Zika response and preparedness.

SA 3900. Mr. McCONNELL (for Mr. Blunt (for himself, Mr. Graham, Mr.
Cochran, Mrs. Murray, and Mr. Leahy)) proposed an amendment to
amendment SA 3896 proposed by Ms. Collins (for herself, Mr. Kirk, Mr.
Reed, and Mr. Tester) to the bill H.R. 2577, making appropriations for
the Departments of Transportation, and Housing and Urban Development,
and related agencies for the fiscal year ending September 30, 2016, and
for other purposes; as follows:

At the appropriate place in division B, insert the
following:

TITLE __

ZIKA RESPONSE AND PREPAREDNESS

CHAPTER 1

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

primary health care

For an additional amount for fiscal year 2016 for ``Primary
Health Care'', $40,000,000 to remain available until
September 30, 2017, to prevent, prepare for, and respond to
Zika virus, other vector-borne diseases, and related health
outcomes, domestically and internationally:  Provided, That
funds appropriated in this paragraph shall be used to expand
the delivery of primary health services authorized by section
330 of the Public Health Service (``PHS'') Act in Puerto Rico
and other territories:  Provided further, That such amount is
designated by the Congress as an emergency requirement
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
and Emergency Deficit Control Act of 1985.

health workforce

For an additional amount for fiscal year 2016 for ``Health
Workforce'', $6,000,000 to remain available until September
30, 2017, to prevent, prepare for, and respond to Zika virus,
other vector-borne diseases, and related health outcomes,
domestically and internationally:  Provided, That funds
appropriated in this paragraph may, for purposes of providing
primary health services in areas affected by Zika virus or
other vector-borne diseases, be used to assign National
Health Service Corps (``NHSC'') members to Puerto Rico and
other Territories, notwithstanding the assignment priorities
and limitations in or under sections 333(a)(1)(D), 333(b), or
333A(a) of the PHS Act, and to make NHSC Loan Repayment
Program awards under section 338B of such Act:  Provided
further, That for purposes of the previous proviso, section
331(a)(3)(D) of the PHS Act shall be applied as if the term
``primary health services'' included health services
regarding pediatric subspecialists:  Provided further, That
such amount is designated by the Congress as an emergency
requirement pursuant to section 251(b)(2)(A)(i) of the
Balanced Budget and Emergency Deficit Control Act of 1985.

maternal and child health

For an additional amount for fiscal year 2016 for
``Maternal and Child Health'', $5,000,000 to remain available
until September 30, 2017, to prevent, prepare for, and
respond to Zika virus, other vector-borne diseases, and
related health outcomes, domestically and internationally:
Provided, That funds appropriated in this paragraph may be
awarded for projects of regional and national significance in
Puerto Rico and other Territories authorized under section
501 of the Social Security Act, notwithstanding section 502
of such Act:  Provided further, That such amount is
designated by the Congress as an emergency requirement
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
and Emergency Deficit Control Act of 1985.

Centers for Disease Control and Prevention

cdc-wide activities and program support

For an additional amount for fiscal year 2016 for ``CDC-
Wide Activities and Program Support'', $449,000,000, to
remain available until September 30, 2017, to prevent,
prepare for, and respond to Zika virus, other vector-borne
diseases, and related health outcomes, domestically and
internationally; and to carry out titles II, III, and XVII of
the PHS Act with respect to domestic preparedness and global
health:  Provided, That products purchased with these funds
may, at the discretion of the Secretary of Health and Human
Services, be deposited in the Strategic National Stockpile
under section 319F-2 of the PHS Act:  Provided further, That
funds may be used for purchase and insurance of official
motor vehicles in foreign countries:  Provided further, That
the provisions in section 317S of the PHS Act shall not apply
to the use of funds appropriated in this paragraph:  Provided
further, That funds appropriated in this paragraph may be
used for grants for the construction, alteration, or
renovation of non-federally owned facilities to improve
preparedness and response capability at the State and local
level:  Provided further, That of the amount appropriated in
this paragraph, $88,000,000 may be used to reimburse accounts
administered by the Centers for Disease Control and
Prevention for obligations incurred for Zika virus response
prior to the enactment of this Act:  Provided further, That
such amount is designated by the Congress as an emergency
requirement pursuant to section 251(b)(2)(A)(i) of the
Balanced Budget and Emergency Deficit Control Act of 1985.

National Institutes of Health

national institute of allergy and infectious diseases

For an additional amount for fiscal year 2016 for
``National Institute of Allergy and Infectious Diseases'',
$200,000,000, to remain available until September 30, 2017,
to prevent, prepare for, and respond to Zika virus, other
vector-borne diseases, and related health outcomes,
domestically and internationally, including expenses related
to carrying out section 301 and title IV of the PHS Act:
Provided, That such amount is designated by the Congress as
an emergency requirement pursuant to section 251(b)(2)(A)(i)
of the Balanced Budget and Emergency Deficit Control Act of
1985.

Office of the Secretary

public health and social services emergency fund

(including transfer of funds)

For an additional amount for fiscal year 2016 for ``Public
Health and Social Services Emergency Fund'', $150,000,000, to
remain available until September 30, 2017, to prevent,
prepare for, and respond to Zika virus, other vector-borne
diseases, and related health outcomes, domestically and
internationally; to develop necessary countermeasures and
vaccines, including the development and purchase of vaccines,
therapeutics, diagnostics, necessary medical supplies, and
administrative activities; for carrying out titles II, III,
and XVII of the PHS Act with respect to domestic preparedness
and global health; and for additional payments for
distribution as provided for under the ``Social Services
Block Grant Program'':  Provided, That funds appropriated in
this paragraph may be used to procure security
countermeasures (as defined in section 319F-2(c)(1)(B) of the
PHS Act, as amended by this Act):  Provided further, That
paragraphs (1) and (7)(C) of subsection (c) of section 319F-2
of the PHS Act, but no other provisions of such section,
shall apply to such security countermeasures procured with
funds appropriated in this paragraph:  Provided further, That
products purchased with funds appropriated in this paragraph
may, at the discretion of the Secretary of Health and Human
Services, be deposited in the Strategic National Stockpile
under section 319F-2 of the PHS Act:  Provided further, That
countermeasures related to the Zika virus procured with funds
appropriated in this paragraph shall be deemed to be security
countermeasures as defined in section 319F-2(c)(1) of the PHS
Act, and paragraph (7)(C), but no other provision, of such
section 319F-2(c) shall apply to procurements of such
countermeasures:  Provided further, That $75,000,000 shall be
transferred to ``Social Services Block Grant'' for health
services, notwithstanding section 2005(a)(4) of the Social
Security Act, in territories with active or local
transmission cases of the Zika virus, as confirmed by the
Centers for Disease Control and Prevention:  Provided
further, That the Secretary of Health and Human Services
shall distribute funds transferred to the ``Social Services
Block Grant'' in this paragraph to such territories in
accordance with objective criteria that are made available to
the public:  Provided further, That such amount is

[[Page S2791]]

designated by the Congress as an emergency requirement
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
and Emergency Deficit Control Act of 1985.

General Provisions--This Chapter

(including transfer of funds)

Sec. __.  For purposes of preventing, preparing for, and
responding to Zika virus, other vector-borne diseases, and
related health outcomes domestically and internationally, the
Secretary of Health and Human Services may use funds provided
in this chapter to acquire, lease, construct, alter,
renovate, equip, furnish, or manage facilities outside of the
United States, as necessary to conduct such programs, in
consultation with the Secretary of State, either directly for
the use of the United States Government or for the use,
pursuant to grants, direct assistance, or cooperative
agreements, of public or nonprofit private institutions or
agencies in participating foreign countries.
Sec. __.  Funds appropriated by this chapter may be used by
the heads of the Department of Health and Human Services,
Department of State, and the Agency for International
Development to appoint, without regard to the provisions of
sections 3309 through 3319 of title 5 of the United States
Code, candidates needed for positions to perform critical
work relating to Zika response for which--
(1) public notice has been given; and
(2) the Secretary of Health and Human Services has
determined that such a public health threat exists.
Sec. __.  Funds appropriated in this chapter may be
transferred to, and merged with, other appropriation accounts
under the headings ``Centers for Disease Control and
Prevention'', ``Public Health and Social Services Emergency
Fund'', ``Health Resources and Services Administration'', and
``National Institutes of Health'' for the purposes specified
in this chapter following consultation with the Office of
Management and Budget:  Provided, That the Committees on
Appropriations shall be notified 10 days in advance of any
such transfer:  Provided further, That, upon a determination
that all or part of the funds transferred from an
appropriation are not necessary, such amounts may be
transferred back to that appropriation:  Provided further,
That none of the funds made available by this chapter may be
transferred pursuant to the authority in section 206 of
division G of Public Law 113-325 or section 241(a) of the PHS
Act.
Sec. __.  Not later than 30 days after enactment of this
Act, the Secretary of Health and Human Services shall provide
a detailed spend plan of anticipated uses of funds made
available in this chapter, including estimated personnel and
administrative costs, to the Committees on Appropriations.
The Secretary of Health and Human Services should also
provide quarterly obligation updates to the Committees until
all funds are expended or expire.

CHAPTER 2

DEPARTMENT OF STATE

Administration of Foreign Affairs

diplomatic and consular programs

For an additional amount for fiscal year 2016 for
``Diplomatic and Consular Programs'', $14,594,000, to remain
available until September 30, 2017, for necessary expenses to
support response efforts related to the Zika virus and
related health outcomes, other vector-borne diseases, or
other infectious diseases:  Provided, That up to $4,000,000
may be made available for medical evacuation costs of any
other Department or agency of the United States under Chief
of Mission authority, and may be transferred to any other
appropriation of such Department or agency for such costs:
Provided further, That such amount is designated by the
Congress as an emergency requirement pursuant to section
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit
Control Act of 1985.

emergencies in the diplomatic and consular service

For an additional amount for fiscal year 2016 for
``Emergencies in the Diplomatic and Consular Service'',
$4,000,000 for necessary expenses to support response efforts
related to the Zika virus and related health outcomes, other
vector-borne diseases, or other infectious diseases, to
remain available until expended:  Provided, That such amount
is designated by the Congress as an emergency requirement
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
and Emergency Deficit Control Act of 1985.

repatriation loans program account

For an additional amount for fiscal year 2016 for
``Repatriation Loans Program Account'' for the cost of direct
loans, $1,000,000, to support response efforts related to the
Zika virus and related health outcomes, other vector-borne
diseases, or other infectious diseases, to remain available
until expended:  Provided, That such costs, including costs
of modifying such loans, shall be as defined in section 502
of the Congressional Budget Act of 1974:  Provided further,
That such funds are available to subsidize an additional
amount of gross obligations for the principal amount of
direct loans not to exceed $1,880,406:  Provided further,
That such amount is designated by the Congress as an
emergency requirement pursuant to section 251(b)(2)(A)(i) of
the Balanced Budget and Emergency Deficit Control Act of
1985.

United States Agency for International Development

funds appropriated to the president

operating expenses

For an additional amount for fiscal year 2016 for
``Operating Expenses'', $10,000,000, to remain available
until September 30, 2017, for necessary expenses to support
response efforts related to the Zika virus and related health
outcomes, other vector-borne diseases, or other infectious
diseases:  Provided, That such amount is designated by the
Congress as an emergency requirement pursuant to section
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit
Control Act of 1985.

Bilateral Economic Assistance

funds appropriated to the president

global health programs

For an additional amount for fiscal year 2016 for ``Global
Health Programs'', $211,000,000, to remain available until
expended, for necessary expenses for assistance or research
to prevent, treat, or otherwise respond to the Zika virus and
related health outcomes, other vector-borne diseases, or
other infectious diseases:  Provided, That such funds may be
made available for multi-year funding commitments to
incentivize the development of global health technologies,
following consultation with the Committees on Appropriations:
Provided further, That none of the funds appropriated in
this chapter may be made available for the Grand Challenges
for Development program:  Provided further, That such amount
is designated by the Congress as an emergency requirement
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
and Emergency Deficit Control Act of 1985.

International Security Assistance

department of state

nonproliferation, anti-terrorism, demining and related programs

For an additional amount for fiscal year 2016 for
``Nonproliferation, Anti-terrorism, Demining and Related
Programs'', $4,000,000, to remain available until September
30, 2017, for necessary expenses to support response and
research efforts related to the Zika virus and related health
outcomes, other vector-borne diseases, or other infectious
diseases:  Provided, That such amount is designated by the
Congress as an emergency requirement pursuant to section
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit
Control Act of 1985.

Multilateral Assistance

funds appropriated to the president

international organizations and programs

For an additional amount for fiscal year 2016 for
``International Organizations and Programs'', $13,500,000, to
remain available until September 30, 2017 for necessary
expenses to support response and research efforts related to
the Zika virus and related health outcomes, other vector-
borne diseases, or other infectious diseases:  Provided, That
section 307(a) of the Foreign Assistance Act of 1961 shall
not apply to funds appropriated under this heading:  Provided
further, That such amount is designated by the Congress as an
emergency requirement pursuant to section 251(b)(2)(A)(i) of
the Balanced Budget and Emergency Deficit Control Act of
1985.

