Jan 27, 2012

Big planning for $10 billion dollar "Pandemic and All-Hazards Preparedness Act Reauthorization of 2011" Bill s.1855

Please see full s.1855 at CBO:

Excerpts below

s.1855 would amend the Public Health Service Act and the United States Code to authorize funding for certain activities carried out by the Departments of Health and Human Services (HHS) and Veterans Affairs (VA) that would support the readiness of the public health system to address public health and medical emergencies.
Based on information provided by HHS, VA, and other outside experts, CBO estimates that implementing the bill would cost about $10 billion over the 2012-2017 period,
  • The bill contains provisions that would authorize funding for activities administered by HHS and the VA to improve the coordination of preparedness activities and to increase medical system capacity in the event of a public health emergency.
  • Spending Subject to Appropriation for the Department of Health and Human Services
  • The majority of HHS activities would be carried out by the Centers for Disease Control (CDC), the Food and Drug Administration (FDA), the Office of the Assistant Secretary of Health, and the Office of the Assistant Secretary for Preparedness and Response.
  • Centers for Disease Control and Prevention. S. 1855 would authorize funding through 2016 for activities related to preparing for a public health emergency at levels similar to the appropriations for recent years.
  • State and Local Public Health Security. S. 1855 would allow CDC to continue to administer cooperative agreements with state and local governments to help prepare for public health emergencies. S. 1855 would require entities receiving funding through those cooperative agreements to include planning for pandemic influenza as part of their all-hazards public health emergency preparedness and response plan.

Strategic National Stockpile.
The Strategic National Stockpile is a national repository of pharmaceuticals, medical supplies, and other equipment for the rapid delivery of medical countermeasures in response to a catastrophic health event.

Procurement of Countermeasures.
 Project Bioshield, a fund established for the procurement of biodefense countermeasures,

Advance Development of Countermeasures.
The Biomedical Advance Research and Development Authority (BARDA) office supports the advance development of medical countermeasures to respond to bioterrorism and other public health emergencies.

Hospital Preparedness.

The bill would authorize a grant program that provides funding to entities such as states, localities, or health care facilities to enhance hospital capacity to handle a surge of patients in the event of a public health emergency.

National Disaster Medical System (NDMS).

The bill would authorize funding for the NDMS, which is a partnership between HHS, VA, and the Departments of Defense and Homeland Security. It provides for medical assistance to states and localities when responding to a large-scale public health emergency.

National Advisory Committee on Children and Disasters.
S. 1855 would establish a National Advisory Committee on Children and Disasters. This committee would provide advice regarding the needs of children in relation to the preparation for and response to hazards and emergencies. The committee would contain as many as 15 people, most drawn from federal agencies.

Spending Subject to Appropriation for the Department of Veterans Affairs
S. 1855 would authorize the appropriation of $157 million for each year over the 2012-2016 period for emergency preparedness activities at medical centers operated by VA. Funding for emergency preparedness activities in 2012 and 2013 were provided in advance appropriations. Those funding levels are largely consistent with both the 2011 appropriation of $155 million and the proposed authorization levels in S. 1855; therefore, CBO estimates that no additional funding would be required for 2012 or 2013. Assuming appropriation of authorized amounts for years after 2013, CBO estimates that implementing this provision would cost $465 million over the 2014-2017 period. 

Direct Spending

Project Bioshield, a special reserve fund established for the procurement of biodefense countermeasures, is funded by an appropriation of approximately $5.6 billion for fiscal years 2004-2013. S. 1855 would change the contract terms for Project Bioshield procurements from a maximum of eight years to a maximum of 10 years.

PLEASE read full at:
http://www.cbo.gov/ftpdocs/127xx/doc12706/s1855.pdf