CDC Tribal Public Health Security and Preparedness Act
Sponsored By: Senator Warren, Elizabeth [D-MA]
Introduced
Summary
This bill would extend federal public health cooperative agreements to put Indian Tribes, Tribal organizations, and urban Indian organizations on equal footing with states and localities by creating a dedicated tribal funding track. It would set minimum tribal awards, remove matching requirements for tribal grants, and require consultation and reporting tied to the Indian Health Service.
Show full summary
- Tribes and urban Indian organizations would become explicitly eligible and could receive awards through a new tribal track that requires at least 10 cooperative agreements and disallows matching requirements.
- The bill would authorize $750 million per year for FY2027–2029 for awards under the program, and would reserve at least 5% of each year’s funding for tribal-track awards with funds available until expended.
- The Secretary must consult with Indian Tribes when setting criteria, allow tailored waivers and alternative requirements for tribal delivery, and deliver a detailed report within 2 years coordinated with the Indian Health Service on awards, waivers, applicants, and infrastructure gaps.
*This bill would authorize $750 million annually for FY2027–2029, totaling $2.25 billion in new authorized funding and thereby increase federal spending.*
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
New Tribal public health funding
If enacted, the bill would authorize $750 million for the program for each of fiscal years 2027, 2028, and 2029. At least 5 percent each year (about $37.5 million) would be reserved for Tribal cooperative agreements. The Secretary would have to award at least 10 Tribal cooperative agreements and set a minimum award amount after consulting with Indian Tribes. Tribal grantees could keep any unobligated cooperative agreement funds through the award's full performance period.
Easier program rules for Tribes
If enacted, the bill would require the Secretary to consult with Indian Tribes and Tribal organizations when designing the cooperative agreement program for Tribes. After consultation, the Secretary could waive or set alternative requirements and make other modifications to help Tribal entities use the program. The Secretary could not waive labor standards or environmental requirements. The bill would also add Tribal agencies and urban Indian organizations into the program's definitions and stakeholder lists.
Sponsors & CoSponsors
Sponsor
Warren, Elizabeth [D-MA]
MA • D
Cosponsors
Sen. Heinrich, Martin [D-NM]
NM • D
Sponsored 7/21/2026
Sen. Smith, Tina [D-MN]
MN • D
Sponsored 7/21/2026
Sen. Klobuchar, Amy [D-MN]
MN • D
Sponsored 7/21/2026
Sen. Sanders, Bernard [I-VT]
VT • I
Sponsored 7/21/2026
Sen. Baldwin, Tammy [D-WI]
WI • D
Sponsored 7/21/2026
Sen. Wyden, Ron [D-OR]
OR • D
Sponsored 7/21/2026
Sen. Booker, Cory A. [D-NJ]
NJ • D
Sponsored 7/21/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov