§ 247d. Public health emergencies

Legislative history

Reconstructed from this section’s Code source credit and amendment notes, resolved against the local Statutes at Large. Editorial notes are evidence, not the law that made the change.

1. 1944

   Pub. L. 106–505 title I § 102 · 114 Stat. 2314

   Enacted · 42 U.S.C. § 247d

   July 1, 1944, ch. 373, title III, § 319, as added Pub. L. 106–505, title I, § 102, Nov. 13, 2000, 114 Stat. 2315

   Source evidence

   Code source credit
   July 1, 1944, ch. 373, title III, § 319, as added Pub. L. 106–505, title I, § 102, Nov. 13, 2000, 114 Stat. 2315

   Enacted provision · exact public law section
   SEC. 102. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT. Part B of title III of the Public Health Service Act (42 U.S.C. 243 et seq.) is amended by striking section 319 and inserting the following: “SEC. 319. PUBLIC HEALTH EMERGENCIES. “(a) Emergencies.— If the Secretary determines, after consultation with such public health officials as may be necessary, that— “(1) a disease or disorder presents a public health emergency; or “(2) a public health emergency, including significant outbreaks of infectious diseases or bioterrorist attacks, otherwise exists, the Secretary may take such action as may be appropriate to respond to the public health emergency, including making grants and entering into contracts and conducting and supporting investigations into the cause, treatment, or prevention of a disease or disorder as described in paragraphs (1) and (2). “(b) Public Health Emergency Fund.— “(1) In general.— There is established in the Treasury a fund to be designated as the ‘Public Health Emergency Fund’ to be made available to the Secretary without fiscal year limitation to carry out subsection (a) only if a public health emergency has been declared by the Secretary under such subsection. There is authorized to be appropriated to the Fund such sums as may be necessary. “(2) Report.— Not later than 90 days after the end of each fiscal year, the Secretary shall prepare and submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Commerce and the Committee on Appropriations of the House of Representatives a report describing— “(A) the expenditures made from the Public Health Emergency Fund in such fiscal year; and “(B) each public health emergency for which the expenditures were made and the activities undertaken with respect to each emergency which was conducted or supported by expenditures from the Fund. “(c) Supplement Not Supplant.— Funds appropriated under this section shall be used to supplement and not supplant other Federal, State, and local public funds provided for activities under this section. “SEC. 319A. NATIONAL NEEDS TO COMBAT THREATS TO PUBLIC HEALTH. “(a) Capacities.— “(1) In general.— Not later than 1 year after the date of the enactment of this section, the Secretary, and such Administrators, Directors, or Commissioners, as may be appropriate, and in collaboration with State and local health officials, shall establish reasonable capacities that are appropriate for national, State, and local public health systems and the personnel or work forces of such systems. Such capacities shall be revised every 10 years, or more frequently as the Secretary determines to be necessary. “(2) Basis.— The capacities established under paragraph (1) shall improve, enhance or expand the capacity of national, State and local public health agencies to detect and respond effectively to significant public health threats, including major outbreaks of infections disease, pathogens resistant to antimicrobial agents and acts of bioterrorism. Such capacities may include the capacity to— “(A) recognize the clinical signs and epidemiological characteristic of significant outbreaks of infectious disease; “(B) identify disease-causing pathogens rapidly and accurately; “(C) develop and implement plans to provide medical care for persons infected with disease-causing agents and to provide preventive care as needed for individuals likely to be exposed to disease-causing agents; “(D) communicate information relevant to significant public health threats rapidly to local, State and national health agencies, and health care providers; or “(E) develop or implement policies to prevent the spread of infectious disease or antimicrobial resistance. “(b) Supplement Not Supplant.— Funds appropriated under this section shall be used to supplement and not supplant other Federal, State, and local public funds provided for activities under this section. “(c) Technical Assistance.— The Secretary shall provide technical assistance to the States to assist such States in fulfilling the requirements of this section. “(d) Authorization of Appropriations.— There are authorized to be appropriated to carry out this section $4,000,000 for fiscal year 2001, and such sums as may be necessary for each subsequent fiscal year through 2006. “SEC. 319B. ASSESSMENT OF PUBLIC HEALTH NEEDS. “(a) Program Authorized.— Not later than 1 year after the Deadline. date of the enactment of this section and every 10 years thereafter, the Secretary shall award grants to States, or consortia of two or more States or political subdivisions of States, to perform, in collaboration with local public health agencies, an evaluation to determine the extent to which the States or local public health agencies can achieve the capacities applicable to State and local public health agencies described in subsection (a) of section 319A The Secretary shall provide technical assistance to States, or consortia of two or more States or political subdivisions of States, in addition to awarding such grants. “(b) Procedure.— “(1) In general.— A State, or a consortium of two or more States or political subdivisions of States, may contract with an outside entity to perform the evaluation described in subsection (a). “(2) Methods.— To the extent practicable, the evaluation described in subsection (a) shall be completed by using methods, to be developed by the Secretary in collaboration with State and local health officials, that facilitate the comparison of evaluations conducted by a State to those conducted by other States receiving funds under this section. “(c) Report.— Not later than 1 year after the date on which Deadline. a State, or a consortium of two or more States or political subdivisions of States, receives a grant under this subsection, such State, or a consortium of two or more States or political subdivisions of States, shall prepare and submit to the Secretary a report describing the results of the evaluation described in subsection (a) with respect to such State, or consortia of two or more States or political subdivisions of States. “(d) Supplement not Supplant.— Funds appropriated under this section shall be used to supplement and not supplant other Federal, State, and local public funds provided for activities under this section. “(e) Authorization of Appropriations.— There are authorized to be appropriated to carry out this section $45,000,000 for fiscal year 2001, and such sums as may be necessary for each subsequent fiscal year through 2003. “SEC. 319C. GRANTS TO IMPROVE STATE AND LOCAL PUBLIC HEALTH AGENCIES. “(a) Program Authorized.— The Secretary shall award competitive grants to eligible entities to address core public health capacity needs using the capacities developed under section 319A, with a particular focus on building capacity to identify, detect, monitor, and respond to threats to the public health. “(b) Eligible Entities.— A State or political subdivision of a State, or a consortium of two or more States or political subdivisions of States, that has completed an evaluation under section 319B(a), or an evaluation that is substantially equivalent as determined by the Secretary under section 319B(a), shall be eligible for grants under subsection (a). “(c) Use of Funds.— An eligible entity that receives a grant under subsection (a), may use funds received under such grant to— “(1) train public health personnel; “(2) develop, enhance, coordinate, or improve participation in an electronic network by which disease detection and public health related information can be rapidly shared among national, regional, State, and local public health agencies and health care providers; “(3) develop a plan for responding to public health emergencies, including significant outbreaks of infectious diseases or bioterrorism attacks, which is coordinated with the capacities of applicable national, State, and local health agencies and health care providers; and “(4) enhance laboratory capacity and facilities. “(d) Report.— No later than January 1, 2005, the Secretary shall prepare and submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Commerce and the Committee on Appropriations of the House of Representatives a report that describes the activities carried out under sections 319A, 319B, and 319C. “(e) Supplement Not Supplant.— Funds appropriated under this section shall be used to supplement and not supplant other Federal, State, and local public funds provided for activities under this section. “(f) Authorization of Appropriations.— There are authorized to be appropriated to carry out this section $50,000,000 for fiscal year 2001, and such sums as may be necessary for each subsequent fiscal year through 2006. “SEC. 319D. REVITALIZING THE CENTERS FOR DISEASE CONTROL AND PREVENTION. “(a) Findings.— Congress finds that the Centers for Disease Control and Prevention have an essential role in defending against and combatting public health threats of the 21st century and requires secure and modern facilities that are sufficient to enable such Centers to conduct this important mission. “(b) Authorization of Appropriations.— For the purposes of achieving the mission of the Centers for Disease Control and Prevention described in subsection (a), for constructing new facilities and renovating existing facilities of such Centers, including laboratories, laboratory support buildings, health communication facilities, office buildings and other facilities and infrastructure, for better conducting the capacities described in section 319A, and for supporting related public health activities, there are authorized to be appropriated $180,000,000 for fiscal year 2001, and such sums as may be necessary for each subsequent fiscal year through 2010. “SEC. 319E. COMBATING ANTIMICROBIAL RESISTANCE. “(a) Task Force.— “(1) In general.— The Secretary shall establish an Antimicrobial Establishment. Resistance Task Force to provide advice and recommendations to the Secretary and coordinate Federal programs relating to antimicrobial resistance. The Secretary may appoint or select a committee, or other organization in existence as of the date of the enactment of this section, to serve as such a task force, if such committee, or other organization meets the requirements of this section. “(2) Members of task force.— The task force described in paragraph (1) shall be composed of representatives from such Federal agencies, and shall seek input from public health constituencies, manufacturers, veterinary and medical professional societies and others, as determined to be necessary by the Secretary, to develop and implement a comprehensive plan to address the public health threat of antimicrobial resistance. “(3) Agenda.— “(A) In general.— The task force described in paragraph (1) shall consider factors the Secretary considers appropriate, including— “(i) public health factors contributing to increasing antimicrobial resistance; “(ii) public health needs to detect and monitor antimicrobial resistance; “(iii) detection, prevention, and control strategies for resistant pathogens; “(iv) the need for improved information and data collection; “(v) the assessment of the risk imposed by pathogens presenting a threat to the public health; and “(vi) any other issues which the Secretary determines are relevant to antimicrobial resistance. “(B) Detection and Control.— The Secretary, in consultation with the task force described in paragraph (1) and State and local public health officials, shall— “(i) develop, improve, coordinate or enhance participation in a surveillance plan to detect and monitor emerging antimicrobial resistance; and “(ii) develop, improve, coordinate or enhance participation in an integrated information system to assimilate, analyze, and exchange antimicrobial resistance data between public health departments. “(4) Meetings.— The task force described under paragraph (1) shall convene not less than twice a year, or more frequently as the Secretary determines to be appropriate. “(b) Research and Development of New Antimicrobial Drugs and Diagnostics.— The Secretary and the Director of Agricultural Research Services, consistent with the recommendations of the task force established under subsection (a), shall conduct and support research, investigations, experiments, demonstrations, and studies in the health sciences that are related to— “(1) the development of new therapeutics, including vaccines and antimicrobials, against resistant pathogens; “(2) the development or testing of medical diagnostics to detect pathogens resistant to antimicrobials; “(3) the epidemiology, mechanisms, and pathogenesis of antimicrobial resistance; “(4) the sequencing of the genomes of priority pathogens as determined by the Director of the National Institutes of Health in consultation with the task force established under subsection (a); and “(5) other relevant research areas. “(c) Education of Medical and Public Health Personnel.— The Secretary, after consultation with the Assistant Secretary for Health, the Surgeon General, the Director of the Centers for Disease Control and Prevention, the Administrator of the Health Resources and Services Administration, the Director of the Agency for Healthcare Research and Quality, members of the task force described in subsection (a), professional organizations and societies, and such other public health officials as may be necessary, shall— “(1) develop and implement educational programs to increase the awareness of the general public with respect to the public health threat of antimicrobial resistance and the appropriate use of antibiotics; “(2) develop and implement educational programs to instruct health care professionals in the prudent use of antibiotics; and “(3) develop and implement programs to train laboratory personnel in the recognition or identification of resistance in pathogens. “(d) Grants.— “(1) In general.— The Secretary shall award competitive grants to eligible entities to enable such entities to increase the capacity to detect, monitor, and combat antimicrobial resistance. “(2) Eligible entities.— Eligible entities for grants under paragraph (1) shall be State or local public health agencies, Indian tribes or tribal organizations, or other public or private nonprofit entities. “(3) Use of funds.— An eligible entity receiving a grant under paragraph (1) shall use funds from such grant for activities that are consistent with the factors identified by the task force under subsection (a)(3), which may include activities that— “(A) provide training to enable such entity to identify patterns of resistance rapidly and accurately; “(B) develop, improve, coordinate or enhance participation in information systems by which data on resistant infections can be shared rapidly among relevant national, State, and local health agencies and health care providers; and “(C) develop and implement policies to control the spread of antimicrobial resistance. “(e) Grants for Demonstration Programs.— “(1) In general.— The Secretary shall award competitive grants to eligible entities to establish demonstration programs to promote judicious use of antimicrobial drugs or control the spread of antimicrobial-resistant pathogens. “(2) Eligible entities.— Eligible entities for grants under paragraph (1) may include hospitals, clinics, institutions of long-term care, professional medical societies, or other public or private nonprofit entities. “(3) Technical assistance.— The Secretary shall provide appropriate technical assistance to eligible entities that receive grants under paragraph (1). “(f) Supplement Not Supplant.— Funds appropriated under this section shall be used to supplement and not supplant other Federal, State, and local public funds provided for activities under this section. “(g) Authorization of Appropriations.— There are authorized to be appropriated to carry out this section, $40,000,000 for fiscal year 2001, and such sums as may be necessary for each subsequent fiscal year through 2006. “SEC. 319F. PUBLIC HEALTH COUNTERMEASURES TO A BIOTERRORIST ATTACK “(a) Working Group on Preparedness for Acts of Bioterrorism.— The Secretary, in coordination with the Secretary of Defense, shall establish a joint interdepartmental working group on preparedness and readiness for the medical and public health effects of a bioterrorist attack on the civilian population. Such joint working group shall— “(1) coordinate research on pathogens likely to be used in a bioterrorist attack on the civilian population as well as therapies to treat such pathogens; “(2) coordinate research and development into equipment to detect pathogens likely to be used in a bioterrorist attack on the civilian population and protect against infection from such pathogens; “(3) develop shared standards for equipment to detect and to protect against infection from pathogens likely to be used in a bioterrorist attack on the civilian population; and “(4) coordinate the development, maintenance, and procedures for the release of, strategic reserves of vaccines, drugs, and medical supplies which may be needed rapidly after a bioterrorist attack upon the civilian population. “(b) Working Group on the Public Health and Medical Consequences of Bioterrorism.— “(1) In general.