CDC Tribal Public Health Security and Preparedness Act
Sponsored By: Representative Stansbury, Melanie A. [D-NM-1]
Introduced
Summary
Elevating tribal participation and funding in public health preparedness. This bill would expand the Public Health Service Act cooperative-agreement program to make Indian Tribes, Tribal organizations, urban Indian organizations, and consortia eligible and to create a dedicated tribal funding pathway.
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- Tribal governments and organizations: Tribal governments, Tribal organizations, urban Indian organizations, and consortia could apply through a new tribal pathway that guarantees at least 10 cooperative agreements, forbids matching requirements, and allows program modifications or waivers crafted with tribal consultation.
- Funding and states: Sets a $750 million baseline for awards each year for fiscal years 2026–2028 and reserves not less than 5% of those funds for tribal awards, while clarifying a separate funding line for states.
- Accountability and planning: Requires mandatory tribal consultation in program design and a report within two years documenting award recipients, unfunded applicants, waiver rationales, and tribal public health infrastructure gaps, with recommendations to Congress.
*It would increase federal spending by establishing a $750 million annual baseline for relevant cooperative agreements in fiscal years 2026–2028 and reserving at least 5% each year for tribal awards.*
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
More public health grants for Tribes
This bill would create a dedicated tribal cooperative-agreement track for CDC public-health preparedness grants. It would set funding at $750 million each year for fiscal years 2026 through 2028 and reserve at least 5% of that funding each year for tribal awards. The Secretary would have to award at least 10 cooperative agreements, set each award at or above a minimum amount after consulting tribes, and waive matching requirements for tribal awards. Unobligated amounts would stay available for the full performance period, the Secretary could modify program rules after tribal consultation (but not waive labor or environmental requirements), and the Secretary must report to Congress within 2 years on implementation and infrastructure limits.
Tribes included in preparedness plans
This bill would add Indian Tribes, Tribal organizations, and urban Indian organizations to program definitions and stakeholder lists. It would add Tribal educational agencies to certain cross-references. It would also require local emergency plans to include Tribes, Tribal organizations, and urban Indian organizations alongside other local planning entities.
Sponsors & CoSponsors
Sponsor
Stansbury, Melanie A. [D-NM-1]
NM • D
Cosponsors
Rep. Leger Fernandez, Teresa [D-NM-3]
NM • D
Sponsored 7/21/2026
Rep. Vasquez, Gabe [D-NM-2]
NM • D
Sponsored 8/20/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov