in the case of listed agents and
toxins that are not overlap agents and toxins (as defined in
subsection (g)(1)(A)(ii)), limit or deny access to such agents and
toxins by individuals whom the Attorney General has identified as
within any category under paragraph (3)(B), if limiting or denying
such access by the individuals involved is determined appropriate
by the Secretary, in consultation with the Attorney General; and
(ii) in the case of listed agents and toxins that are overlap
agents-- (I) deny access to such agents and toxins by individuals
whom the Attorney General has identified as within any category
referred to in paragraph (3)(B)(i); and (II) limit or deny access
to such agents and toxins by individuals whom the Attorney General
has identified as within any category under paragraph (3)(B)(ii),
if limiting or denying such access by the individuals involved is
determined appropriate by the Secretary, in consultation with the
Attorney General. (3) Submitted names; use of databases by
attorney general.-- (A) In general.--Upon the receipt of names and
other identifying information under paragraph (2)(B), the Attorney
General shall, for the sole purpose of identifying whether the
individuals involved are within any of the categories specified in
subparagraph (B), promptly use criminal, immigration, national
security, and other electronic databases that are available to the
Federal Government and are appropriate for such purpose. (B)
Certain individuals.--For purposes of subparagraph (A), the
categories specified in this subparagraph regarding an individual
are that-- (i) the individual is within any of the categories
described in section 175b(d)(1) of title 18, United States Code
(relating to restricted persons); or (ii) the individual is
reasonably suspected by any Federal law enforcement or
intelligence agency of-- (I) committing a crime set forth in
section 2332b(g)(5) of title 18, United States Code; (II) knowing
involvement with an organization that engages in domestic or
international terrorism (as defined in section 2331 of such title
18) or with any other organization that engages in intentional
crimes of violence; or (III) being an agent of a foreign power (as
defined in section 1801 of title 50, United States Code). (C)
Notification by attorney general regarding submitted names.--After
the receipt of a name and other identifying information under
paragraph (2)(B), the Attorney General shall promptly notify the
Secretary whether the individual is within any of the categories
specified in subparagraph (B). (4) Notifications by
secretary.--The Secretary, after receiving notice under paragraph
(3) regarding an individual, shall promptly notify the registered
person involved of whether the individual is granted or denied
access under paragraph (2). If the individual is denied such
access, the Secretary shall promptly notify the individual of the
denial. (5) Expedited review.--Regulations under subsections (b)
and (c) shall provide for a procedure through which, upon request
to the Secretary by a registered person who submits names and
other identifying information under paragraph (2)(B) and who
demonstrates good cause, the Secretary may, as determined
appropriate by the Secretary-- (A) request the Attorney General to
expedite the process of identification under paragraph (3)(A) and
notification of the Secretary under paragraph (3)(C); and (B)
expedite the notification of the registered person by the
Secretary under paragraph (4). (6) Process regarding persons
seeking to register.-- (A) Individuals.--Regulations under
subsections (b) and (c) shall provide that an individual who seeks
to register under either of such subsections is subject to the
same processes described in paragraphs (2) through (4) as apply to
names and other identifying information submitted to the Attorney
General under paragraph (2)(B). Paragraph (5) does not apply for
purposes of this subparagraph. (B) Other persons.--Regulations
under subsections (b) and (c) shall provide that, in determining
whether to deny or revoke registration by a person other than an
individual, the Secretary shall submit the name of such person to
the Attorney General, who shall use criminal, immigration,
national security, and other electronic databases available to the
Federal Government, as appropriate for the purpose of promptly
notifying the Secretary whether the person, or, where relevant,
the individual who owns or controls such person, is within any of
the categories described in section 175b(d)(1) of title 18, United
States Code (relating to restricted persons), or is reasonably
suspected by any Federal law enforcement or intelligence agency of
being within any category specified in paragraph (3)(B)(ii) (as
applied to persons, including individuals). Such regulations shall
provide that a person who seeks to register under either of such
subsections is subject to the same processes described in
paragraphs (2) and (4) as apply to names and other identifying
information submitted to the Attorney General under paragraph
(2)(B). Paragraph (5) does not apply for purposes of this
subparagraph. The Secretary may exempt Federal, State, or local
governmental agencies from the requirements of this subparagraph.
(7) Review.-- (A) Administrative review.-- (i) In
general.--Regulations under subsections (b) and (c) shall provide
for an opportunity for a review by the Secretary-- (I) when
requested by the individual involved, of a determination under
paragraph (2) to deny the individual access to listed agents and
toxins; and (II) when requested by the person involved, of a
determination under under paragraph (6) to deny or revoke
registration for such person. (ii) Ex parte review.--During a
review under clause (i), the Secretary may consider information
relevant to the review ex parte to the extent that disclosure of
the information could compromise national security or an
investigation by any law enforcement agency. (iii) Final agency
action.--The decision of the Secretary in a review under clause
(i) constitutes final agency action for purposes of section 702 of
title 5, United States Code. (B) Certain procedures.-- (i)
Submission of ex parte materials in judicial proceedings.--When
reviewing a decision of the Secretary under subparagraph (A), and
upon request made ex parte and in writing by the United States, a
court, upon a sufficient showing, may review and consider ex parte
documents containing information the disclosure of which could
compromise national security or an investigation by any law
enforcement agency. If the court determines that portions of the
documents considered ex parte should be disclosed to the person
involved to allow a response, the court shall authorize the United
States to delete from such documents specified items of
information the disclosure of which could compromise national
security or an investigation by any law enforcement agency, or to
substitute a summary of the information to which the person may
respond. Any order by the court authorizing the disclosure of
information that the United States believes could compromise
national security or an investigation by any law enforcement
agency shall be subject to the processes set forth in
subparagraphs (A) and (B)(i) of section 2339B(f)(5) of title 18,
United States Code (relating to interlocutory appeal and expedited
consideration). (ii) Disclosure of information.--In a review under
subparagraph (A), and in any judical proceeding conducted pursuant
to such review, neither the Secretary nor the Attorney General may
be required to disclose to the public any information that under
subsection (h) shall not be disclosed under section 552 of title
5, United States Code. (8) Notifications regarding theft or loss
of agents.-- Requirements under paragraph (1) shall include the
prompt notification of the Secretary, and appropriate Federal,
State, and local law enforcement agencies, of the theft or loss of
listed agents and toxins. (9) Technical assistance for registered
persons.--The Secretary, in consultation with the Attorney
General, may provide technical assistance to registered persons to
improve security of the facilities of such persons.
(f) Inspections.--The Secretary shall have the authority to
inspect persons subject to regulations under subsection (b) or (c)
to ensure their compliance with such regulations, including
prohibitions on restricted persons and other provisions of
subsection (e). (g) Exemptions.-- (1) Overlap agents and toxins.--
(A) In general.-- (i) Limitation.--In the case of overlap agents
and toxins, exemptions from the applicability of provisions of
regulations under subsection (b) or (c) may be granted only to the
extent provided in this paragraph. (ii) Definitions.--For purposes
of this section: (I) The term ``overlap agents and toxins'' means
biological agents and toxins that-- (aa) are listed pursuant to
subsection (a)(1); and (bb) are listed pursuant to section
315A(a)(1) of the Public Health Service Act. (II) The term
``overlap agent or toxin'' means a biological agent or toxin
that-- (aa) is listed pursuant to subsection (a)(1); and (bb) is
listed pursuant to section 315A(a)(1) of the Public Health Service
Act. (B) Clinical or diagnostic laboratories.-- Regulations under
subsections (b) and (c) shall exempt clinical or diagnostic
laboratories and other persons who possess, use, or transfer
overlap agents or toxins that are contained in specimens presented
for diagnosis, verification, or proficiency testing, provided
that--
(i) the identification of such agents or toxins is reported to
the Secretary, and when required under Federal, State, or local
law, to other appropriate authorities; and (ii) such agents or
toxins are transferred or destroyed in a manner set forth by the
Secretary by regulation. (C) Products.-- (i) In
general.--Regulations under subsections (b) and (c) shall exempt
products that are, bear, or contain overlap agents or toxins and
are cleared, approved, licensed, or registered under any of the
Acts specified in clause (ii), unless the Secretary by order
determines that applying additional regulation under subsection
(b) or (c) to a specific product is necessary to protect animal or
plant health, or animal or plant products. (ii) Relevant
laws.--For purposes of clause (i), the Acts specified in this
clause are the following: (I) The Federal Food, Drug, and Cosmetic
Act. (II) Section 351 of the Public Health Service Act. (III) 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). (IV) The Federal
Insecticide, Fungicide, and Rodenticide Act. (iii) Investigational
use.-- (I) In general.--The Secretary may exempt an
investigational product that is, bears, or contains an overlap
agent or toxin from the applicability of provisions of regulations
under subsection (b) or (c) when such product is being used in an
investigation authorized under any Federal Act and the Secretary
determines that applying additional regulation under subsection
(b) or (c) to such product is not necessary to protect animal and
plant health, and animal and plant products. (II) Certain
processes.--Regulations under subsections (b) and (c) shall set
forth the procedures for applying for an exemption under subclause
(I). In the case of investigational products authorized under any
of the Acts specified in clause (ii), the Secretary shall make a
determination regarding a request for an exemption not later than
14 days after the first date on which both of the following
conditions have been met by the person requesting the exemption:
(aa) The person has submitted to the Secretary an application for
the exemption meeting the requirements established by the
Secretary. (bb) The person has notified the Secretary that the
investigation has been authorized under such an Act. (D)
Agricultural emergencies.--The Secretary may temporarily exempt a
person from the applicability of the requirements of this section
with respect to an overlap agent or toxin, in whole or in part, if
the Secretary determines that such exemption is necessary to
provide for the timely participation of the person in a response
to a domestic or foreign agricultural emergency that involves such
an agent or toxin. With respect to the emergency involved, the
exemption under this subparagraph for a person may not exceed 30
days, except that the Secretary, after review of whether such
exemption remains necessary, may provide one extension of an
additional 30 days. (E) Public health emergencies.--Upon request
of the Secretary of Health and Human Services, after the granting
by such Secretary of an exemption under 351A(g)(3) of the Public
Health Service Act pursuant to a finding that there is a public
health emergency, the Secretary of Agriculture may temporarily
exempt a person from the applicability of the requirements of this
section with respect to an overlap agent or toxin, in whole or in
part, to provide for the timely participation of the person in a
response to the public health emergency. With respect to the
emergency involved, such exemption for a person may not exceed 30
days, except that upon request of the Secretary of Health and
Human Services, the Secretary of Agriculture may, after review of
whether such exemption remains necessary, provide one extension of
an additional 30 days. (2) General authority for exemptions not
involving overlap agents or toxins.--In the case of listed agents
or toxins that are not overlap agents or toxins, the Secretary may
grant exemptions from the applicability of provisions of
regulations under subsection (b) or (c) if the Secretary
determines that such exemptions are consistent with protecting
animal and plant health, and animal and plant products.
(h) Disclosure of Information.-- (1) Nondisclosure of certain
information.--No Federal agency specified in paragraph (2) shall
disclose under section 552 of title 5, United States Code, any of
the following: (A) Any registration or transfer documentation
submitted under subsections (b) and (c), or permits issued prior
to the date of the enactment of this Act, for the possession, use
or transfer of a listed agent or toxin; or information derived
therefrom to the extent that it identifies the listed agent or
toxin possessed, used or transferred by a specific person or
discloses the identity or location of a specific person. (B) The
national database developed pursuant to subsection (d), or any
other compilation of the registration or transfer information
submitted under subsections (b) and (c) to the extent that such
compilation discloses site-specific registration or transfer
information. (C) Any portion of a record that discloses the site-
specific or transfer-specific safeguard and security measures used
by a registered person to prevent unauthorized access to listed
agents and toxins. (D) Any notification of a release of a listed
agent or toxin submitted under subsections (b) and (c), or any
notification of theft or loss submitted under such subsections.
(E) Any portion of an evaluation or report of an inspection of a
specific registered person conducted under subsection (f) that
identifies the listed agent or toxin possessed by a specific
registered person or that discloses the identity or location of a
specific registered person if the agency determines that public
disclosure of the information would endanger animal or plant
health, or animal or plant products. (2) Covered agencies.--For
purposes of paragraph (1) only, the Federal agencies specified in
this paragraph are the following: (A) The Department of Health and
Human Services, the Department of Justice, the Department of
Agriculture, and the Department of Transportation. (B) Any Federal
agency to which information specified in paragraph (1) is
transferred by any agency specified in subparagraph (A) of this
paragraph. (C) Any Federal agency that is a registered person, or
has a sub-agency component that is a registered person. (D) Any
Federal agency that awards grants or enters into contracts or
cooperative agreements involving listed agents and toxins to or
with a registered person, and to which information specified in
paragraph (1) is transferred by any such registered person. (3)
Other exemptions.--This subsection may not be construed as
altering the application of any exemptions to public disclosure
under section 552 of title 5, United States Code, except as to
subsection 552(b)(3) of such title, to any of the information
specified in paragraph (1). (4) Rule of construction.--Except as
specifically provided in paragraph (1), this subsection may not be
construed as altering the authority of any Federal agency to
withhold under section 552 of title 5, United States Code, or the
obligation of any Federal agency to disclose under section 552 of
title 5, United States Code, any information, including
information relating to-- (A) listed agents and toxins, or
individuals seeking access to such agents and toxins; (B)
registered persons, or persons seeking to register their
possession, use, or transfer of such agents and toxins; (C)
general safeguard and security policies and requirements under
regulations under subsections (b) and (c); or (D) summary or
statistical information concerning registrations, registrants,
denials or revocations of registrations, listed agents and toxins,
inspection evaluations and reports, or individuals seeking access
to such agents and toxins. (5) Disclosures to congress; other
disclosures.--This subsection may not be construed as providing
any authority-- (A) to withhold information from the Congress or
any committee or subcommittee thereof; or (B) to withhold
information from any person under any other Federal law or treaty.
(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 sections 423 and 425(2) of the Plant Protection Act
(7 U.S.C. 7733 and 7735(2)) shall apply to a civil money penalty
or activity under paragraph (1) in the same manner as such
provisions apply to a penalty or activity under the Plant
Protection Act.
(j) Notification in Event of Release.--Regulations under
subsections (b) and (c) shall require the prompt notification of
the Secretary by a registered person whenever a release, meeting
criteria established by the Secretary, of a listed agent or toxin
has occurred outside of the biocontainment area of a facility of
the registered person. Upon receipt of such notification and a
finding by the Secretary that the release poses a threat to animal
or plant health, or animal or plant products, the Secretary shall
take appropriate action to notify relevant Federal, State, and
local authorities, and, if necessary, other appropriate persons
(including the public). If the released listed agent or toxin is
an overlap agent or toxin, the Secretary shall promptly notify the
Secretary of Health and Human Services upon notification by the
registered person. (k) Reports.--The Secretary shall report to the
Congress annually on the number and nature of notifications
received under subsection (e)(8) (relating to theft or loss) and
subsection (j) (relating to releases). (l) 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 ``listed agents and
toxins'' means biological agents and toxins listed pursuant to
subsection (a)(1). (3) The term ``listed agents or toxins'' means
biological agents or toxins listed pursuant to subsection (a)(1).
(4) The terms ``overlap agents and toxins'' and ``overlap agent or
toxin'' have the meaning given such terms in subsection
(g)(1)(A)(ii). (5) The term ``person'' includes Federal, State,
and local governmental entities. (6) The term ``registered
person'' means a person registered under regulations under
subsection (b) or (c). (7) The term ``Secretary'' means the
Secretary of Agriculture.
(m) 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 2007, in addition to other funds that may be available.
SEC. 213. <<NOTE: Deadlines.>> IMPLEMENTATION BY
DEPARTMENT OF AGRICULTURE.
(a) <<NOTE: Rules. 7 USC 8401 note.>> Date Certain
for Promulgation of List.--Not later than 60 days after the date
of the enactment of this Act, the Secretary of Agriculture
(referred to in this section as the ``Secretary'') shall
promulgate an interim final rule that establishes the initial list
under section 212(a)(1). <<NOTE: Guidelines.>> In
promulgating such rule, the Secretary shall provide written
guidance on the manner in which the notice required in subsection
(b) is to be provided to the Secretary.
(b) Date Certain for Notice of Possession.--Not later than 60
days after the date on which the Secretary promulgates the interim
final rule under subsection (a), all persons (unless exempt under
section 212(g)) in possession of biological agents or toxins
included on the list referred to in subsection (a) shall notify
the Secretary of such possession. (c) Date Certain for
Promulgation; Effective Date Regarding Criminal and Civil
Penalties.-- <<NOTE: Rules.>> Not later than 180 days
after the date of the enactment of this Act, the Secretary shall
promulgate an interim final rule for carrying out section 212,
other than for the list referred to in subsection (a) of this
section (but such rule may incorporate by reference provisions
promulgated pursuant to subsection (a)). Such interim final rule
shall take effect 60 days after the date on which such rule is
promulgated, including for purposes of-- (1) section 175b(c) of
title 18, United States Code (relating to criminal penalties), as
added by section 231(a)(5) of this Act; and (2) section 212(i) of
this Act (relating to civil penalties).
(d) Transitional Provision Regarding Current Research and
Education.--The interim final rule under subsection (c) shall
include time frames for the applicability of the rule that
minimize disruption of research or educational projects that
involve biological agents and toxins listed pursuant to section
212(a)(1) and that were underway as of the effective date of such
rule.
Subtitle C--Interagency Coordination Regarding Overlap Agents
and Toxins
SEC. 221. <<NOTE: 7 USC 8411.>> INTERAGENCY
COORDINATION.
(a) In General.-- (1) Coordination.--The Secretary of
Agriculture and the Secretary of Health and Human Services shall
in accordance with this section coordinate activities regarding
overlap agents and toxins. (2) Overlap agents and toxins; other
terms.--For purposes of this section: (A) The term ``overlap agent
or toxin'' means a biological agent or toxin that-- (i) is listed
pursuant to section 315A(a)(1) of the Public Health Service Act,
as added by section 201 of this Act; and (ii) is listed pursuant
to section 212(a)(1) of this Act. (B) The term ``section 351A
program'' means the program under section 351A of the Public
Health Service Act. (C) The term ``section 212 program'' means the
program under section 212 of this Act.
(b) Certain Matters.--In carrying out the section 351A program
and the section 212 program, the Secretary of Health and Human
Services and the Secretary of Agriculture shall, to the greatest
extent practicable, coordinate activities to achieve the following
purposes: (1) To minimize any conflicts between the regulations
issued under, and activities carried out under, such programs. (2)
To minimize the administrative burden on persons subject to
regulation under both of such programs. (3) To ensure the
appropriate availability of biological agents and toxins for
legitimate biomedical, agricultural or veterinary research,
education, or other such purposes. (4) To ensure that registration
information for overlap agents and toxins under the section 351A
and section 212 programs is contained in both the national
database under the section 351A program and the national database
under the section 212 program.
(c) Memorandum of Understanding.-- (1) In general.--Promptly
after the date of the enactment of this Act, the Secretary of
Agriculture and the Secretary of Health and Human Services shall
enter into a memorandum of understanding regarding overlap agents
and toxins that is in accordance with paragraphs (2) through (4)
and contains such additional provisions as the Secretary of
Agriculture and the Secretary of Health and Human Services
determine to be appropriate. (2) Single registration system
regarding registered persons.--The memorandum of understanding
under paragraph (1) shall provide for the development and
implementation of a single system of registration for persons who
possess, use, or transfer overlap agents or toxins and are
required to register under both the section 351A program and the
section 212 program. For purposes of such system, the memorandum
shall provide for the development and implementation of the
following: (A) A single registration form through which the person
submitting the form provides all information that is required for
registration under the section 351A program and all information
that is required for registration under the section 212 program.
(B) A procedure through which a person may choose to submit the
single registration form to the agency administering the section
351A program (in the manner provided under such program), or to
the agency administering the section 212 program (in the manner
provided under such program). (C) A procedure through which a copy
of a single registration form received pursuant to subparagraph
(B) by the agency administering one of such programs is promptly
provided to the agency administering the other program. (D) A
procedure through which the agency receiving the single
registration form under one of such programs obtains the
concurrence of the agency administering the other program that the
requirements for registration under the other program have been
met. (E) A procedure through which--
(i) the agency receiving the single registration form under one
of such programs informs the agency administering the other
program whether the receiving agency has denied the registration;
and (ii) each of such agencies ensures that registrations are
entered into the national database of registered persons that is
maintained by each such agency. (3) Process of
identification.--With respect to the process of identification
under the section 351A program and the section 212 program for
names and other identifying information submitted to the Attorney
General (relating to certain categories of individuals and
entities), the memorandum of understanding under paragraph (1)
shall provide for the development and implementation of the
following: (A) A procedure through which a person who is required
to submit information pursuant to such process makes (in addition
to the submission to the Attorney General) a submission, at the
option of the person, to either the agency administering the
section 351A program or the agency administering the section 212
program, but not both, which submission satisfies the requirement
of submission for both of such programs. (B) A procedure for the
sharing by both of such agencies of information received from the
Attorney General by one of such agencies pursuant to the
submission under subparagraph (A). (C) A procedure through which
the agencies administering such programs concur in determinations
that access to overlap agents and toxins will be granted. (4)
Coordination of inspections and enforcement.--The memorandum of
understanding under paragraph (1) shall provide for the
development and implementation of procedures under which Federal
personnel under the section 351A program and the section 212
program may share responsibilities for inspections and enforcement
activities under such programs regarding overlap agents and
toxins. Activities carried out under such procedures by one of
such programs on behalf of the other may be carried out with or
without reimbursement by the agency that administers the other
program. (5) <<NOTE: Deadline.>> Date certain for
implementation.-- The memorandum of understanding under paragraph
(1) shall be implemented not later than 180 days after the date of
the enactment of this Act. Until the single system of registration
under paragraph (2) is implemented, persons who possess, use, or
transfer overlap agents or toxins shall register under both the
section 351A program and the section 212 program.
(d) <<NOTE: Deadline.>> Joint Regulations.--Not
later than 18 months after the date on which the single system of
registration under subsection (c)(2) is implemented, the Secretary
of Health and Human Services and the Secretary of Agriculture
shall jointly issue regulations for the possession, use, and
transfer of overlap agents and toxins that meet the requirements
of both the section 351A program and the section 212 program.
Subtitle D--Criminal Penalties Regarding Certain Biological
Agents and Toxins
SEC. 231. CRIMINAL PENALTIES.
(a) In General.--Section 175b of title 18, United States Code,
as added by section 817 of Public Law 107-56, is amended-- (1) by
striking ``(a)'' and inserting ``(a)(1)''; (2) by transferring
subsection (c) from the current placement of the subsection and
inserting the subsection before subsection (b); (3) by striking
``(c)'' and inserting ``(2); (4) by redesignating subsection (b)
as subsection (d); and (5) by inserting before subsection (d) (as
so redesignated) the following subsections:
``(b) Transfer to Unregistered Person.-- ``(1) Select
agents.--Whoever transfers a select agent to a person who the
transferor knows or has reasonable cause to believe is not
registered as 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. ``(2) Certain other biological agents and toxins.--Whoever
transfers a biological agent or toxin listed pursuant to section
212(a)(1) of the Agricultural Bioterrorism Protection Act of 2002
to a person who the transferor knows or has reasonable cause to
believe is not registered as required by regulations under
subsection (b) or (c) of section 212 of such Act shall be fined
under this title, or imprisoned for not more than 5 years, or
both.
``(c) Unregistered for Possession.-- ``(1) Select
agents.--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) Certain other biological agents and toxins.--Whoever
knowingly possesses a biological agent or toxin where such agent
or toxin is a biological agent or toxin listed pursuant to section
212(a)(1) of the Agricultural Bioterrorism Protection Act of 2002
for which such person has not obtained a registration required by
regulations under section 212(c) of such Act shall be fined under
this title, or imprisoned for not more than 5 years, or both.''.
(b) Conforming Amendments.--Chapter 10 of title 18, United
States Code, is amended-- (1) in section 175b (as added by section
817 of Public Law 107-56 and amended by subsection (a) of this
section)-- (A) 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
(B) in the heading for the section, by striking ``Possession by
restricted persons'' and inserting ``Select agents; certain other
agents''; and (2) in the chapter analysis, in the item relating to
section 175b, by striking ``Possession by restricted persons.''
and inserting ``Select agents; certain other agents.''.
(c) Technical Corrections.--Chapter 10 of title 18, United
States Code, as amended by section 817 of Public Law 107-56 and
subsections (a) and (b) of this section, is amended-- (1) in
section 175(c), by striking ``protective'' and all that follows
and inserting ``protective, bona fide research, or other peaceful
purposes.''; (2) in section 175b-- (A) 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 (B) in subsection (d)(3),
by striking ``section 1010(a)(3)'' and inserting ``section
101(a)(3)''; (3) in section 176(a)(1)(A), by striking ``exists by
reason of'' and inserting ``pertains to''; and (4) in section
178-- (A) 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''; (B) 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 (C) in paragraph (4), by
striking ``recombinant molecule,'' and all that follows through
``biotechnology,'' and inserting ``recombinant or synthesized
molecule,''.
(d) Additional Technical Correction.--Section 2332a of title
18, United States Code, is amended-- (1) 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
[[Page 116 STAT. 662]]
(2) 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)''.
TITLE III--PROTECTING SAFETY AND SECURITY OF FOOD AND DRUG
SUPPLY
Subtitle A--Protection of Food Supply
SEC. 301. <<NOTE: 21 USC 341 note.>> FOOD SAFETY
AND SECURITY STRATEGY.
(a) In General.--The President's Council on Food Safety (as
established by Executive Order No. 13100) shall, in consultation
with the Secretary of Transportation, the Secretary of the
Treasury, other relevant Federal agencies, the food industry,
consumer and producer groups, scientific organizations, and the
States, develop a crisis communications and education strategy
with respect to bioterrorist threats to the food supply. Such
strategy shall address threat assessments; technologies and
procedures for securing food processing and manufacturing
facilities and modes of transportation; response and notification
procedures; and risk communications to the public. (b)
Authorization of Appropriations.--For the purpose of implementing
the strategy developed under subsection (a), there are authorized
to be appropriated $750,000 for fiscal year 2002, and such sums as
may be necessary for each subsequent fiscal year.
SEC. 302. PROTECTION AGAINST ADULTERATION OF FOOD.
(a) Increasing Inspections for Detection of 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 paragraph: ``(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.''. (c)
Linkages With Appropriate Public Entities.--Section 801(h) of the
Federal Food, Drug, and Cosmetic Act, as amended by subsection (b)
of this section, is amended by adding at the end the following
paragraph: ``(3) The Secretary shall improve linkages with other
regulatory agencies of the Federal Government that share
responsibility for food safety, and shall with respect to such
safety improve linkages with the States and Indian tribes (as
defined in section 4(e) of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 450b(e))).''. (d) Testing for
Rapid Detection of 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) <<NOTE: Reports.>> 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).''.
(e) <<NOTE: Deadline.>> 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) <<NOTE:
Reports.>> 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.
(f) 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. 303. 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. <<NOTE: Regulation.>>
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.--An order
under paragraph (1) with respect to an article of food may require
that such article be labeled or marked as detained, and shall
require that the article be removed to a secure facility, as
appropriate. 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. This subsection may not be
construed as authorizing the delivery of the article pursuant to
the execution of a bond while the article is subject to the order,
and section 801(b) does not authorize the delivery of the article
pursuant to the execution of a bond while the article is subject
to the order. ``(4) Appeal of detention order.-- ``(A) In
general.--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 five
days 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 five-day period the
Secretary fails to provide such an opportunity, or to confirm or
terminate such order, the order is deemed to be terminated. ``(B)
Effect of instituting court action.--The process under
subparagraph (A) for the appeal of an order under paragraph (1)
terminates if the Secretary institutes an action under subsection
(a) or section 302 regarding the article of food involved.''.
(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
302(d)of this Act, <<NOTE: 21 USC 381.>> 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. Subsection (b) does not authorize the delivery of the
article pursuant to the execution of a bond while the article is
so held. ``(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. 304. DEBARMENT FOR REPEATED OR SERIOUS FOOD IMPORT
VIOLATIONS.
(a) Debarment Authority.-- (1) Permissive debarment.--Section
306(b)(1) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
335a(b)(1)) is amended-- (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) Amendment regarding
debarment grounds.--Section 306(b)) of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 335a(b)) is amended-- (A) in paragraph
(2), in the matter preceding subparagraph (A), by inserting
``subparagraph (A) or (B) of'' before ``paragraph (1)''; (B) by
redesignating paragraph (3) as paragraph (4); and (C) 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 food; or ``(B) the person has engaged in
a pattern of importing or offering for import adulterated food
that presents a threat of serious adverse health consequences or
death to humans or animals.''.
(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''; (C) in subparagraph (B), in each of clauses
(i) and (ii), by inserting ``or subsection (b)(3)'' after
``subsection (b)(2)(B)''; and (D) in subparagraph (B)(ii), by
inserting before the period the following: ``or the food
importation process, as the case may be''.
(c) Effective Dates.--Section 306(l)(2) of the Federal Food,
Drug, and Cosmetic Act <<NOTE: 21 USC 335a.>> (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)(A)'' after ``subsection
(b)(2)(B)''; and (2) in the second sentence, by inserting ``,
subsection (b)(3)(B),'' after ``subsection (b)(2)(B)''.
(d) Prohibited Act.--Section 301 of the Federal Food, Drug, and
Cosmetic Act, as amended by section 303(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)(3).''. (e) Importation by Debarred
Persons.--Section 801 of the Federal Food, Drug, and Cosmetic Act,
as amended by section 303(c) of this Act, <<NOTE: 21 USC
381.>> is amended by adding at the end the following
subsection:
``(k)(1) If an article of food is being imported or offered for
import into the United States, and the importer, owner, or
consignee of the article is a person who has been debarred under
section 306(b)(3), such article shall be held at the port of entry
for the article, and may not be delivered to such person.
Subsection (b) does not authorize the delivery of the article
pursuant to the execution of a bond while the article is so held.
The article shall be removed 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. ``(2) An article of food held under paragraph (1) may be
delivered to a person who is not a debarred person under section
306(b)(3) if such person affirmatively establishes, at the expense
of the person, that the article complies with the requirements of
this Act, as determined by the Secretary.''.
SEC. 305. REGISTRATION OF FOOD FACILITIES.
(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:
``SEC. 415. <<NOTE: 21 USC 350d.>> REGISTRATION OF
FOOD FACILITIES.
``(a) Registration.-- ``(1) <<NOTE: Regulations.>>
In general.--The Secretary shall by regulation require that any
facility engaged in manufacturing, processing, packing, or holding
food for consumption in the United States 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 name 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) of any food manufactured,
processed, packed, or held at such facility. <<NOTE:
Notification.>> The registrant shall notify the Secretary in
a timely manner of changes to such information. ``(3)
<<NOTE: Notification.>> 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) <<NOTE: Records.>> List.--The Secretary shall
compile and maintain an up-to-date list of facilities that are
registered under this section. Such list and any registration
documents submitted pursuant to this subsection shall not be
subject to disclosure under section 552 of title 5, United States
Code. Information derived from such list or registration documents
shall not be subject to disclosure under section 552 of title 5,
United States Code, to the extent that it discloses the identity
or location of a specific registered person.
``(b) Facility.--For purposes of this section: ``(1) 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 farms; restaurants; other retail food establishments;
nonprofit food establishments in which food is prepared for or
served directly to the consumer; or fishing vessels (except such
vessels engaged in processing as defined in section 123.3(k) of
title 21, Code of Federal Regulations). ``(2) The term `domestic
facility' means a facility located in any of the States or
Territories. ``(3)(A) The term `foreign facility' means a facility
that manufacturers, processes, packs, or holds food, but only if
food from such facility is exported to the United States without
further processing or packaging outside the United States. ``(B) A
food may not be considered to have undergone further processing or
packaging for purposes of subparagraph (A) solely on the basis
that labeling was added or that any similar activity of a de
minimis nature was carried out with respect to the food.
``(c) 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.--Section 301
of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 331), as
amended by section 304(d) of this Act, is amended by adding at the
end the following: ``(dd) The failure to register in accordance
with section 415.''. (c) Importation; Failure to
Register.--Section 801 of the Federal Food, Drug, and Cosmetic
Act, as amended by section 304(e) of this Act, <<NOTE: 21
USC 381.>> is amended by adding at the end the following
subsection:
``(l)(1) If an article of food is being imported or offered for
import into the United States, and such article is from a foreign
facility for which a registration has not been submitted to the
Secretary under section 415, 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 the foreign
facility is so registered. Subsection (b) does not authorize the
delivery of the article pursuant to the execution of a bond while
the article is so held. The article shall be removed 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.''. (d) <<NOTE: 21 USC 350d
note.>> 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.
(e) <<NOTE: Deadline.>> Rulemaking; Effective
Date.--Not later than 18 months after the date of the enactment of
this Act, the Secretary of Health and Human Services shall
promulgate proposed and final regulations for the requirement of
registration under section 415 of the Federal Food, Drug, and
Cosmetic Act (as added by subsection (a) of this section). Such
requirement of registration takes effect-- (1) upon the effective
date of such final regulations; or (2) upon the expiration of such
18-month period if the final regulations have not been made
effective as of the expiration of such period, subject to
compliance with the final regulations when the final regulations
are made effective.
SEC. 306. MAINTENANCE AND INSPECTION OF RECORDS FOR FOODS.
(a) In General.--Chapter IV of the Federal Food, Drug, and
Cosmetic Act, as amended by section 305 of this Act, is amended by
inserting before section 415 the following section:
``SEC. 414. <<NOTE: 21 USC 350c.>> MAINTENANCE AND
INSPECTION OF RECORDS.
``(a) Records Inspection.--If the Secretary has a reasonable
belief that an article of food is adulterated and 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 determining whether the food is
adulterated and presents a threat of serious adverse health
consequences or death to humans or animals. <<NOTE:
Applicability.>> 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
establishment and maintenance, for not longer than two years, of
records by persons (excluding farms and restaurants) who
manufacture, process, pack, transport, distribute, receive, hold,
or import food, which records are needed by the Secretary for
inspection to allow the Secretary to identify the immediate
previous sources and the immediate subsequent recipients of food,
including 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 establishment and 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 a reasonable belief that an article of food is
adulterated and 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 of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 331) is amended-- (1) in paragraph (e)--
(A) by striking ``by section 412, 504, or 703'' and inserting ``by
section 412, 414, 504, 703, or 704(a)''; and (B) by striking
``under section 412'' and inserting ``under section 412, 414(b)'';
and (2) in paragraph (j), by inserting ``414,'' after ``412,''.
(d) <<NOTE: Deadline. 21 USC 350c note.>> Expedited
Rulemaking.-- Not later than 18 months after the date of the
enactment of this Act, the Secretary shall promulgate proposed and
final regulations establishing recordkeeping requirements under
subsection 414(b) of the Federal Food, Drug, and Cosmetic Act (as
added by subsection (a)).
SEC. 307. PRIOR NOTICE OF IMPORTED FOOD SHIPMENTS.
(a) In General.--Section 801 of the Federal Food, Drug, and
Cosmetic Act, as amended by section 305(c) of this Act, is amended
by adding at the end the following subsection: ``(m)(1)
<<NOTE: Regulations.>> 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; 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 the requirements 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 in advance of the time of the importation of the article of
food involved or the offering of the food for import, which period
shall be no less than the minimum amount of time necessary for the
Secretary to receive, review, and appropriately respond to such
notification, but may not exceed five days. In determining the
specified period of time required under this subparagraph, the
Secretary may consider, but is not limited to consideration of,
the effect on commerce of such period of time, the locations of
the various ports of entry into the United States, the various
modes of transportation, the types of food imported into the
United States, and any other such consideration. Nothing in the
preceding sentence may be construed as a limitation on the
obligation of the Secretary to receive, review, and appropriately
respond to any notice under paragraph (1). ``(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 the requirements under paragraph (1), 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 the requirements under paragraph (1). Subsection
(b) does not authorize the delivery of the article pursuant to the
execution of a bond while the article is so held. The article
shall be removed 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. ``(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)
of this Act, <<NOTE: 21 USC 331.>> 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 the requirements
under section 801(m).''. (c) <<NOTE: 21 USC 351
note.>> Rulemaking; Effective Date.-- (1) <<NOTE:
Deadline.>> In general.--Not later than 18 months after the
date of the enactment of this Act, the Secretary of Health and
Human Services shall promulgate proposed and final regulations for
the requirement of providing notice in accordance with section
801(m) of the Federal Food, Drug, and Cosmetic Act (as added by
subsection (a) of this section). Such requirement of notification
takes effect-- (A) upon the effective date of such final
regulations; or (B) upon the expiration of such 18-month period if
the final regulations have not been made effective as of the
expiration of such period, subject to compliance with the final
regulations when the final regulations are made effective. (2)
Default; minimum period of advance notice.--If under paragraph (1)
the requirement for providing notice in accordance with section
801(m) of the Federal Food, Drug, and Cosmetic Act takes effect
without final regulations having been made effective, then for
purposes of such requirement, the specified period of time that
the notice is required to be made in advance of the time of the
importation of the article of food involved or the offering of the
food for import shall be not fewer than eight hours and not more
than five days, which shall remain in effect until the final
regulations are made effective.
SEC. 308. 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 307(a) of
this Act, is amended by adding at the end the following: ``(n)(1)
If a food has been refused admission under subsection (a), other
than such a food that is required to be destroyed, 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) is amended by
adding at the end the following: ``(v) If-- ``(1) it fails to bear
a label required by the Secretary under section 801(n)(1)
(relating to food refused admission into the United States); ``(2)
the Secretary finds that the food presents a threat of serious
adverse health consequences or death to humans or animals; and
``(3) upon or after notifying the owner or consignee involved that
the label is required under section 801, the Secretary informs the
owner or consignee that the food presents such a threat.''.
(c) <<NOTE: 21 USC 381 note.>> 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. 309. PROHIBITION AGAINST PORT SHOPPING.
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 the article of food 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
complies with the applicable requirements of this Act, as
determined by the Secretary.''.
SEC. 310. 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
section:
``SEC. 908. <<NOTE: 21 USC 398.>> 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 threat 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 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 food under any
other provision of this Act.''.
SEC. 311. GRANTS TO STATES FOR INSPECTIONS.
Chapter IX of the Federal Food, Drug, and Cosmetic Act, as
amended by section 310 of this Act, is amended by adding at the
end the following section:
``SEC. 909. <<NOTE: 21 USC 399.>> GRANTS TO STATES
FOR INSPECTIONS.
``(a) In General.--The Secretary is authorized to make grants
to States, territories, and Indian tribes (as defined in section
4(e) of the Indian Self-Determination and Education Assistance Act
(25 U.S.C. 450b(e))) that undertake examinations, inspections, and
investigations, and related activities under section 702. The
funds provided under such grants shall only be available for the
costs of conducting such examinations, inspections,
investigations, and related activities. ``(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 notification 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 $10,000,000 for fiscal
year 2002, and such sums as may be necessary for each of the
fiscal years 2003 through 2006.''.
SEC. 312. SURVEILLANCE AND INFORMATION GRANTS AND AUTHORITIES.
Part B of title III of the Public Health Service Act (42 U.S.C.
243 et seq.) is amended by inserting after section 317P the
following:
``SEC. 317R. <<NOTE: 42 USC 247b-20.>> FOOD SAFETY
GRANTS.
``(a) In General.--The Secretary may award grants to States and
Indian tribes (as defined in section 4(e) of the Indian Self-
Determination and Education Assistance Act (25 U.S.C. 450b(e))) to
expand participation in networks to enhance Federal, State, and
local food safety efforts, including meeting the costs of
establishing and maintaining the food safety surveillance,
technical, and laboratory capacity needed for such participation.
``(b) Authorization of Appropriations.--For the purpose of
carrying out this section, there are authorized to be appropriated
$19,500,000 for fiscal year 2002, and such sums as may be
necessary for each of the fiscal years 2003 through 2006.''.
SEC. 313. <<NOTE: 7 USC 8319.>> SURVEILLANCE OF
ZOONOTIC DISEASES.
The Secretary of Health and Human Services, through the
Commissioner of Food and Drugs and the Director of the Centers for
Disease Control and Prevention, and the Secretary of Agriculture
shall coordinate the surveillance of zoonotic diseases.
SEC. 314. AUTHORITY TO COMMISSION OTHER FEDERAL OFFICIALS TO
CONDUCT INSPECTIONS.
Section 702(a) of the Federal Food, Drug, and Cosmetic Act (21
U.S.C. 372(a)) is amended-- (1) by striking ``(a)'' and inserting
``(a)(1)''; (2) by striking ``In the case of food packed'' and
inserting the following:
``(3) In the case of food packed''; (3) by striking ``For the
purposes of this subsection'' and inserting the following:
``(4) For the purposes of this subsection,''; and (4) by
inserting after paragraph (1) (as designated by paragraph (1) of
this section) the following paragraph:
``(2)(A) In addition to the authority established in paragraph
(1), the Secretary, pursuant to a memorandum of understanding
between the Secretary and the head of another Federal department
or agency, is authorized to conduct examinations and
investigations for the purposes of this Act through the officers
and employees of such other department or agency, subject to
subparagraph (B). Such a memorandum shall include provisions to
ensure adequate training of such officers and employees to conduct
the examinations and investigations. The memorandum of
understanding shall contain provisions regarding reimbursement.
Such provisions may, at the sole discretion of the head of the
other department or agency, require reimbursement, in whole or in
part, from the Secretary for the examinations or investigations
performed under this section by the officers or employees of the
other department or agency. ``(B) A memorandum of understanding
under subparagraph (A) between the Secretary and another Federal
department or agency is effective only in the case of examinations
or inspections at facilities or other locations that are jointly
regulated by the Secretary and such department or agency. ``(C)
<<NOTE: Reports.>> For any fiscal year in which the
Secretary and the head of another Federal department or agency
carries out one or more examinations or inspections under a
memorandum of understanding under subparagraph (A), the Secretary
and the head of such department or agency shall with respect to
their respective departments or agencies submit to the committees
of jurisdiction (authorizing and appropriating) in the House of
Representatives and the Senate a report that provides, for such
year-- ``(i) the number of officers or employees that carried out
one or more programs, projects, or activities under such
memorandum; ``(ii) the number of additional articles that were
inspected or examined as a result of such memorandum; and ``(iii)
the number of additional examinations or investigations that were
carried out pursuant to such memorandum.''.
SEC. 315. <<NOTE: 21 USC 331 note.>> RULE OF
CONSTRUCTION.
Nothing in this title, or an amendment made by this title,
shall be construed to alter the jurisdiction between the
Secretaries of Agriculture and of Health and Human Services, under
applicable statutes and regulations.
Subtitle B--Protection of Drug Supply
SEC. 321. ANNUAL REGISTRATION OF FOREIGN MANUFACTURERS;
SHIPPING INFORMATION; DRUG AND DEVICE LISTING.
(a) Annual Registration; Listing.--Section 510 of the Federal
Food, Drug, and Cosmetic Act (21 U.S.C. 360) is amended-- (1) in
subsection (i)(1)-- (A) by striking ``Any establishment'' and
inserting ``On or before December 31 of each year, any
establishment''; and (B) by striking ``shall register'' and all
that follows and inserting the following: ``shall, through
electronic means in accordance with the criteria of the Secretary,
register with the Secretary the name and place of business of the
establishment, the name of the United States agent for the
establishment, 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 person who imports or offers for import such drug or
device to the United States for purposes of importation.''; and
(2) in subsection (j)(1), in the first sentence, by striking ``or
(d)'' and inserting ``(d), or (i)''. (b) Importation; Statement
Regarding Registration of Manufacturer.-- (1) In general.--Section
801 of the Federal Food, Drug, and Cosmetic Act, as amended by
section 308(a) of this Act, is amended by adding at the end the
following subsection:
``(o) If an article that is a drug or device is being imported
or offered for import into the United States, and the importer,
owner, or consignee of such article does not, at the time of
offering the article for import, submit to the Secretary a
statement that identifies the registration under section 510(i) of
each establishment that with respect to such article is required
under such section to register with the Secretary, the article may
be refused admission. If the article is refused admission for
failure to submit such a statement, the 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 a
statement is submitted to the Secretary. Subsection (b) does not
authorize the delivery of the article pursuant to the execution of
a bond while the article is so held. The article shall be removed
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.''. (2) Prohibited act.--Section
301 of the Federal Food, Drug, and Cosmetic Act, as amended by
section 307(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 a request of the Secretary to submit to the
Secretary a statement under section 801(o).''. (c) <<NOTE:
21 USC 331 note.>> 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. 322. 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, 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. ``(III) The statement is accompanied
by such certificates of analysis as are necessary to identify such
article, unless the article is a device or is an article described
in paragraph (4). ``(ii) 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. ``(iii) 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. ``(iv)
<<NOTE: Records.>> 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. ``(v) <<NOTE:
Reports.>> 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 the
requirements of this subparagraph.
``(B) Notwithstanding subparagraph (A), the Secretary may
refuse admission to an article that otherwise would be imported
into the United States under such subparagraph if the Secretary
determines that there is credible evidence or information
indicating that such article is not 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. ``(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) <<NOTE: 21 USC 331
note.>> 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.
Subtitle C--General Provisions Relating to Upgrade of
Agricultural Security
SEC. 331. <<NOTE: 7 USC 8320.>> EXPANSION OF ANIMAL
AND PLANT HEALTH INSPECTION SERVICE ACTIVITIES.
(a) In General.--The Secretary of Agriculture (referred to in
this section as the ``Secretary'') may utilize existing
authorities to give high priority to enhancing and expanding the
capacity of the Animal and Plant Health Inspection Service to
conduct activities to-- (1) increase the inspection capacity of
the Service at international points of origin; (2) improve
surveillance at ports of entry and customs; (3) enhance methods of
protecting against the introduction of plant and animal disease
organisms by terrorists; (4) develop new and improve existing
strategies and technologies for dealing with intentional outbreaks
of plant and animal disease arising from acts of terrorism or from
unintentional introduction, including-- (A) establishing
cooperative agreements among Veterinary Services of the Animal and
Plant Health Inspection Service, State animal health commissions
and regulatory agencies for livestock and poultry health, and
private veterinary practitioners to enhance the preparedness and
ability of Veterinary Services and the commissions and agencies to
respond to outbreaks of such animal diseases; and (B)
strengthening planning and coordination with State and local
agencies, including-- (i) State animal health commissions and
regulatory agencies for livestock and poultry health; and (ii)
State agriculture departments; and (5) otherwise improve the
capacity of the Service to protect against the threat of
bioterrorism.
(b) Automated Recordkeeping System.--The Administrator of the
Animal and Plant Health Inspection Service may implement a central
automated recordkeeping system to provide for the reliable
tracking of the status of animal and plant shipments, including
those shipments on hold at ports of entry and customs. The
Secretary shall ensure that such a system shall be fully
accessible to or fully integrated with the Food Safety Inspection
Service. (c) Authorization of Appropriations.--There is authorized
to be appropriated to carry out this section, $30,000,000 for
fiscal year 2002, and such sums as may be necessary for each
subsequent fiscal year.
SEC. 332. <<NOTE: 21 USC 679c.>> EXPANSION OF FOOD
SAFETY INSPECTION SERVICE ACTIVITIES.
(a) In General.--The Secretary of Agriculture may utilize
existing authorities to give high priority to enhancing and
expanding the capacity of the Food Safety Inspection Service to
conduct activities to-- (1) enhance the ability of the Service to
inspect and ensure the safety and wholesomeness of meat and
poultry products; (2) improve the capacity of the Service to
inspect international meat and meat products, poultry and poultry
products, and egg products at points of origin and at ports of
entry; (3) strengthen the ability of the Service to collaborate
with relevant agencies within the Department of Agriculture and
with other entities in the Federal Government, the States, and
Indian tribes (as defined in section 4(e) of the Indian Self-
Determination and Education Assistance Act (25 U.S.C. 450b(e)))
through the sharing of information and technology; and (4)
otherwise expand the capacity of the Service to protect against
the threat of bioterrorism.
(b) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $15,000,000 for fiscal
year 2002, and such sums as may be necessary for each subsequent
fiscal year.
SEC. 333. <<NOTE: Appropriation authorization. State
listing.>> BIOSECURITY UPGRADES AT THE DEPARTMENT OF
AGRICULTURE.
There is authorized to be appropriated for fiscal year 2002,
$180,000,000 for the purpose of enabling the Agricultural Research
Service to conduct building upgrades to modernize existing
facilities, of which (1) $100,000,000 shall be allocated for
renovation, updating, and expansion of the Biosafety Level 3
laboratory and animal research facilities at the Plum Island
Animal Disease Center (Greenport, New York), and of which (2)
$80,000,000 shall be allocated for the Agricultural Research
Service/Animal and Plant Health Inspection Service facility in
Ames, Iowa. There are authorized to be appropriated such sums as
may be necessary for fiscal years 2003 through 2006 for the
purpose described in the preceding sentence, for the planning and
design of an Agricultural Research Service biocontainment
laboratory for poultry research in Athens, Georgia, and for the
planning, updating, and renovation of the Arthropod-Borne Animal
Disease Laboratory in Laramie, Wyoming.
SEC. 334. <<NOTE: 7 USC 3353.>> AGRICULTURAL
BIOSECURITY.
(a) Security at Colleges and Universities.-- (1) Grants.--The
Secretary of Agriculture (referred to in this section as the
``Secretary'') may award grants to covered entities to review
security standards and practices at their facilities in order to
protect against bioterrorist attacks. (2) Covered
entities.--Covered entities under this subsection are colleges or
universities that-- (A) are colleges or universities as defined in
section 1404 of the National Agricultural Research, Extension, and
Teaching Policy Act of 1977 (7 U.S.C. 3103); and (B) have programs
in food and agricultural sciences, as defined in such section. (3)
Limitation.--Each individual covered entity may be awarded one
grant under paragraph (1), the amount of which shall not exceed
$50,000. (4) Contract authority.--Colleges and universities
receiving grants under paragraph (1) may use such grants to enter
into contracts with independent private organizations with
established and demonstrated security expertise to conduct the
security reviews specified in such paragraph.
(b) Guidelines for Agricultural Biosecurity.-- (1) In
general.--The Secretary may award grants to associations of food
producers or consortia of such associations for the development
and implementation of educational programs to improve biosecurity
on farms in order to ensure the security of farm facilities
against potential bioterrorist attacks. (2) Limitation.--Each
individual association eligible under paragraph (1) may be awarded
one grant under such paragraph, the amount of which shall not
exceed $100,000. Each consortium eligible under paragraph (1) may
be awarded one grant under such paragraph, the amount of which
shall not exceed $100,000 per association participating in the
consortium. (3) Contract authority.--Associations of food
producers receiving grants under paragraph (1) may use such grants
to enter into contracts with independent private organizations
with established and demonstrated expertise in biosecurity to
assist in the development and implementation of educational
programs to improve biosecurity specified in such paragraph.
(c) Authorization of Appropriations.--There are authorized to
be appropriated to carry out this section such sums as may be
necessary for each fiscal year.
SEC. 335. <<NOTE: 7 USC 3354.>> AGRICULTURAL
BIOTERRORISM RESEARCH AND DEVELOPMENT.
(a) In General.--The Secretary of Agriculture (referred to in
this section as the ``Secretary'') may utilize existing research
authorities and research programs to protect the food supply of
the United States by conducting and supporting research activities
to-- (1) enhance the capability of the Secretary to respond in a
timely manner to emerging or existing bioterrorist threats to the
food and agricultural system of the United States; (2) develop new
and continue partnerships with institutions of higher education
and other institutions to help form stable, long-term programs to
enhance the biosecurity and food safety of the United States,
including the coordination of the development, implementation, and
enhancement of diverse capabilities for addressing threats to the
nation's agricultural economy and food supply, with special
emphasis on planning, training, outreach, and research activities
related to vulnerability analyses, incident response, detection,
and prevention technologies; (3) strengthen coordination with the
intelligence community to better identify research needs and
evaluate materials or information acquired by the intelligence
community relating to potential threats to United States
agriculture; (4) expand the involvement of the Secretary with
international organizations dealing with plant and animal disease
control; (5) continue research to develop rapid detection field
test kits to detect biological threats to plants and animals and
to provide such test kits to State and local agencies preparing
for or responding to bioterrorism; (6) develop an agricultural
bioterrorism early warning surveillance system through enhancing
the capacity of and coordination between State veterinary
diagnostic laboratories, Federal and State agricultural research
facilities, and public health agencies; and (7) otherwise improve
the capacity of the Secretary to protect against the threat of
bioterrorism.
(b) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $190,000,000 for fiscal
year 2002, and such sums as may be necessary for each subsequent
fiscal year.
SEC. 336. ANIMAL ENTERPRISE TERRORISM PENALTIES.
(a) In General.--Section 43(a) of title 18, United States Code,
is amended to read as follows: ``(a) Offense.--Whoever-- ``(1)
travels in interstate or foreign commerce, or uses or causes to be
used the mail or any facility in interstate or foreign commerce
for the purpose of causing physical disruption to the functioning
of an animal enterprise; and ``(2) intentionally damages or causes
the loss of any property (including animals or records) used by
the animal enterprise, or conspires to do so,
shall be punished as provided for in subsection (b).''. (b)
Penalties.--Section 43(b) of title 18, United States Code, is
amended to read as follows: ``(b) Penalties.-- ``(1) Economic
damage.--Any person who, in the course of a violation of
subsection (a), causes economic damage not exceeding $10,000 to an
animal enterprise shall be fined under this title or imprisoned
not more than 6 months, or both. ``(2) Major economic damage.--Any
person who, in the course of a violation of subsection (a), causes
economic damage exceeding $10,000 to an animal enterprise shall be
fined under this title or imprisoned not more than 3 years, or
both. ``(3) Serious bodily injury.--Any person who, in the course
of a violation of subsection (a), causes serious bodily injury to
another individual shall be fined under this title or imprisoned
not more than 20 years, or both. ``(4) Death.--Any person who, in
the course of a violation of subsection (a), causes the death of
an individual shall be fined under this title and imprisoned for
life or for any term of years.''.