— The Secretary, in collaboration with the Director of the Federal Emergency Management Agency, the Attorney General, and the Secretary of Agriculture, shall establish a joint interdepartmental working group to address the public health and medical consequences of a bioterrorist attack on the civilian population. “(2) Functions.— Such working group shall— “(A) assess the priorities for and enhance the preparedness of public health institutions, providers of medical care, and other emergency service personnel to detect, diagnose, and respond to a bioterrorist attack; and “(B) in the recognition that medical and public health professionals are likely to provide much of the first response to such an attack, develop, coordinate, enhance, and assure the quality of joint planning and training programs that address the public health and medical consequences of a bioterrorist attack on the civilian population between— “(i) local firefighters, ambulance personnel, police and public security officers, or other emergency response personnel; and “(ii) hospitals, primary care facilities, and public health agencies. “(3) Working group membership.— In establishing such working group, the Secretary shall act through the Assistant Secretary for Health and the Director of the Centers for Disease Control and Prevention. “(4) Coordination.— The Secretary shall ensure coordination and communication between the working groups established in this subsection and subsection (a). “(c) Grants.— “(1) In general.— The Secretary, in coordination with the working group established under subsection (b), shall, on a competitive basis and following scientific or technical review, award grants to or enter into cooperative agreements with eligible entities to enable such entities to increase their capacity to detect, diagnose, and respond to acts of bioterrorism upon the civilian population. “(2) Eligibility.— To be an eligible entity under this subsection, such entity must be a State, political subdivision of a State, a consortium of two or more States or political subdivisions of States, or a hospital, clinic, or primary care facility. “(3) Use of funds.— An entity that receives a grant under this subsection shall use such funds for activities that are consistent with the priorities identified by the working group under subsection (b), including— “(A) training health care professionals and public health personnel to enhance the ability of such personnel to recognize the symptoms and epidemiological characteristics of exposure to a potential bioweapon; “(B) addressing rapid and accurate identification of potential bioweapons; “(C) coordinating medical care for individuals exposed to bioweapons; and “(D) facilitating and coordinating rapid communication of data generated from a bioterrorist attack between national, State, and local health agencies, and health care providers. “(4) Coordination.— The Secretary, in awarding grants under this subsection, shall— “(A) notify the Director of the Office of Justice Programs, and the Director of the National Domestic Preparedness Office annually as to the amount and status of grants awarded under this subsection; and “(B) coordinate grants awarded under this subsection with grants awarded by the Office of Emergency Preparedness and the Centers for Disease Control and Prevention for the purpose of improving the capacity of health care providers and public health agencies to respond to bioterrorist attacks on the civilian population. “(5) Activities.— An entity that receives a grant under this subsection shall, to the greatest extent practicable, coordinate activities carried out with such funds with the activities of a local Metropolitan Medical Response System. “(d) Federal Assistance.— The Secretary shall ensure that the Department of Health and Human Services is able to provide such assistance as may be needed to State and local health agencies to enable such agencies to respond effectively to bioterrorist attacks. “(e) Education.— The Secretary, in collaboration with members of the working group described in subsection (b), and professional organizations and societies, shall— “(1) develop and implement educational programs to instruct public health officials, medical professionals, and other personnel working in health care facilities in the recognition and care of victims of a bioterrorist attack; and “(2) develop and implement programs to train laboratory personnel in the recognition and identification of a potential bioweapon. “(f) Future Resource Development.— The Secretary shall consult with the working group described in subsection (a), to develop priorities for and conduct research, investigations, experiments, demonstrations, and studies in the health sciences related to— “(1) the epidemiology and pathogenesis of potential bioweapons; “(2) the development of new vaccines or other therapeutics against pathogens likely to be used in a bioterrorist attack; “(3) the development of medical diagnostics to detect potential bioweapons; and “(4) other relevant research areas. “(g) General Accounting Office Report.— Not later than Deadline. 180 days after the date of the enactment of this section, the Comptroller General shall submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Commerce and the Committee on Appropriations of the House of Representatives a report that describee— “(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 amount of Federal funds authorized or appropriated for the activities described in paragraph (1); and “(4) 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. “(h) Supplement Not Supplant.— Funds appropriated under this section shall be used to supplement and not supplant other Federal, State, and local public funds provided for activities under this section. “(i) Authorization of Appropriations.— There are authorized to be appropriated to carry out this section $215,000,000 for fiscal year 2001, and such sums as may be necessary for each subsequent fiscal year through 2006. “SEC. 319G. DEMONSTRATION PROGRAM TO ENHANCE BIOTERRORISM TRAINING, COORDINATION, AND READINESS. “(a) In general.— The Secretary shall make grants to not more than three eligible entities to carry out demonstration programs to improve the detection of pathogens likely to be used in a bioterrorist attack, the development of plans and measures to respond to bioterrorist attacks, and the training of personnel involved with the various responsibilities and capabilities needed to respond to acts of bioterrorism upon the civilian population. Such awards shall be made on a competitive basis and pursuant to scientific and technical review. “(b) Eligible Entities.— Eligible entities for grants under subsection (a) are States, political subdivisions of States, and public or private non-profit organizations. “(c) Specific Criteria.— In making grants under subsection (a), the Secretary shall take into account the following factors: “(1) Whether the eligible entity involved is proximate to, and collaborates with, a major research university with expertise in scientific training, identification of biological agents, medicine, and life sciences. “(2) Whether the entity is proximate to, and collaborates with, a laboratory that has expertise in the identification of biological agents. “(3) Whether the entity demonstrates, in the application for the program, support and participation of State and local governments and research institutions in the conduct of the program. “(4) Whether the entity is proximate to, and collaborates with, or is, an academic medical center that has the capacity to serve an uninsured or underserved population, and is equipped to educate medical personnel. “(5) Such other factors as the Secretary determines to be appropriate. “(d) Duration of Award.— The period during which payments are made under a grant under subsection (a) may not exceed 5 years. The provision of such payments shall be subject to annual approval by the Secretary of the payments and subject to the availability of appropriations for the fiscal year involved to make the payments. “(e) Supplement Not Supplant.— Grants under subsection (a) shall be used to supplement, and not supplant, other Federal, State, or local public funds provided for the activities described in such subsection. “(f) General Accounting Office Report.— Not later than 180 days after the conclusion of the demonstration programs carried out under subsection (a), the Comptroller General of the United States shall submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate, and the Committee on Commerce and the Committee on Appropriations of the House of Representatives, a report that describes the ability of grantees under such subsection to detect pathogens likely to be used in a bioterrorist attack, develop plans and measures for dealing with such threats, and train personnel involved with the various responsibilities and capabilities needed to deal with bioterrorist threats. “(g) Authorization of Appropriations.— There is authorized to be appropriated to carry out this section $6,000,000 for fiscal year 2001, and such sums as may be necessary through fiscal year 2006.”.

2. 2002

   Public Health Security and Bioterrorism Preparedness and Response Act of 2002”

   Pub. L. 107–188 § 158 · 116 Stat. 594

   Substituted · 42 U.S.C. § 247d(a)

   Pub. L. 107–188, § 158, substituted “grants, providing awards for expenses, and” for “grants and” in concluding provisions

   Source evidence

   Code amendment note
   Subsec. (a). Pub. L. 107–188, § 158, substituted “grants, providing awards for expenses, and” for “grants and” in concluding provisions.

   Enacted provision · exact public law section
   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”.

   Effective date note
   Pub. L. 107–188, title I, § 144(b), June 12, 2002, 116 Stat. 630, provided that: “The amendment made by subsection (a) [amending this section] applies to any public health emergency under section 319(a) of the Public Health Service Act [42 U.S.C. 247d(a)], including any such emergency that was in effect as of the day before the date of the enactment of this Act [June 12, 2002]. 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.”

3. 2002

   Public Health Security and Bioterrorism Preparedness and Response Act of 2002”

   Pub. L. 107–188 § 144(a) · 116 Stat. 594

   Inserted · 42 U.S.C. § 247d(a)

   Pub. L. 107–188, § 144(a), inserted at end of concluding provisions “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.”

   Target inherited from the preceding amendment note.

   Source evidence

   Code amendment note
   Pub. L. 107–188, § 144(a), inserted at end of concluding provisions “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.”

   Enacted provision · exact public law section
   (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.”.

   Effective date note
   Pub. L. 107–188, title I, § 144(b), June 12, 2002, 116 Stat. 630, provided that: “The amendment made by subsection (a) [amending this section] applies to any public health emergency under section 319(a) of the Public Health Service Act [42 U.S.C. 247d(a)], including any such emergency that was in effect as of the day before the date of the enactment of this Act [June 12, 2002]. 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.”

4. 2002

   Public Health Security and Bioterrorism Preparedness and Response Act of 2002”

   Pub. L. 107–188 § 141 · 116 Stat. 594

   Added · 42 U.S.C. § 247d(d)

   Pub. L. 107–188, § 141, added subsec. (d)

   Source evidence

   Code amendment note
   Subsec. (d). Pub. L. 107–188, § 141, added subsec. (d).

   Enacted provision · exact public law section
   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. . Federal Register, publication. Before or promptly after granting such an extension or waiver, the Secretary shall notify the Congress of such action and publish in the Federal Register a notice of the extension or waiver.”.

   Effective date note
   Pub. L. 107–188, title I, § 144(b), June 12, 2002, 116 Stat. 630, provided that: “The amendment made by subsection (a) [amending this section] applies to any public health emergency under section 319(a) of the Public Health Service Act [42 U.S.C. 247d(a)], including any such emergency that was in effect as of the day before the date of the enactment of this Act [June 12, 2002]. 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.”

5. 2013

   Pandemic and All-Hazards Preparedness Reauthorization Act of 2013

   Pub. L. 113–5 title II § 201 · 127 Stat. 161

   Added · 42 U.S.C. § 247d(e)

   Pub. L. 113–5 added subsec. (e)

   Source evidence

   Code amendment note
   Subsec. (e). Pub. L. 113–5 added subsec. (e).