General Provisions--This Chapter

(including transfer of funds)

Sec. __. (a) Funds appropriated by this chapter under the
headings ``Global Health Programs'', ``Nonproliferation,
Anti-terrorism, Demining and Related Programs'',
``International Organizations and Programs'', and ``Operating
Expenses'' may be transferred to, and merged with, funds
appropriated by this chapter under such headings to carry out
the purposes of this chapter.
(b) Funds appropriated by this chapter under the headings
``Diplomatic and Consular Programs'', ``Emergencies in the
Diplomatic and Consular Service'', and ``Repatriation Loans
Program Account'' may be transferred to, and merged with,
funds appropriated by this chapter under such headings to
carry out the purposes of this chapter.
(c) The transfer authorities provided by this section are
in addition to any other transfer authority provided by law.
(d) Upon a determination that all or part of the funds
transferred pursuant to the authorities provided by this
section are not necessary for such purposes, such amounts may
be transferred back to such appropriations.
(e) No funds shall be transferred pursuant to this section
unless at least 15 days prior to making such transfer the
Secretary of State or the Administrator of the United States
Agency for International Development (USAID), as appropriate,
notifies the Committees on Appropriations in writing of the
details of any such transfer.

notification requirement

Sec. __.  Funds appropriated by this chapter that are made
available to respond to the Zika virus outbreak, other
vector-borne diseases, or other infectious diseases shall not
be available for obligation unless the Secretary of State or
the USAID Administrator, as appropriate, notifies the
Committees on Appropriations in writing at least 15 days in
advance of such obligation.

spend plan requirement

Sec. __.  Not later than 45 days after enactment of this
Act and prior to the obligation of funds made available by
this chapter to respond to the Zika virus outbreak, other
vector-borne diseases, or other infectious diseases, the
Secretary of State and the

[[Page S2792]]

USAID Administrator, as appropriate, shall submit spend plans
to the Committees on Appropriations on the anticipated uses
of funds on a country and project basis, including estimated
personnel and administrative costs:  Provided, That such
plans shall be updated and submitted to the Committee on
Appropriations every 90 days until September 30, 2017, and
every 180 days thereafter until all funds have been fully
expended.

comptroller general oversight

Sec. __.  Of the funds appropriated by this chapter, up to
$500,000 shall be made available to the Comptroller General
of the United States, to remain available until expended, for
oversight of activities supported pursuant to this chapter
with funds appropriated by this chapter:  Provided, That the
Secretary of State and USAID Administrator, as appropriate,
and the Comptroller General shall consult with the Committees
on Appropriations prior to obligating such funds.

rescission

Sec. __.  Of the unobligated balances available under the
heading ``Operating Expenses'' in title IX of the Department
of State, Foreign Operations, and Related Programs
Appropriations Act, 2015 (division J of Public Law 113-235),
$10,000,000 are rescinded:  Provided, That such amounts are
designated by the Congress as an emergency requirement
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
and Emergency Deficit Control Act of 1985.

CHAPTER 3

GENERAL PROVISIONS--THIS TITLE

extension of authorities and provisions

Sec. __.  Unless otherwise provided for by this title, the
additional amounts appropriated pursuant to this title for
fiscal year 2016 are subject to the requirements for funds
contained in the Consolidated Appropriations Act, 2016
(Public Law 114-113).

personal service contractors

Sec. __.  Funds made available by this title to support
response efforts related to the Zika virus and related health
outcomes, other vector-borne diseases, or other infectious
diseases may be used to enter into contracts with individuals
for the provision of personal services (as described in
section 104 of part 37 of title 48, Code of Federal
Regulations (48 CFR 37.104)), within the United States and
abroad, subject to prior consultation with, and the
notification procedures of, the Committees on Appropriations:
Provided, That such individuals may not be deemed employees
of the United States for the purpose of any law administered
by the Office of Personnel Management.

designation requirement

Sec. __.  Each amount designated in this title by the
Congress as an emergency requirement pursuant to section
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit
Control Act of 1985 shall be available (or rescinded, if
applicable) only if the President subsequently so designates
all such amounts and transmits such designations to the
Congress.

effective date

Sec. __.  This title shall become effective immediately
upon enactment of this Act.
______