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CDC Tribal Public Health Security and Preparedness Act
Introduced Jul 21, 2026 · Last action Jul 21, 2026 — Referred to the House Committee on Energy and Commerce.
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Summary
This legislation is called the CDC Tribal Public Health Security and Preparedness Act. Referred to the House Committee on Energy and Commerce.
Full bill text
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9820 Introduced in House (IH)]
<DOC>
119th CONGRESS
2d Session
H. R. 9820
To improve State, local, and Tribal public health security.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 21, 2026
Ms. Stansbury (for herself and Ms. Leger Fernandez) introduced the
following bill; which was referred to the Committee on Energy and
Commerce
_______________________________________________________________________
A BILL
To improve State, local, and Tribal public health security.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``CDC Tribal Public Health Security
and Preparedness Act''.
SEC. 2. IMPROVING STATE, LOCAL, AND TRIBAL PUBLIC HEALTH SECURITY.
Section 319C-1 of the Public Health Service Act (42 U.S.C. 247d-3a)
is amended--
(1) in the section heading, by striking ``and local'' and
inserting ``, local, and tribal'';
(2) in subsection (b)--
(A) in paragraph (1)--
(i) in subparagraph (B), by striking ``or''
at the end;
(ii) in subparagraph (C), by striking
``and'' at the end and inserting ``or''; and
(iii) by adding at the end the following:
``(D) be an Indian Tribe, a Tribal organization, or a
consortium of Indian Tribes or Tribal organizations; and''; and
(B) in paragraph (2)--
(i) in subparagraph (A)(viii)--
(I) by inserting ``and Tribal''
after ``with State'';
(II) by striking ``(as defined in
section 8101 of the Elementary and
Secondary Education Act of 1965)'' and
inserting ``and Tribal educational
agencies (as defined in sections 8101
and 6132, respectively, of the
Elementary and Secondary Education Act
of 1965)''; and
(III) by inserting ``and Tribal''
after ``and State'';
(ii) in subparagraph (H), by inserting
``(including Tribes, Tribal organizations, and
urban Indian organizations)'' after
``stakeholders''; and
(iii) in subparagraph (I), by inserting ``,
Indian Tribes, and urban Indian organizations''
after ``public health'';
(3) in subsection (e), by inserting ``Indian Tribes, Tribal
organizations, urban Indian organizations,'' after ``local
emergency plans,'';
(4) in subsection (h)--
(A) in paragraph (1)(A), by striking ``$685,000,000
for each of fiscal years 2019 through 2023 for awards
pursuant to paragraph (3) (subject to the authority of
the Secretary to make awards pursuant to paragraphs (4)
and (5))'' and inserting ``$750,000,000 for each of
fiscal years 2026 through 2028 for awards pursuant to
paragraph (3) (subject to the authority of the
Secretary to make awards pursuant to paragraphs (4) and
(5)) and paragraph (8), of which not less than 5
percent shall be reserved each fiscal year for awards
under paragraph (8)'';
(B) in the heading of paragraph (3), by inserting
``for states'' after ``amount''; and
(C) by adding at the end the following:
``(8) Tribal eligible entities.--
``(A) Determination of funding amount.--
``(i) In general.--The Secretary shall
award at least 10 cooperative agreements under
this section, in amounts not less than the
minimum amount determined under clause (ii), to
eligible entities described in subsection
(b)(1)(D) that submit to the Secretary an
application that meets the criteria of the
Secretary for the receipt of such an award and
that meets other reasonable implementation
conditions established by the Secretary, in
consultation with Indian Tribes, for such
awards.
``(ii) Minimum amount.--In determining the
minimum amount of an award pursuant to clause
(i), the Secretary, in consultation with Indian
Tribes, shall first determine an amount the
Secretary considers appropriate for the
eligible entity.
``(B) Available until expended.--Amounts provided
to a Tribal eligible entity under a cooperative
agreement under this section for a fiscal year and
remaining unobligated at the end of such year shall
remain available to such entity during the entirety of
the performance period, for the purposes for which said
funds were provided.
``(C) No matching requirement.--Subparagraphs (B)
and (C) of paragraph (1) shall not apply with respect
to cooperative agreements awarded under this section to
eligible entities described in subsection (b)(1)(D).'';
and
(5) by adding at the end the following:
``(l) Special Rules Related to Tribal Eligible Entities.--
``(1) Modifications.--After consultation with Indian
Tribes, the Secretary may make necessary and appropriate
modifications to the program under subsections (b)(2), (g), and
(i) to facilitate the use of the cooperative agreement program
by eligible entities described in subsection (b)(1)(D).
``(2) Waivers.--
``(A) In general.--Except as provided in
subparagraph (B), the Secretary shall waive or specify
alternative requirements for any provision of this
section (including regulations) that the Secretary
administers in connection with this section if the
Secretary, after consultation with Indian Tribes, finds
that the waiver or alternative requirement is
appropriate for the effective delivery and
administration of this program with respect to eligible
entities described in subsection (b)(1)(D).
``(B) Exception.--The Secretary may not waive or
specify alternative requirements under subparagraph (A)
relating to labor standards or the environment.
``(3) Consultation.--The Secretary shall consult with
Indian Tribes and Tribal organizations on the design of this
program with respect to such Tribes and organizations to ensure
the effectiveness of the program in enhancing the security of
Indian Tribes with respect to public health emergencies.
``(4) Reporting.--
``(A) In general.--Not later than 2 years after the
date of enactment of this subsection, and as an
addendum to the biennial evaluations required under
subsection (k), the Secretary, in coordination with the
Director of the Indian Health Service, shall--
``(i) conduct a review of the
implementation of this section with respect to
eligible entities described in subsection
(b)(1)(D), including any factors that may have
limited its success;
``(ii) compile a report containing--
``(I) a description of the results
of the review described in clause (i);
``(II) a breakdown of the eligible
entities described in subsection
(b)(1)(D) that--
``(aa) received an award
under this section;
``(bb) received an award
under this section and a waiver
as described in paragraph (2);
and
``(cc) applied under this
section but did not receive an
award;
``(III) a list of any waived or
alternative requirements of this
section and the reasoning for issuing a
waiver or alternative requirement; and
``(IV) recommendations to the
Congress for program modifications
necessary to improve the implementation
of the program with respect to eligible
entities described in subsection
(b)(1)(D); and
``(iii) submit the report described in
clause (ii) to--
``(I) the Committee on Indian
Affairs, the Committee on Health,
Education, Labor, and Pensions, and the
Committee on Appropriations of the
Senate; and
``(II) the Subcommittee on
Indigenous People of the Committee on
Natural Resources, the Committee on
Energy and Commerce, and the Committee
on Appropriations of the House of
Representatives.
``(B) Analysis of tribal public health emergency
infrastructure limitation.--The Secretary shall include
in the initial report submitted under subparagraph (A)
a description of any public health emergency
infrastructure limitation encountered by eligible
entities described in subsection (b)(1)(D).''.
<all>Official legislative text sourced from the public record (cached on CivicsHQ).
Official source
View the original bill, actions, and full legislative record on Congress.gov.
Status
In Committee
- 1Introduced
- 2Committee
- 3Floor
- 4Passed
- 5Signed
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