114 STAT. 2316 PUBLIC LAW 106-505—NOV. 13, 2000 Deadline. 42 USC 247d-l. Deadline. 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 officisds, 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 infectious 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) commvmicate 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
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