To amend the Public Health Service Act to provide for the inclusion of a biological attribution strategy, and an early warning strategy and implementation plan, in the National Health Security Strategy, and for other purposes.

#4165 | HR Congress #119

Policy Area: Health
Subjects:

Last Action: Referred to the House Committee on Energy and Commerce. (6/26/2025)

Bill Text Source: Congress.gov

Summary and Impacts
Original Text

Bill Summary

This legislation aims to enhance the United States' preparedness for biological, chemical, and radiological threats by amending the Public Health Service Act. It introduces two primary components: a Biological Attribution Strategy and an Early Warning Strategy.

1. **Biological Attribution Strategy**: This section mandates the development of a strategy for effectively determining the source and cause of biological hazards and pathogens with pandemic potential. It outlines the responsibilities of federal agencies, the criteria for making attribution determinations, and the need for coordination among agencies. It also emphasizes the importance of developing new technologies for diagnostics and safe collection methods.

2. **Early Warning Strategy**: This component focuses on establishing a robust system for early detection of biological, chemical, and radiological threats. It includes objectives such as leveraging new technologies for threat identification, understanding current threats, and ensuring rapid deployment of response measures. The Secretary of Health is tasked with consulting various stakeholders to streamline efforts and avoid duplication of resources.

Overall, the legislation seeks to improve national security and public health response capabilities through better coordination, advanced technology, and strategic planning in the face of emerging threats.

Possible Impacts

The legislation outlined in the provided bill aims to enhance the United States' preparedness for biological, chemical, and radiological threats through the development of a biological attribution strategy and an early warning strategy. Here are three examples of how this legislation could affect people:

1. **Improved Public Health Response**: The legislation mandates the development of a biological attribution strategy, which would enhance federal coordination in identifying and responding to biological hazards and pathogens with pandemic potential. This could lead to quicker identification of disease outbreaks, allowing public health agencies to implement containment measures sooner. As a result, individuals may experience less disruption to their daily lives, reduced risk of illness, and more confidence in the government's ability to manage health crises.

2. **Increased Safety and Security**: By establishing an early warning strategy for detecting biological, chemical, and radiological threats, the legislation aims to identify these threats at the earliest stages. This could enhance national security and ensure that people are better protected from potential attacks or outbreaks. Communities could benefit from improved safety protocols and preparedness initiatives, leading to a more resilient society capable of handling emergencies effectively.

3. **Technological Advancements in Health Monitoring**: The bill emphasizes the development and implementation of new technologies for diagnostics, sequencing, and safe collection capabilities. This focus on innovation could lead to advancements in healthcare technologies available to the public, improving disease detection and response capabilities. People may benefit from enhanced medical services, including faster and more accurate testing for infectious diseases, which could improve overall health outcomes and reduce the spread of illness in the population.

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4165 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 4165

To amend the Public Health Service Act to provide for the inclusion of 
 a biological attribution strategy, and an early warning strategy and 
implementation plan, in the National Health Security Strategy, and for 
                            other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 26, 2025

 Mr. Crenshaw (for himself and Mr. Swalwell) introduced the following 
    bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
To amend the Public Health Service Act to provide for the inclusion of 
 a biological attribution strategy, and an early warning strategy and 
implementation plan, in the National Health Security Strategy, and for 
                            other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. BIOLOGICAL ATTRIBUTION STRATEGY.