   Enacted provision · exact public law section
   SEC. 201. TEMPORARY REASSIGNMENT OF STATE AND LOCAL PERSONNEL DURING A PUBLIC HEALTH EMERGENCY.   Section 319 of the Public Health Service Act (42 U.S.C. 247d) is amended by adding at the end the following: “(e) Temporary Reassignment of State and Local Personnel During a Public Health Emergency.— “(1) Emergency reassignment of federally funded personnel.— Notwithstanding any other provision of law, and subject to paragraph (2), upon request by the Governor of a State or a tribal organization or such Governor or tribal organization’s designee, the Secretary may authorize the requesting State or Indian tribe to temporarily reassign, for purposes of immediately addressing a public health emergency in the State or Indian tribe, State and local public health department or agency personnel funded in whole or in part through programs authorized under this Act, as appropriate. “(2) Activation of emergency reassignment.— “(A) Public health emergency.— The Secretary may authorize a temporary reassignment of personnel under paragraph (1) only during the period of a public health emergency determined pursuant to subsection (a). “(B) Contents of request.— To seek authority for a temporary reassignment of personnel under paragraph (1), the Governor of a State or a tribal organization shall submit to the Secretary a request for such reassignment flexibility and shall include in the request each of the following: “(i) An assurance that the public health emergency in the geographic area of the requesting State or Indian tribe cannot be adequately and appropriately addressed by the public health workforce otherwise available. “(ii) An assurance that the public health emergency would be addressed more efficiently and effectively through the requested temporary reassignment of State and local personnel described in paragraph (1). “(iii) An assurance that the requested temporary reassignment of personnel is consistent with any applicable All-Hazards Public Health Emergency Preparedness and Response Plan under section 319C–1. “(iv) An identification of— “(I) each Federal program from which personnel would be temporarily reassigned pursuant to the requested authority; and “(II) the number of personnel who would be so reassigned from each such program. “(v) Such other information and assurances upon which the Secretary and Governor of a State or tribal organization agree. “(C) Consideration.— In reviewing a request for temporary reassignment under paragraph (1), the Secretary shall consider the degree to which the program or programs funded in whole or in part by programs authorized under this Act would be adversely affected by the reassignment. “(D) Termination and extension.— “(i) Termination.— A State or Indian tribe’s temporary reassignment of personnel under paragraph (1) shall terminate upon the earlier of the following: “(I) The Secretary’s determination that the public health emergency no longer exists. “(II) Subject to clause (ii), the expiration of the 30-day period following the date on which the Secretary approved the State or Indian tribe’s request for such reassignment flexibility. “(ii) Extension of reassignment flexibility.— The Secretary may extend reassignment flexibility of personnel under paragraph (1) beyond the date otherwise applicable under clause (i)(II) if the public health emergency still exists as of such date, but only if— “(I) the State or Indian tribe that submitted the initial request for a temporary reassignment of personnel submits a request for an extension of such temporary reassignment; and “(II) the request for an extension contains the same information and assurances necessary for the approval of an initial request for such temporary reassignment pursuant to subparagraph (B). “(3) Voluntary nature of temporary reassignment of state and local personnel.— “(A) In general.— Unless otherwise provided under the law or regulation of the State or Indian tribe that receives authorization for temporary reassignment of personnel under paragraph (1), personnel eligible for reassignment pursuant to such authorization— “(i) shall have the opportunity to volunteer for temporary reassignment; and “(ii) shall not be required to agree to a temporary reassignment. “(B) Prohibition on conditioning federal awards.— The Secretary may not condition the award of a grant, contract, or cooperative agreement under this Act on the requirement that a State or Indian tribe require that personnel eligible for reassignment pursuant to an authorization under paragraph (1) agree to such reassignment. “(4) Notice to congress.— The Secretary shall give notice to the Congress in conjunction with the approval under this subsection of— “(A) any initial request for temporary reassignment of personnel; and “(B) any request for an extension of such temporary reassignment. “(5) Guidance.— The Secretary shall— “(A) not later than 6 months after the enactment of this subsection, issue proposed guidance on the temporary reassignment of personnel under this subsection; and “(B) after providing notice and a 60-day period for public comment, finalize such guidance. “(6) Report to congress.— Not later than 4 years after the date of enactment of the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013, the Comptroller General of the United States shall conduct an independent evaluation, and submit to the appropriate committees of the Congress a report, on temporary reassignment under this subsection, including— “(A) a description of how, and under what circumstances, such temporary reassignment has been used by States and Indian tribes; “(B) an analysis of how such temporary reassignment has assisted States and Indian tribes in responding to public health emergencies; “(C) an evaluation of how such temporary reassignment has improved operational efficiencies in responding to public health emergencies; “(D) an analysis of the extent to which, if any, Federal programs from which personnel have been temporarily reassigned have been adversely affected by the reassignment; and “(E) recommendations on how medical surge capacity could be improved in responding to public health emergencies and the impact of the reassignment flexibility under this section on such surge capacity. “(7) Definitions.— In this subsection— “(A) the terms ‘Indian tribe’ and ‘tribal organization’ have the meanings given such terms in section 4 of the Indian Self-Determination and Education Assistance Act; and “(B) the term ‘State’ includes, in addition to the entities listed in the definition of such term in section 2, the Freely Associated States. “(8) Sunset.— This subsection shall terminate on September 30, 2018.” .

6. 2016

   21st Century Cures Act

   Pub. L. 114–255 div. A title III § 3087 · 130 Stat. 1033

   Added · 42 U.S.C. § 247d(f)

   Pub. L. 114–255 added subsec. (f)

   Source evidence

   Code amendment note
   Subsec. (f). Pub. L. 114–255 added subsec. (f).