(c) Restitution.--Section 43(c) of title 18, United States
Code, is amended-- (1) in paragraph (1), by striking ``and'' at
the end; (2) in paragraph (2), by striking the period at the end
and inserting ``; and''; and (3) by adding at the end the
following: ``(3) for any other economic damage resulting from the
offense.''.
TITLE IV--DRINKING WATER SECURITY AND SAFETY
SEC. 401. TERRORIST AND OTHER INTENTIONAL ACTS.
The Safe Drinking Water Act (title XIV of the Public Health
Service Act) is amended by inserting the following new section
after section 1432:
``SEC. 1433. <<NOTE: 42 USC 300i-2.>> 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. <<NOTE: Deadline.>> The Administrator, not
later than August 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) <<NOTE: Certification. Deadlines.>> 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) and shall submit to the Administrator
a written copy of the assessment. Such certification and
submission shall be made prior to: ``(A) March 31, 2003, in the
case of systems serving a population of 100,000 or more. ``(B)
December 31, 2003, in the case of systems serving a population of
50,000 or more but less than 100,000. ``(C) June 30, 2004, in the
case of systems serving a population greater than 3,300 but less
than 50,000.
``(3) Except for information contained in a certification under
this subsection identifying the system submitting the
certification and the date of the certification, all information
provided to the Administrator under this subsection and all
information derived therefrom shall be exempt from disclosure
under section 552 of title 5 of the United States Code. ``(4) No
community water system shall be required under State or local law
to provide an assessment described in this section to any State,
regional, or local governmental entity solely by reason of the
requirement set forth in paragraph (2) that the system submit such
assessment to the Administrator. ``(5) <<NOTE: Deadlines.
Protocols.>> Not later than November 30, 2002, the
Administrator, in consultation with appropriate Federal law
enforcement and intelligence officials, shall develop such
protocols as may be necessary to protect the copies of the
assessments required to be submitted under this subsection (and
the information contained therein) from unauthorized disclosure.
Such protocols shall ensure that-- ``(A) each copy of such
assessment, and all information contained in or derived from the
assessment, is kept in a secure location; ``(B) only individuals
designated by the Administrator may have access to the copies of
the assessments; and ``(C) no copy of an assessment, or part of an
assessment, or information contained in or derived from an
assessment shall be available to anyone other than an individual
designated by the Administrator.
At the earliest possible time prior to November 30, 2002, the
Administrator shall complete the development of such protocols for
the purpose of having them in place prior to receiving any
vulnerability assessments from community water systems under this
subsection. ``(6)(A) Except as provided in subparagraph (B), any
individual referred to in paragraph (5)(B) who acquires the
assessment submitted under paragraph (2), or any reproduction of
such assessment, or any information derived from such assessment,
and who knowingly or recklessly reveals such assessment,
reproduction, or information other than-- ``(i) to an individual
designated by the Administrator under paragraph (5), ``(ii) for
purposes of section 1445 or for actions under section 1431, or
``(iii) for use in any administrative or judicial proceeding to
impose a penalty for failure to comply with this section,
shall upon conviction be imprisoned for not more than one year
or fined in accordance with the provisions of chapter 227 of title
18, United States Code, applicable to class A misdemeanors, or
both, and shall be removed from Federal office or employment.
``(B) Notwithstanding subparagraph (A), an individual referred to
in paragraph (5)(B) who is an officer or employee of the United
States may discuss the contents of a vulnerability assessment
submitted under this section with a State or local official. ``(7)
Nothing in this section authorizes any person to withhold any
information from Congress or from any committee or subcommittee of
Congress. ``(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. <<NOTE: Certification. Deadline.>>
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) Record Maintenance.--Each community water system shall
maintain a copy of the emergency response plan completed pursuant
to subsection (b) for 5 years after such plan has been certified
to the Administrator under this section. ``(d) 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 of
drinking water provided to communities and individuals. ``(e)
Funding.--(1) There are authorized to be appropriated to carry out
this section not more than $160,000,000 for the fiscal year 2002
and such sums as may be necessary for the fiscal years 2003
through 2005. ``(2) The Administrator, in coordination with State
and local governments, may use funds made available under
paragraph (1) to 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 conducted under subsection (a). Such
basic security enhancements may include, but shall not be limited
to the following: ``(A) the purchase and installation of equipment
for detection of intruders; ``(B) the purchase and installation of
fencing, gating, lighting, or security cameras; ``(C) the
tamper-proofing of manhole covers, fire hydrants, and valve boxes;
``(D) the rekeying of doors and locks; ``(E) improvements to
electronic, computer, or other automated systems and remote
security systems; ``(F) participation in training programs, and
the purchase of training manuals and guidance materials, relating
to security against terrorist attacks; ``(G) improvements in the
use, storage, or handling of various chemicals; and ``(H) security
screening of employees or contractor support services.
Funding under this subsection for basic security enhancements
shall not include expenditures for personnel costs, or monitoring,
operation, or maintenance of facilities, equipment, or systems.
``(3) The Administrator may use not more than $5,000,000 from the
funds made available under paragraph (1) to make grants to
community water systems to assist in responding to and alleviating
any vulnerability 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 (including
sources of water for such systems) which the Administrator
determines to present an immediate and urgent security need. ``(4)
The Administrator may use not more than $5,000,000 from the funds
made available under paragraph (1) to make grants to community
water systems serving a population of less than 3,300 persons for
activities and projects undertaken in accordance with the guidance
provided to such systems under subsection (d).
SEC. 402. OTHER SAFE DRINKING WATER ACT AMENDMENTS.
The Safe Drinking Water Act (title XIV of the Public Health
Service Act) is amended by inserting the following new sections
after section 1433 (as added by section 401 of this Act):
``SEC. 1434. <<NOTE: 42 USC 300i-3.>> CONTAMINANT
PREVENTION, DETECTION AND RESPONSE.
``(a) <<NOTE: Contracts.>> 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, including real time monitoring systems, designed to
monitor and detect various levels of chemical, biological, and
radiological contaminants or indicators of contaminants and reduce
the likelihood that such contaminants can be successfully
introduced into public water systems and source water 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) Methods and means for developing
educational and awareness programs for community water systems.
``(4) Procedures and equipment necessary to prevent the flow of
contaminated drinking water to individuals served by public water
systems. ``(5) Methods, means, and equipment which could negate or
mitigate deleterious effects on public health and the 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. ``(6) 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 or other
intentional acts.
``(b) Funding.--For the authorization of appropriations to
carry out this section, see section 1435(e).
``SEC. 1435. <<NOTE: 42 USC 300i-4.>> SUPPLY
DISRUPTION PREVENTION, DETECTION AND RESPONSE.
``(a) <<NOTE: Contracts.>> 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. ``(5) Methods and means by
which information systems, including process controls and
supervisory control and data acquisition and cyber systems at
community water systems could be disrupted by terrorists or other
groups.
``(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) Requirements and Considerations.--In carrying
out this section and section 1434-- ``(1) the Administrator shall
ensure that reviews carried out under this section reflect the
needs of community water systems of various sizes and various
geographic areas of the United States; and ``(2) the Administrator
may consider the vulnerability of, or potential for forced
interruption of service for, a region or service area, including
community water systems that provide service to the National
Capital area.
``(d) Information Sharing.--As soon as practicable after
reviews carried out under this section or section 1434 have been
evaluated, the Administrator shall disseminate, as appropriate as
determined by the Administrator, to community water systems
information on the results of the project through the Information
Sharing and Analysis Center, or other appropriate means. ``(e)
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 the fiscal
years 2003 through 2005.''.
SEC. 403. MISCELLANEOUS AND TECHNICAL AMENDMENTS.
The Safe Drinking Water Act is amended as follows: (1) Section
1414(i)(1) <<NOTE: 42 USC 300g-3.>> is amended by
inserting ``1433'' after ``1417''. (2) Section 1431 <<NOTE:
42 USC 300i.>> 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''. (3) Section 1432
<<NOTE: 42 USC 300i-1.>> 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''. (4) Section 1442
<<NOTE: 42 USC 300j-1.>> 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) <<NOTE: Appropriation authorization.>> 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.''.
TITLE V--ADDITIONAL PROVISIONS
Subtitle <<NOTE: Prescription Drug User Fee Amendments of
2002.>> A-- Prescription Drug User Fees
SEC. 501. <<NOTE: 21 USC 301 note.>> SHORT TITLE.
This subtitle may be cited as the ``Prescription Drug User Fee
Amendments of 2002''.
SEC. 502. <<NOTE: 21 USC 379g note.>> FINDINGS.
The Congress finds that-- (1) prompt approval of safe and
effective new drugs and other therapies is critical to the
improvement of the public health so that patients may enjoy the
benefits provided by these therapies to treat and prevent illness
and disease; (2) the public health will be served by making
additional funds available for the purpose of augmenting the
resources of the Food and Drug Administration that are devoted to
the process for the review of human drug applications and the
assurance of drug safety; (3) the provisions added by the
Prescription Drug User Fee Act of 1992, as amended by the Food and
Drug Administration Modernization Act of 1997, have been
successful in substantially reducing review times for human drug
applications and should be-- (A) reauthorized for an additional 5
years, with certain technical improvements; and (B) carried out by
the Food and Drug Administration with new commitments to implement
more ambitious and comprehensive improvements in regulatory
processes of the Food and Drug Administration, including-- (i)
strengthening and improving the review and monitoring of drug
safety; (ii) considering greater interaction between the agency
and sponsors during the review of drugs and biologics intended to
treat serious diseases and life-threatening diseases; and (iii)
developing principles for improving first-cycle reviews; and (4)
the fees authorized by amendments made in this subtitle will be
dedicated towards expediting the drug development process and the
process for the review of human drug applications as set forth in
the goals identified for purposes of part 2 of subchapter C of
chapter VII of the Federal Food, Drug, and Cosmetic Act, in the
letters from the Secretary of Health and Human Services to the
chairman of the Committee on Energy and Commerce of the House of
Representatives and the chairman of the Committee on Health,
Education, Labor and Pensions of the Senate, as set forth in the
Congressional Record.
SEC. 503. DEFINITIONS.