    (a) Preparedness Goal.--Section 2802(b) of the Public Health 
Service Act (42 U.S.C. 300hh-1(b)) is amended by adding at the end the 
following:
            ``(11) Biological attribution strategy.--Developing a 
        biological attribution strategy to improve Federal coordination 
        of duties and activities related to biological attribution of 
        biological hazards and pathogens of pandemic potential, which 
        shall include developing a strategy in accordance with 
        subsection (c).''.
    (b) Details of Strategy.--Section 2802 of the Public Health Service 
Act (42 U.S.C. 300hh-1) is amended by adding at the end the following:
    ``(c) Biological Attribution Strategy.--
            ``(1) Contents.--The biological attribution strategy under 
        subsection (b)(11) shall include the following:
                    ``(A) A description of the biological attribution 
                duties of each appropriate Federal agency, including--
                            ``(i) the nature of routine biological 
                        attribution activities;
                            ``(ii) the level and type of biological 
                        events that may trigger an attribution 
                        determination by the appropriate Federal 
                        agencies regarding the source, cause, or origin 
                        of such events; and
                            ``(iii) the Federal agency's routine 
                        exercise of the capabilities to perform 
                        biological attribution activities.
                    ``(B) The process by which a biological attribution 
                determination is made by each such Federal agency, 
                including how such process may address national 
                security considerations.
                    ``(C) Development of assignments, milestones, and 
                timelines necessary to establish the strongest possible 
                national capacity for biological attribution.
                    ``(D) A plan for the identification, development, 
                and implementation of new technologies, through both 
                internal and public-private initiatives, with an 
                emphasis on diagnostic, sequencing, and safe collection 
                capabilities.
            ``(2) Coordination.--In developing the biological 
        attribution strategy under subsection (b)(11), the Secretary 
        shall coordinate with the relevant Federal agencies, including 
        the Administration for Strategic Preparedness and Response, the 
        Office of Science and Technology Policy, and the Office of the 
        Director of National Intelligence.''.

SEC. 2. EARLY WARNING STRATEGY AND IMPLEMENTATION PLAN.

    (a) Preparedness Goal.--Section 2802(b) of the Public Health 
Service Act (42 U.S.C. 300hh-1(b)), as amended by section 1, is further 
amended by adding at the end the following:
            ``(12) Early warning strategy and implementation plan.--
        Developing and implementing an early warning strategy and 
        implementation plan for biological, chemical, and radiological 
        threats, in accordance with subsection (d).''.
    (b) Details of Strategy and Plan.--Section 2802 of the Public 
Health Service Act (42 U.S.C. 300hh-1), as amended by section 1, is 
further amended by adding at the end the following:
    ``(d) Early Warning Strategy and Implementation Plan.--
            ``(1) Objectives.--The objectives of the early warning 
        strategy and implementation plan under subsection (b)(12) shall 
        include--
                    ``(A) development of a robust early warning 
                function for the United States which incorporates new 
                technologies, with an emphasis on diagnostic, 
                sequencing, and safe collection capabilities;
                    ``(B) identification of new biological threats at 
                the earliest time to inform response strategies;
                    ``(C) understanding of the prevalence of current 
                and recurring threats;
                    ``(D) the ability to adapt technologies to emerging 
                chemical and radiological threats, including synthetic 
                drugs and fentanyl;
                    ``(E) ongoing detection from broad sources 
                including wastewater, airports, and transportation 
                hubs; and
                    ``(F) the ability to rapidly deploy technologies at 
                scale during a public health event.
            ``(2) Coordination and eliminating duplication.--
                    ``(A) Consultation.--In developing the early 
                warning strategy and implementation plan under 
                subsection (b)(12), the Secretary shall consult with--
                            ``(i) State and local public health 
                        entities;
                            ``(ii) private sector and academic 
                        partners; and
                            ``(iii) Federal officials as appropriate, 
                        including--
                                    ``(I) the Assistant Secretary for 
                                Strategic Preparedness and Response; 
                                and
                                    ``(II) the Director of the Centers 
                                for Disease Control and Prevention.
                    ``(B) Purposes.--The purposes of consultation under 
                paragraph (1) shall be to coordinate activities, 
                streamline Federal programs, and eliminate waste and 
                duplication.
                    ``(C) Meetings.--The Secretary, on a periodic basis 
                as applicable and appropriate, shall meet with the 
                Director of National Intelligence to inform the 
                development and capabilities of the early warning 
                strategy and implementation plan under subsection 
                (b)(12) for foreign and cross-border threats.''.
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