   Enacted provision · exact public law section
   SEC. 3087. PAPERWORK REDUCTION ACT WAIVER DURING A PUBLIC HEALTH EMERGENCY.   Section 319 of the Public Health Service Act (42 U.S.C. 247d) is amended by adding at the end the following: “(f) Determination With Respect to Paperwork Reduction Act Waiver During a Public Health Emergency.— “(1) Determination.— If the Secretary determines, after consultation with such public health officials as may be necessary, that— “(A) (i) the criteria set forth for a public health emergency under paragraph (1) or (2) of subsection (a) has been met; or “(ii) a disease or disorder, including a novel and emerging public health threat, is significantly likely to become a public health emergency; and “(B) the circumstances of such public health emergency, or potential for such significantly likely public health emergency, including the specific preparation for and response to such public health emergency or threat, necessitate a waiver from the requirements of subchapter I of chapter 35 of title 44, United States Code (commonly referred to as the Paperwork Reduction Act), then the requirements of such subchapter I with respect to voluntary collection of information shall not be applicable during the immediate investigation of, and response to, such public health emergency during the period of such public health emergency or the period of time necessary to determine if a disease or disorder, including a novel and emerging public health threat, will become a public health emergency as provided for in this paragraph. The requirements of such subchapter I with respect to voluntary collection of information shall not be applicable during the immediate postresponse review regarding such public health emergency if such immediate postresponse review does not exceed a reasonable length of time. “(2) Transparency.— If the Secretary determines that a waiver is necessary under paragraph (1), the Secretary shall promptly post on the Internet website of the Department of Health and Human Services a brief justification for such waiver, the anticipated period of time such waiver will be in effect, and the agencies and offices within the Department of Health and Human Services to which such waiver shall apply, and update such information posted on the Internet website of the Department of Health and Human Services, as applicable. “(3) Effectiveness of waiver.— Any waiver under this subsection shall take effect on the date on which the Secretary posts information on the Internet website as provided for in this subsection. “(4) Termination of waiver.— Upon determining that the circumstances necessitating a waiver under paragraph (1) no longer exist, the Secretary shall promptly update the Internet website of the Department of Health and Human Services to reflect the termination of such waiver. “(5) Limitations.— “(A) Period of waiver.— The period of a waiver under paragraph (1) shall not exceed the period of time for the related public health emergency, including a public health emergency declared pursuant to subsection (a), and any immediate postresponse review regarding the public health emergency consistent with the requirements of this subsection. “(B) Subsequent compliance.— An initiative subject to a waiver under paragraph (1) that is ongoing after the date on which the waiver expires, shall be subject to the requirements of subchapter I of chapter 35 of title 44, United States Code, and the Secretary shall ensure that compliance with such requirements occurs in as timely a manner as possible based on the applicable circumstances, but not to exceed 30 calendar days after the expiration of the applicable waiver.” .

7. 2019

   Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019

   Pub. L. 116–22 § 206(1)(A) · 133 Stat. 905

   Substituted · 42 U.S.C. § 247d(b)(1)

   Pub. L. 116–22, § 206(1)(A), substituted “under such subsection or if the Secretary determines there is the significant potential for a public health emergency, to allow the Secretary to rapidly respond to the immediate needs resulting from such public health emergency or potential public health emergency. The Secretary shall plan for the expedited distribution of funds to appropriate agencies and entities.” for “under such subsection.”

   Source evidence

   Code amendment note
   Subsec. (b)(1). Pub. L. 116–22, § 206(1)(A), substituted “under such subsection or if the Secretary determines there is the significant potential for a public health emergency, to allow the Secretary to rapidly respond to the immediate needs resulting from such public health emergency or potential public health emergency. The Secretary shall plan for the expedited distribution of funds to appropriate agencies and entities.” for “under such subsection.”

   Enacted provision · exact public law section
   (A) in paragraph (1)— (i) in the first sentence, by inserting “or if the Secretary determines there is the significant potential for a public health emergency, to allow the Secretary to rapidly respond to the immediate needs resulting from such public health emergency or potential public health emergency” before the period; and (ii) by inserting “The Secretary shall plan for the expedited distribution of funds to appropriate agencies and entities.” after the first sentence;

8. 2019

   Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019

   Pub. L. 116–22 § 206(1)(B) · 133 Stat. 905

   1. Added · 42 U.S.C. § 247d(b)(2); 42 U.S.C. § 247d(b)(3)

      Pub. L. 116–22, § 206(1)(B), (C), added par. (2)

   2. Redesignated · 42 U.S.C. § 247d(b)(2); 42 U.S.C. § 247d(b)(3)

      Pub. L. 116–22, § 206(1)(B), (C), redesignated former par. (2) as (3)

   Source evidence

   Code amendment note
   Subsec. (b)(2), (3). Pub. L. 116–22, § 206(1)(B), (C), added par. (2) and redesignated former par. (2) as (3).

   Enacted provision · exact public law section
   (B) by redesignating paragraph (2) as paragraph (3);

9. 2019

   Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019

   Pub. L. 116–22 § 206(1)(D) · 133 Stat. 905

   Added · 42 U.S.C. § 247d(b)(4); 42 U.S.C. § 247d(b)(5)

   Pub. L. 116–22, § 206(1)(D), added pars. (4) and (5)

   Source evidence

   Code amendment note
   Subsec. (b)(4), (5). Pub. L. 116–22, § 206(1)(D), added pars. (4) and (5).

   Enacted provision · exact public law section
   (D) by inserting after paragraph (3), as so redesignated, the following: “(4) Review.— Not later than 2 years after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, the Secretary, in coordination with the Assistant Secretary for Preparedness and Response, shall conduct a review of the Fund under this section and provide recommendations to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Energy and Commerce and the Committee on Appropriations of the House of Representatives on policies to improve such Fund for the uses described in paragraph (2). “(5) GAO report.— Not later than 4 years after the date of enactment of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, the Comptroller General of the United States shall— “(A) conduct a review of the Fund under this section, including its uses and the resources available in the Fund; and “(B) submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on such review, including recommendations related to such review, as applicable.” ; and

10. 2019

    Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019

    Pub. L. 116–22 § 206(2) · 133 Stat. 905

    1. Inserted · 42 U.S.C. § 247d(c)

       Pub. L. 116–22, § 206(2), inserted “rapidly respond to public health emergencies or potential public health emergencies and” after “used to”

    2. Substituted · 42 U.S.C. § 247d(c)

       Pub. L. 116–22, § 206(2), substituted “activities under this chapter or funds otherwise provided for emergency response.” for “activities under this section.”