Section 735 of the Federal Food, Drug, and Cosmetic Act (21
U.S.C. 379g) is amended-- (1) in paragraph (1), in the matter
after and below subparagraph (C), by striking ``licensure, as
described in subparagraph (D)'' and inserting ``licensure, as
described in subparagraph (C)''; (2) in paragraph (3)-- (A) in
subparagraph (A), by striking ``and'' at the end; (B) in
subparagraph (B), by striking the period and inserting ``, and'';
(C) by inserting after subparagraph (B) the following
subparagraph: ``(C) which is on the list of products described in
section 505(j)(7)(A) or is on a list created and maintained by the
Secretary of products approved under human drug applications under
section 351 of the Public Health Service Act.''; and (D) in the
matter after and below subparagraph (C) (as added by subparagraph
(C) of this paragraph), by striking ``Service Act,'' and all that
follows through ``biological product'' and inserting the
following: ``Service Act. Such term does not include a biological
product''; (3) in paragraph (6), by adding at the end the
following subparagraph: ``(F) In the case of drugs approved after
October 1, 2002, under human drug applications or supplements:
collecting, developing, and reviewing safety information on the
drugs, including adverse event reports, during a period
[[Page 116 STAT. 689]]
of time after approval of such applications or supplements, not
to exceed three years.''; and (4) in paragraph (8)-- (A) by
striking the matter after and below subparagraph (B); (B) by
striking subparagraph (B); (C) by striking ``is the lower of'' and
all that follows through ``Consumer Price Index'' and inserting
``is the Consumer Price Index''; and (D) by striking ``1997, or''
and inserting ``1997.''.
SEC. 504. AUTHORITY TO ASSESS AND USE DRUG FEES.
(a) Types of Fees.--Section 736(a) of the Federal Food, Drug,
and Cosmetic Act (21 U.S.C. 379h(a)) is amended-- (1) in the
matter preceding paragraph (1), by striking ``fiscal year 1998''
and inserting ``fiscal year 2003''; (2) in paragraph (1)(A)-- (A)
in each of clauses (i) and (ii), by striking ``in subsection (b)''
and inserting ``under subsection (c)(4)''; and (B) in clause (ii),
by adding at the end the following sentence: ``Such fee shall be
half of the amount of the fee established under clause (i).''; (3)
in paragraph (2)(A), in the matter after and below clause (ii)--
(A) by striking ``in subsection (b)'' and inserting ``under
subsection (c)(4)''; and (B) by striking ``payable on or before
January 31'' and inserting ``payable on or before October 1''; and
(4) in paragraph (3)-- (A) by amending subparagraph (A) to read as
follows: ``(A) In general.--Except as provided in subparagraph
(B), each person who is named as the applicant in a human drug
application, and who, after September 1, 1992, had pending before
the Secretary a human drug application or supplement, shall pay
for each such prescription drug product the annual fee established
under subsection (c)(4). Such fee shall be payable on or before
October 1 of each year. Such fee shall be paid only once for each
product for a fiscal year in which the fee is payable.''; and (B)
in subparagraph (B), by striking ``The listing'' and all that
follows through ``filed under section 505(b)(2)'' and inserting
the following: ``A prescription drug product shall not be assessed
a fee under subparagraph (A) if such product is identified on the
list compiled under section 505(j)(7)(A) with a potency described
in terms of per 100 mL, or if such product is the same product as
another product approved under an application filed under section
505(b)''.
(b) Fee Amounts.--Section 736(b) of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 379h(b)) is amended to read as follows:
``(b) Fee Revenue Amounts.--Except as provided in subsections (c),
(d), (f), and (g), fees under subsection (a) shall be established
to generate the following revenue amounts:
----------------------------------------------------------------------------------------------------------------
Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year ``Type
of Fee Revenue 2003 2004 2005 2006 2007
----------------------------------------------------------------------------------------------------------------
Application/Supplement.................... $74,300,000 $77,000,000
$84,000,000 $86,434,000 $86,434,000
Establishment............................. $74,300,000 $77,000,000
$84,000,000 $86,433,000 $86,433,000
Product................................... $74,300,000 $77,000,000
$84,000,000 $86,433,000 $86,433,000 Total Fee
Revenue......................... $222,900,000 $231,000,000
$252,000,000 $259,300,000 $259,300,000
----------------------------------------------------------------------------------------------------------------
If, after the date of the enactment of the Prescription Drug
User Fee Amendments of 2002, legislation is enacted requiring the
Secretary to fund additional costs of the retirement of Federal
personnel, fee revenue amounts shall be increased in each year by
the amount necessary to fully fund the portion of such additional
costs that are attributable to the process for the review of human
drug applications.''. (c) Adjustments.--Section 736(c) of the
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379h(c)) is
amended-- (1) in paragraph (1)-- (A) in the matter preceding
subparagraph (A), by striking ``fees and total fee revenues'' and
inserting ``revenues''; (B) in subparagraph (A)-- (i) by striking
``during the preceding fiscal year''; and (ii) by striking ``,
or'' and inserting the following: ``for the 12 month period ending
June 30 preceding the fiscal year for which fees are being
established, or''; (C) in subparagraph (B), by striking ``for such
fiscal year'' and inserting ``for the previous fiscal year''; and
(D) in the matter after and below subparagraph (B), by striking
``fiscal year 1997''; and inserting ``fiscal year 2003''; (2) by
redesignating paragraphs (2) and (3) as paragraphs (4) and (5),
respectively; (3) by inserting after paragraph (1) the following
paragraphs: ``(2) <<NOTE: Effective date.>> Workload
adjustment.-- Beginning with fiscal year 2004, after the fee
revenues established in subsection (b) are adjusted for a fiscal
year for inflation in accordance with paragraph (1), the fee
revenues shall be adjusted further for such fiscal year to reflect
changes in the workload of the Secretary for the process for the
review of human drug applications. With respect to such
adjustment: ``(A) The adjustment shall be determined by the
Secretary based on a weighted average of the change in the total
number of human drug applications, commercial investigational new
drug applications, efficacy supplements, and manufacturing
supplements submitted to the Secretary. <<NOTE: Federal
Register, publication.>> The Secretary shall publish in the
Federal Register the fee revenues and fees resulting from the
adjustment and the supporting methodologies. ``(B) Under no
circumstances shall the adjustment result in fee revenues for a
fiscal year that are less than the fee revenues for the fiscal
year established in subsection (b), as adjusted for inflation
under paragraph (1).
``(3) Final year adjustment.--For fiscal year 2007, the
Secretary may, in addition to adjustments under paragraphs (1) and
(2), further increase the fee revenues and fees established in
subsection (b) if such an adjustment is necessary to provide for
not more than three months of operating reserves of carryover user
fees for the process for the review of human drug applications for
the first three months of fiscal year 2008. If such an adjustment
is necessary, the rationale for the amount of the increase shall
be contained in the annual notice establishing fee revenues and
fees for fiscal year 2007. If the Secretary has carryover balances
for such process in excess of three months of such operating
reserves, the adjustment under this paragraph shall not be
made.''; and (4) in paragraph (4) (as redesignated by paragraph
(2) of this subsection), by amending such paragraph to read as
follows: ``(4) <<NOTE: Effective date.>> Annual fee
setting.--The Secretary shall, 60 days before the start of each
fiscal year that begins after September 30, 2002, establish, for
the next fiscal year, application, product, and establishment fees
under subsection (a), based on the revenue amounts established
under subsection (b) and the adjustments provided under this
subsection.''.
(d) Fee Waiver or Reduction.--Section 736(d)) of the Federal
Food, Drug, and Cosmetic Act (21 U.S.C. 379h(d)) is amended-- (1)
in paragraph (1)-- (A) in subparagraph (C), by inserting ``or''
after the comma at the end; (B) by striking subparagraph (D); and
(C) by redesignating subparagraph (E) as subparagraph (D); and (2)
in paragraph (3), in each of subparagraphs (A) and (B), by
striking ``paragraph (1)(E)'' each place such term appears and
inserting ``paragraph (1)(D)''.
(e) Assessment of Fees.--Section 736(f) of the Federal Food,
Drug, and Cosmetic Act (21 U.S.C. 379h(f)) is amended-- (1) in the
heading for the subsection, by striking ``Assessment of Fees.--''
and inserting ``Limitations.--''; and (2) in paragraph (1), by
striking the heading for the paragraph and all that follows
through ``fiscal year beginning'' and inserting the following:
``In general.--Fees under subsection (a) shall be refunded for a
fiscal year beginning''.
(f) Crediting and Availability of Fees.-- (1) In
general.--Section 736(g)(1) of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 379h(g)(1)) is amended by striking ``Fees
collected for a fiscal year'' and all that follows through
``fiscal year limitation.'' and inserting the following: ``Fees
authorized under subsection (a) shall be collected and available
for obligation only to the extent and in the amount provided in
advance in appropriations Acts. Such fees are authorized to remain
available until expended.''. (2) Collections and appropriation
acts.--Section 736(g)(2) of the Federal Food, Drug, and Cosmetic
Act (21 U.S.C. 379h(g)(2)) is amended-- (A) by redesignating
subparagraphs (A) and (B) as clauses (i) and (ii), respectively;
(B) by striking ``(2) Collections'' and all that follows through
``the amount specified'' in clause (i) (as so redesignated) and
inserting the following: ``(2) Collections and appropriation
acts.-- ``(A) In general.--The fees authorized by this section--
``(i) shall be retained in each fiscal year in an amount not to
exceed the amount specified''; (C) by moving clause (ii) (as so
redesignated) two ems to the right; and (D) by adding at the end
the following subparagraph: ``(B) Compliance.--The Secretary shall
be considered to have met the requirements of subparagraph (A)(ii)
in any fiscal year if the costs funded by appropriations and
allocated for the process for the review of human drug
applications-- ``(i) are not more than 3 percent below the level
specified in subparagraph (A)(ii); or ``(ii)(I) are more than 3
percent below the level specified in subparagraph (A)(ii), and
fees assessed for the fiscal year following the subsequent fiscal
year are decreased by the amount in excess of 3 percent by which
such costs fell below the level specified in such subparagraph;
and ``(II) such costs are not more than 5 percent below the level
specified in such subparagraph.''. (3) Authorization of
appropriations.--Section 736(g)(3) of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 379h(g)(3)) is amended by striking
subparagraphs (A) through (E) and inserting the following: ``(A)
$222,900,000 for fiscal year 2003; ``(B) $231,000,000 for fiscal
year 2004; ``(C) $252,000,000 for fiscal year 2005; ``(D)
$259,300,000 for fiscal year 2006; and ``(E) $259,300,000 for
fiscal year 2007;''.
SEC. 505. <<NOTE: Effective dates. Deadlines. 21 USC 379g
note.>> ACCOUNTABILITY AND REPORTS.
(a) Public Accountability.-- (1) Consultation.--In developing
recommendations to the Congress for the goals and plans for
meeting the goals for the process for the review of human drug
applications for the fiscal years after fiscal year 2007, and for
the reauthorization of sections 735 and 736 of the Federal Food,
Drug, and Cosmetic Act, the Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall consult
with the Committee on Energy and Commerce of the House of
Representatives, the Committee on Health, Education, Labor, and
Pensions of the Senate, appropriate scientific and academic
experts, health care professionals, representatives of patient and
consumer advocacy groups, and the regulated industry. (2)
<<NOTE: Federal Register, publication.>>
Recommendations.--The Secretary shall publish in the Federal
Register recommendations under paragraph (1), after negotiations
with the regulated industry; shall present such recommendations to
the congressional committees specified in such paragraph; shall
hold a meeting at which the public may present its views on such
recommendations; and shall provide for a period of 30 days for the
public to provide written comments on such recommendations.
