# 119-hr-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.

119-hr-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., is a 119th Congress bill sponsored by Rep. Crenshaw, Dan [R-TX-2] (R-TX); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4165
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4165
- Congress: 119
- Title: 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.
- Status: introduced
- Introduced: 2025-06-26
- Sponsor: Rep. Crenshaw, Dan [R-TX-2] (R-TX)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Would create federal biological attribution and early warning strategies** to identify the source of biological outbreaks and to detect biological, chemical, and radiological threats earlier. The strategies would set agency roles, outline how attribution decisions are made, and create an implementation plan that coordinates federal, state, local, and private partners. - Federal agencies would get defined attribution duties, a required process for how attribution determinations are made, and timelines for building capacity. The strategy must coordinate with the Administration for Strategic Preparedness and Response, the Office of Science and Technology Policy, and the Office of the Director of National Intelligence. - State and local public health entities would be consulted on the early warning plan to align detection activities and to streamline programs and reduce duplication. This aims to better connect local monitoring with national response plans. - Private sector and academic partners would help identify, develop, and implement new technologies for diagnostics, sequencing, and safe sample collection. Public-private efforts are explicit priorities for expanding capability. - The early warning plan would emphasize broad detection sources such as wastewater, airports, and transportation hubs, include adapting tools for chemical and radiological threats like synthetic drugs and fentanyl, and require the ability to rapidly deploy technologies at scale during a public health event.

## Cosponsors (1)

- Rep. Swalwell, Eric [D-CA-14] (D-CA), 2025-06-26T00:00:00.000Z

## Provisions PRIA read

- Nationwide early warning for health threats: benefit, high. If enacted, the government would create a national early warning plan for biological, chemical, and radiological threats. It would focus on new tools like diagnostics, genetic sequencing, and safe sample collection. The plan would watch wastewater, airports, and other travel hubs to spot threats ea…
- Plan to trace sources of outbreaks: benefit, high. If enacted, the government would set a federal plan to trace the source of biological events. It would spell out which agencies do what, when an attribution decision is triggered, and how decisions are made, including national security steps. It would set assignments, milestones, and timelines to b…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-1229: United States-Israel Defense Partnership Act of 2025
- 119-hr-137: TCJA Permanency Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-2471: Right Drug Dose Now Act of 2025
- 119-hres-23: Proxy Voting for New Parents Resolution

## Sources
- [119-hr-4165 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4165)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-1229: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-hr-1229)
- [119-hr-137: TCJA Permanency Act](https://policyrisk.com/legislation/119-hr-137)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-2471: Right Drug Dose Now Act of 2025](https://policyrisk.com/legislation/119-hr-2471)
- [119-hres-23: Proxy Voting for New Parents Resolution](https://policyrisk.com/legislation/119-hres-23)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4165 (as of 2026-04-21).