    Source evidence

    Code amendment note
    Subsec. (c). Pub. L. 116–22, § 206(2), inserted “rapidly respond to public health emergencies or potential public health emergencies and” after “used to” and substituted “activities under this chapter or funds otherwise provided for emergency response.” for “activities under this section.”

    Enacted provision · exact public law section
    (2) in subsection (c)— (A) by inserting “rapidly respond to public health emergencies or potential public health emergencies and” after “used to”; and (B) by striking “section.” and inserting “Act or funds otherwise provided for emergency response.”.

11. 2019

    Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019

    Pub. L. 116–22 § 701(c) · 133 Stat. 905

    Substituted · 42 U.S.C. § 247d(e)(8)

    Pub. L. 116–22, § 701(c), substituted “2023” for “2018”

    Source evidence

    Code amendment note
    Subsec. (e)(8). Pub. L. 116–22, § 701(c), substituted “2023” for “2018”.

    Enacted provision · exact public law section
    (c) Temporary Reassignment.— Section 319(e)(8) (42 U.S.C. 247d(e)(8)) is amended by striking “2018” and inserting “2023”.

12. 2022

    Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act

    Pub. L. 117–328 § 2103(a)(1) · 136 Stat. 4459

    1. Added · 42 U.S.C. § 247d(b)(2)(F); 42 U.S.C. § 247d(b)(2)(G)

       Pub. L. 117–328, § 2103(a)(1), added subpar. (F)

    2. Redesignated · 42 U.S.C. § 247d(b)(2)(F); 42 U.S.C. § 247d(b)(2)(G)

       Pub. L. 117–328, § 2103(a)(1), redesignated former subpar. (F) as (G)

    Source evidence

    Code amendment note
    Subsec. (b)(2)(F), (G). Pub. L. 117–328, § 2103(a)(1), added subpar. (F) and redesignated former subpar. (F) as (G).

    Enacted provision · exact public law section
    (1) in paragraph (2)— (A) in subparagraph (E), by striking “and” at the end; (B) by redesignating subparagraph (F) as subparagraph (G); and (C) by inserting after subparagraph (E), the following: “(F) support the initial deployment and distribution of contents of the Strategic National Stockpile, as appropriate; and” ; and

13. 2022

    Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act

    Pub. L. 117–328 § 2103(a)(2) · 136 Stat. 4459

    Amended · 42 U.S.C. § 247d(b)(3)(A)

    Pub. L. 117–328, § 2103(a)(2), amended subpar. (A) generally. Prior to amendment, subpar. (A) read as follows: “the expenditures made from the Public Health Emergency Fund in such fiscal year; and”

    Source evidence

    Code amendment note
    Subsec. (b)(3)(A). Pub. L. 117–328, § 2103(a)(2), amended subpar. (A) generally. Prior to amendment, subpar. (A) read as follows: “the expenditures made from the Public Health Emergency Fund in such fiscal year; and”.

    Enacted provision · exact public law section
    (2) by amending paragraph (3)(A) to read as follows: “(A) the expenditures made from the Public Health Emergency Fund in such fiscal year, including— “(i) the amount obligated; “(ii) the recipient or recipients of such obligated funds; “(iii) the specific response activities such obligated funds will support; and “(iv) the declared or potential public health emergency for which such funds were obligated; and” .

14. 2022

    Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act

    Pub. L. 117–328 § 2223(a) · 136 Stat. 4459

    Added · 42 U.S.C. § 247d(g)

    Pub. L. 117–328, § 2223(a), added subsec. (g)

    Source evidence

    Code amendment note
    Subsec. (g). Pub. L. 117–328, § 2223(a), added subsec. (g).

    Enacted provision · exact public law section
    (a) Certain Appointments to Support Public Health Emergency Responses.— Section 319 of the Public Health Service Act (42 U.S.C. 247d) is amended by adding at the end the following: “(g) Certain Appointments to Support Public Health Emergency Responses.— “(1) In general.— In order to support the initial response to a public health emergency declared by the Secretary under this section, the Secretary may, subject to paragraph (2) and without regard to sections 3309 through 3318 of title 5, United States Code, appoint individuals directly to positions in the Department of Health and Human Services for which the Secretary has provided public notice in order to— “(A) address a critical hiring need directly related to responding to a public health emergency declared by the Secretary under this section; or “(B) address a severe shortage of candidates that impacts the operational capacity of the Department of Health and Human Services to respond in the event of a public health emergency declared by the Secretary under this section. “(2) Number of appointments.— Each fiscal year in which the Secretary makes a determination of a public health emergency under subsection (a) (not including a renewal), the Secretary may directly appoint not more than— “(A) 400 individuals under paragraph (1)(A); and “(B) 100 individuals under paragraph (1)(B). “(3) Compensation.— The annual rate of basic pay of an individual appointed under this subsection shall be determined in accordance with chapter 51 and subchapter III of chapter 53 of title 5, United States Code. “(4) Reporting.— The Secretary shall establish and maintain records regarding the use of the authority under this subsection, including— “(A) the number of positions filled through such authority; “(B) the types of appointments of such positions; “(C) the titles, occupational series, and grades of such positions; “(D) the number of positions publicly noticed to be filled under such authority; “(E) the number of qualified applicants who apply for such positions; “(F) the qualification criteria for such positions; and “(G) the demographic information of individuals appointed to such positions. “(5) Notification to congress.— In the event the Secretary, within a single fiscal year, directly appoints more than 50 percent of the individuals allowable under either subparagraph (A) or (B) of paragraph (2), the Secretary shall, not later than 15 days after the date of such action, notify the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives. Such notification shall, in a manner that protects personal privacy, to the extent required by applicable Federal and State privacy law, at a minimum, include— “(A) information on each such appointment within such fiscal year; “(B) a description of how each such position relates to the requirements of subparagraph (A) or (B) of paragraph (1); and “(C) the additional number of personnel, if any, the Secretary anticipates to be necessary to adequately support a response to a public health emergency declared under this section using the authorities described in paragraph (1) within such fiscal year. “(6) Reports to congress.— Not later than September 30, 2023, and annually thereafter for each fiscal year in which the authority under this subsection is used, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report describing the total number of appointments filled under this subsection within the fiscal year and a description of how the positions relate to the requirements of subparagraph (A) or (B) of paragraph (1). “(7) Sunset.— The authority under this subsection shall expire on September 30, 2028.” .