(b) Performance Report.--Beginning with fiscal year 2003, not
later than 60 days after the end of each fiscal year during which
fees are collected under part 2 of subchapter C of chapter VII of
the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379g et seq.),
the Secretary of Health and Human Services shall prepare and
submit to the President, 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
the progress of the Food and Drug Administration in achieving the
goals identified in the letters described in section 502(4) during
such fiscal year and the future plans of the Food and Drug
Administration for meeting the goals. (c) Fiscal
Report.--Beginning with fiscal year 2003, not later than 120 days
after the end of each fiscal year during which fees are collected
under the part described in subsection (b), the Secretary of
Health and Human Services shall prepare and 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 on the implementation of the authority for such
fees during such fiscal year and the use, by the Food and Drug
Administration, of the fees collected during such fiscal year for
which the report is made.
SEC. 506. REPORTS OF POSTMARKETING STUDIES.
Section 506B of the Federal Food, Drug, and Cosmetic Act (21
U.S.C. 356b) is amended by adding at the end the following
subsections: ``(d) Disclosure.--If a sponsor fails to complete an
agreed upon study required by this section by its original or
otherwise negotiated deadline, the Secretary shall publish a
statement on the Internet site of the Food and Drug Administration
stating that the study was not completed and, if the reasons for
such failure to complete the study were not satisfactory to the
Secretary, a statement that such reasons were not satisfactory to
the Secretary. ``(e) Notification.--With respect to studies of the
type required under section 506(b)(2)(A) or under section 314.510
or 601.41 of title 21, Code of Federal Regulations, as each of
such sections was in effect on the day before the effective date
of this subsection, the Secretary may require that a sponsor who,
for reasons not satisfactory to the Secretary, fails to complete
by its deadline a study under any of such sections of such type
for a drug or biological product (including such a study conducted
after such effective date) notify practitioners who prescribe such
drug or biological product of the failure to complete such study
and the questions of clinical benefit, and, where appropriate,
questions of safety, that remain unanswered as a result of the
failure to complete such study. Nothing in this subsection shall
be construed as altering the requirements of the types of studies
required under section 506(b)(2)(A) or under section 314.510 or
601.41 of title 21, Code of Federal Regulations, as so in effect,
or as prohibiting the Secretary from modifying such sections of
title 21 of such Code to provide for studies in addition to those
of such type.''.
SEC. 507. <<NOTE: 21 USC 379g note.>> SAVINGS
CLAUSE.
Notwithstanding section 107 of the Food and Drug Administration
Modernization Act of 1997, and notwithstanding the amendments made
by this subtitle, part 2 of subchapter C of chapter VII of the
Federal Food, Drug, and Cosmetic Act, as in effect on the day
before the date of the enactment of this Act, continues to be in
effect with respect to human drug applications and supplements (as
defined in such part as of such day) that, on or after October 1,
1997, but before October 1, 2002, were accepted by the Food and
Drug Administration for filing and with respect to assessing and
collecting any fee required by such Act for a fiscal year prior to
fiscal year 2003.
SEC. 508. <<NOTE: 21 USC 356b note.>> EFFECTIVE
DATE.
The amendments made by this subtitle shall take effect October
1, 2002.
SEC. 509. <<NOTE: 21 USC 379g note.>> SUNSET
CLAUSE.
The amendments made by sections 503 and 504 cease to be
effective October 1, 2007, and section 505 ceases to be effective
120 days after such date.
Subtitle B--Funding Provisions Regarding Food and Drug
Administration
SEC. 521. OFFICE OF DRUG SAFETY.
Of the amounts appropriated for the Food and Drug
Administration for a fiscal year, the Secretary of Health and
Human Services shall reserve for the Office of Drug Safety (within
such Administration), the following amounts: (1) For fiscal year
2003, an amount equal to the sum of $5,000,000 and the amount made
available under appropriations Acts for such Office for fiscal
year 2002. (2) For fiscal year 2004, an amount equal to the sum of
$10,000,000 and the amount made available under appropriations
Acts for such Office for fiscal year 2002. (3) For each subsequent
fiscal year, an amount equal to the sum of the amount made
available under appropriations Acts for such Office for fiscal
year 2004 and an amount sufficient to offset the effects of
inflation occurring after the beginning of fiscal year 2004.
SEC. 522. <<NOTE: Appropriation authorization.>>
DIVISION OF DRUG MARKETING, ADVERTISING, AND COMMUNICATIONS.
For the Division of Drug Marketing, Advertising, and
Communications (within the Office of Medical Policy, Food and Drug
Administration), there are authorized to be appropriated the
following amounts, stated as increases above the amount made
available under appropriations Acts for such Division for fiscal
year 2002: (1) For fiscal year 2003, an increase of $2,500,000.
(2) For fiscal year 2004, an increase of $4,000,000. (3) For
fiscal year 2005, an increase of $5,500,000. (4) For fiscal year
2006, an increase of $7,500,000. (5) For fiscal year 2007, an
increase of $7,500,000.
[[Page 116 STAT. 695]]
SEC. 523. <<NOTE: Appropriation authorization.>>
OFFICE OF GENERIC DRUGS.
For the Office of Generic Drugs (within the Food and Drug
Administration), there are authorized to be appropriated the
following amounts, stated as increases above the amount made
available under appropriations Acts for such Office for fiscal
year 2002: (1) For fiscal year 2003, an increase of $3,000,000.
(2) For fiscal year 2004, an increase of $6,000,000. (3) For
fiscal year 2005, an increase of $9,000,000. (4) For fiscal year
2006, an increase of $12,000,000. (5) For fiscal year 2007, an
increase of $15,000,000.
Subtitle C--Additional Provisions
SEC. 531. <<NOTE: 47 USC 336 note.>> TRANSITION TO
DIGITAL TELEVISION.
(a) <<NOTE: Deadline.>> Pair Assignment
Required.--In order to further promote the orderly transition to
digital television, and to promote the equitable allocation and
use of digital channels by television broadcast permittees and
licensees, the Federal Communications Commission, at the request
of an eligible licensee or permittee, shall, within 90 days after
the date of enactment of this Act, allot, if necessary, and assign
a paired digital television channel to that licensee or permittee,
provided that-- (1) such channel can be allotted and assigned
without further modification of the tables of allotments as set
forth in sections 73.606 and 73.622 of the Commission's
regulations (47 CFR 73.606, 73.622); and (2) such allotment and
assignment is otherwise consistent with the Commission's rules (47
CFR part 73).
(b) Eligible Transition Licensee or Permittee.--For purposes of
subsection (a), the term ``eligible licensee or permittee'' means
only a full power television broadcast licensee or permittee (or
its successor in interest) that-- (1) had an application pending
for an analog television station construction permit as of October
24, 1991, which application was granted after April 3, 1997; and
(2) as of the date of enactment of this Act, is the permittee or
licensee of that station.
(c) Requirements on Licensee or Permittee.-- (1) Construction
deadline.--Any licensee or permittee receiving a paired digital
channel pursuant to this section-- (A) shall be required to
construct the digital television broadcast facility within 18
months of the date on which the Federal Communications Commission
issues a construction permit therefore, and (B) shall be
prohibited from obtaining or receiving an extension of time from
the Commission beyond the construction deadline established by
paragraph (1). (2) Prohibition of analog operation using digital
pair.--Any licensee or permittee receiving a paired digital
channel pursuant to this section shall be prohibited from giving
up its current paired analog assignment and becoming a
single-channel broadcaster and operating in analog on such paired
digital channel.
(d) Relief Restricted.--Any paired digital allotment and
assignment made under this section shall not be available to any
other applicant unless such applicant is an eligible licensee or
permittee within the meaning of subsection (b).
SEC. 532. 3-YEAR DELAY IN LOCK IN PROCEDURES FOR
MEDICARE+CHOICE PLANS; CHANGE IN CERTAIN MEDICARE+CHOICE DEADLINES
AND ANNUAL, COORDINATED ELECTION PERIOD FOR 2003, 2004, AND 2005.
(a) Lock-In Delay.--Section 1851(e) of the Social Security Act
(42 U.S.C. 1395w-21(e)) is amended-- (1) in paragraph (2)(A), by
striking ``through 2001'' and ``during 1998, 1999, 2000, and
2001'' and inserting ``through 2004'' and ``during the period
beginning January 1, 1998, and ending on December 31, 2004'',
respectively; (2) in the heading to paragraph (2)(B), by striking
``during 2002'' and inserting ``during 2005''; (3) in paragraphs
(2)(B)(i) and (2)(C)(i), by striking ``2002'' and inserting
``2005'' each place it appears; (4) in paragraph (2)(D), by
striking ``2001'' and inserting ``2004''; and (5) in paragraph
(4), by striking ``2002'' and inserting ``2005'' each place it
appears.
(b) Change in Reporting Deadline.-- (1) In general.--Section
1854(a)(1) of such Act (42 U.S.C. 1395w-24(a)(1)) is amended by
striking ``Not later than July 1 of each year'' and inserting
``Not later than the second Monday in September of 2002, 2003, and
2004 (or July 1 of each other year)''. (2) <<NOTE:
Applicability. 42 USC 1395w-24 note.>> Effective date.--The
amendment made by paragraph (1) shall apply to information
submitted for years beginning with 2003.
(c) Delay in Annual, Coordinated Election Period.-- (1) In
general.--Section 1851(e) of such Act (42 U.S.C. 1395w-21(e)) is
amended-- (A) in paragraph (3)(B), by striking ``means'' and all
that follows and inserting the following: ``means, with respect to
a year before 2003 and after 2005, the month of November before
such year and with respect to 2003, 2004, and 2005, the period
beginning on November 15 and ending on December 31 of the year
before such year.''; and (B) in paragraph (6)(A), by striking
``each subsequent year (as provided in paragraph (3))'' and
inserting ``during the annual, coordinated election period under
paragraph (3) for each subsequent year''. (2) <<NOTE:
Applicability. 42 USC 1395w-21 note.>> Effective date.--The
amendment made by paragraph (1) shall apply to the annual,
coordinated election period for years beginning with 2003.
(d) Change to Annual Announcement of Payment Rates.-- (1) In
general.--Section 1853(b)(1) of such Act (42 U.S.C.
1395w-23(b)(1)) is amended by striking ``not later than March 1
before the calendar year concerned'' and inserting ``for years
before 2004 and after 2005 not later than March 1 before the
calendar year concerned and for 2004 and 2005 not later than the
second Monday in May before the respective calendar year''.
(2) <<NOTE: Applicability. 42 USC 1395w-23 note.>>
Effective date.--The amendment made by paragraph (1) shall first
apply to announcements for years after 2003.
Approved June 12, 2002.
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