15. 2022

    Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act

    Pub. L. 117–328 § 2407 · 136 Stat. 4459

    Added · 42 U.S.C. § 247d(h)

    Pub. L. 117–328, § 2407, added subsec. (h)

    Source evidence

    Code amendment note
    Subsec. (h). Pub. L. 117–328, § 2407, added subsec. (h).

    Enacted provision · exact public law section
    SEC. 2407. ACTION REPORTING ON STOCKPILE DEPLETION.   Section 319 of the Public Health Service Act (42 U.S.C. 247d), as amended by section 2223, is further amended by adding at the end the following: “(h) Stockpile Depletion Reporting.— The Secretary shall, not later than 30 days after the deployment of contents of the Strategic National Stockpile under section 319F–2(a) to respond to a public health emergency declared by the Secretary under this section or an emergency or major disaster declared by the President under the Robert T. Stafford Disaster Relief and Emergency Assistance Act, and every 30 days thereafter until the expiration or termination of such public health emergency, emergency, or major disaster, submit a report to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Energy and Commerce and the Committee on Appropriations of the House of Representatives on— “(1) the deployment of the contents of the stockpile in response to State, local, and Tribal requests; “(2) the amount of such products that remain within the stockpile following such deployment; and “(3) Plans. plans to replenish such products, as appropriate, including related timeframes and any barriers or limitations to replenishment.” .

16. 2023

    Continuing Appropriations Act, 2024 and Other Extensions Act

    Pub. L. 118–15 div. B title III § 2332 · 137 Stat. 71

    Substituted · 42 U.S.C. § 247d(e)(8)

    Pub. L. 118–15 substituted “November 17, 2023” for “September 30, 2023”

    Target inherited from the preceding amendment note.

    Source evidence

    Code amendment note
    Pub. L. 118–15 substituted “November 17, 2023” for “September 30, 2023”.

    Enacted provision · exact public law section
    SEC. 2332. TEMPORARY REASSIGNMENT OF STATE AND LOCAL PERSONNEL DURING A PUBLIC HEALTH EMERGENCY.   Section 319(e)(8) of the Public Health Service Act (42 U.S.C. 247d(e)(8)) is amended by striking “September 30, 2023” and inserting “November 17, 2023”.

17. 2023

    Further Continuing Appropriations and Other Extensions Act, 2024

    Pub. L. 118–22 div. B title II § 203(a) · 137 Stat. 112

    Substituted · 42 U.S.C. § 247d(e)(8)

    Pub. L. 118–22 substituted “January 19, 2024” for “November 17, 2023”

    Source evidence

    Code amendment note
    Subsec. (e)(8). Pub. L. 118–22 substituted “January 19, 2024” for “November 17, 2023”.

    Enacted provision · exact public law section
    (a) Section 319(e)(8) of the Public Health Service Act (42 U.S.C. 247d(e)(8)) is amended by striking “November 17, 2023” and inserting “January 19, 2024”.

18. 2024

    Pub. L. 118–35 div. B title I § 103(a) · 138 Stat. 5

    Substituted · 42 U.S.C. § 247d(e)(8)

    Pub. L. 118–35 substituted “March 8, 2024” for “January 19, 2024”

    Unresolved: Pub. L. 118–35 was not found in the local Statutes at Large index.

    Target inherited from the preceding amendment note.

    Source evidence

    Code amendment note
    Pub. L. 118–35 substituted “March 8, 2024” for “January 19, 2024”.

19. 2024

    Pub. L. 118–42 div. G title I § 103(a) · 138 Stat. 398

    Substituted · 42 U.S.C. § 247d(e)(8)

    Pub. L. 118–42 substituted “December 31, 2024” for “March 8, 2024”

    Unresolved: Pub. L. 118–42 was not found in the local Statutes at Large index.

    Target inherited from the preceding amendment note.

    Source evidence

    Code amendment note
    Pub. L. 118–42 substituted “December 31, 2024” for “March 8, 2024”.

20. 2024

    Pub. L. 118–158 div. C title I § 3103(a) · 138 Stat. 1763

    Substituted · 42 U.S.C. § 247d(e)(8)

    Pub. L. 118–158 substituted “March 31, 2025” for “December 31, 2024”

    Unresolved: Pub. L. 118–158 was not found in the local Statutes at Large index.

    Source evidence

    Code amendment note
    Subsec. (e)(8). Pub. L. 118–158 substituted “March 31, 2025” for “December 31, 2024”.

21. 2025

    Pub. L. 119–4 div. B title I § 2103(a) · 139 Stat. 41

    Substituted · 42 U.S.C. § 247d(e)(8)

    Pub. L. 119–4 substituted “September 30, 2025” for “March 31, 2025”

    Unresolved: Pub. L. 119–4 was not found in the local Statutes at Large index.

    Target inherited from the preceding amendment note.

    Source evidence

    Code amendment note
    Pub. L. 119–4 substituted “September 30, 2025” for “March 31, 2025”.

22. 2025

    Pub. L. 119–37 div. F title I § 6103(a) · 139 Stat. 630

    Substituted · 42 U.S.C. § 247d(e)(8)

    Pub. L. 119–37 substituted “January 30, 2026” for “September 30, 2025”

    Unresolved: Pub. L. 119–37 was not found in the local Statutes at Large index.

    Source evidence

    Code amendment note
    Subsec. (e)(8). Pub. L. 119–37 substituted “January 30, 2026” for “September 30, 2025”.

23. 2026

    Pub. L. 119–75 div. J title IV § 6403(a) · 140 Stat. 688

    Substituted · 42 U.S.C. § 247d(e)(8)

    Pub. L. 119–75 substituted “December 31, 2026” for “January 30, 2026”

    Unresolved: Pub. L. 119–75 was not found in the local Statutes at Large index.

    Source evidence

    Code amendment note
    Subsec. (e)(8). Pub. L. 119–75 substituted “December 31, 2026” for “January 30, 2026”.

20 of 26 references resolved to an enrolled provision · 6 unresolved