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Subcommittee on Oversight and Investigations
July 9, 2002
09:00 AM
2123 Rayburn House Office Building
Thank you, Mr Chairman and members of the
Committee for giving me the opportunity to appear before you today on behalf of
Secretary Thompson to discuss the proposed Department of Homeland Security. The
Secretary strongly supports the reorganization initiative that the President
announced earlier this month.
The threat of terrorism in its myriad forms has
become an ever-present part of our daily lives. The new Department will enable
us to make further significant advances in protecting the American people from
those who are bent upon inflicting death, destruction, and social disorder to
achieve their ideological ends. We are pleased that the Congress is giving the
President's proposal prompt and thorough attention. Secretary Thompson and I
look forward to working with this and other Committees to ensure passage of the
legislation for the new Department.
The President's proposal deals with certain
terrorism-related activities that currently are the responsibility of the
Department of Health and Human Services (HHS). Some of these HHS activities
would be transferred to the Department of Homeland Security (DHS). For other
relevant public health and medical activities, DHS would assume responsibility
for setting goals and providing strategic direction but would rely upon HHS to
implement and operate the activities on a day-to-day basis.
I will discuss examples from each group of
activities in turn.
EXAMPLES OF ACTIVITIES PROPOSED FOR TRANSFER FROM
HHS TO DHS
HHS functions conveyed to the new Department in
the President's proposal include:
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The Select Agent
registration enforcement program;
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The Office of the
Assistant Secretary for Public Health Emergency Preparedness; and
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The National
Pharmaceutical Stockpile.
Select Agent Registration Program
Within HHS, the Centers for Disease Control and
Prevention (CDC) currently regulates the transfer of certain dangerous pathogens
and toxins - commonly referred to as "Select Agents" - from one
registered facility to another. These agents are widely used in research
laboratories across America. Examples are the bacterium that causes anthrax, the
bacterium that causes plague, and the virus that causes Ebola, a lethal
hemorrhagic fever. Select Agents are prime candidates for use by would-be
bioterrorists and thus, when used in research, must be kept constantly under
safe and secure conditions.
The recently enacted Public Health Security and
Bioterrorism Preparedness and Response Act of 2002 authorized HHS to promulgate
and enforce regulations concerning the possession and use of Select Agents, as
well as their transfer. While CDC has done its best to manage the Select Agent
program, CDC is a public health agency and not a regulatory body. We believe
that the new department, with its strong multi-purpose security and regulatory
infrastructure, will be well-suited to prevent nefarious or other irresponsible
uses of Select Agents. HHS will be prepared to provide DHS with whatever
scientific expertise and other technical assistance it may seek to help it
manage the program. Under the Administration bill, the Secretary of Homeland
Security would administer the select agents program in consultation with the HHS
Secretary, and HHS would continue to make key medical and scientific decisions,
such as which biological agents should be included in the select agents list.
Office of the Assistant Secretary for Public
Health Emergency Preparedness
The Public Health Security and Bioterrorism
Preparedness and Response Act of 2002 created the HHS Office of the Assistant
Secretary for Public Health Emergency Preparedness for which I serve as Acting
Assistant Secretary. The responsibilities of this new office include the
supervision of the Office of Emergency Preparedness, the National Disaster
Medical System, the Metropolitan Medical Response Systems, and related HHS
emergency management functions. This cluster of activities is a logical and
proper candidate for transfer to DHS - thereby enabling seamless integration
of national public health and medical emergency management assets with the
Nation's new preparedness and response infrastructure at DHS. The Public
Health Service Officers and other HHS employees who have faithfully performed
disaster relief work over the years have done a wonderful service for our
Nation. They are a credit to HHS as they surely will be to the new Department.
Strategic National Stockpile
CDC currently manages 12 "push
packages" of pharmaceutical and medical supplies and equipment
strategically located around the United States; additional lots of
pharmaceuticals and caches of medical materiel are maintained by manufacturers
under special contractual arrangements with CDC. You may recall that one of the
push packages was dispatched to New York City on September 11th and
that elements of the stockpile were used to respond to the anthrax attacks. CDC
has done an exemplary job managing what is now called the Strategic National
Stockpile and this fine work has set the stage for integration of the Stockpile
with other national emergency preparedness and response assets at DHS.
The President's proposal is designed to achieve
this integration by tapping the strengths of DHS and HHS in a precisely
coordinated way. Thus, the Secretary of Homeland Security will assume
responsibility for continued development, maintenance, and deployment of the
Stockpile - making it an integral part of the larger suite of federal response
assets managed by FEMA and other future DHS components - while the Secretary
of Health and Human Services will continue to determine its contents. The
arrangement will ensure effective blending of the public health expertise of HHS
with the logistical and emergency management expertise of DHS.
DHS FUNCTIONS TO BE CARRIED OUT THROUGH HHS
Certain specific program level details and
administrative choices are still being studied in order to ensure the most
seamless transition, and to give the greatest possible levels of efficiency and
effectiveness to our fight against the threat of biological warfare and to
protect the public health. However, the President's proposal clearly
designates the following two activity areas that the Secretary of Homeland
Security will carry out through the Department of Health and Human Services:
1. Civilian Human Health-Related Biological,
Biomedical and Infectious Disease Defense Research and Development
The President's proposal provides that the new
Department's civilian human health-related biological, biomedical, and
infectious disease defense research and development work shall - unless the
President otherwise directs - be carried out through HHS. Under the President's
proposal, the Secretary of Homeland Security, in consultation with the Secretary
of Health and Human Services, shall have the authority to establish the research
and development program that will be implemented through HHS. Thus, as the
agency responsible for assessing threats to the homeland, DHS, in consultation
with the HHS Secretary, will provide strategic direction regarding the Nation's
biological and biomedical countermeasure research priorities.
2. Certain Public Health-Related Activities
The President's proposal provides that the new
Department shall - unless otherwise directed by the President - carry out
through HHS certain public health related activities (such as programs to
enhance the bioterrorism preparedness of state and local governments and
non-federal public and private health care facilities and providers). The object
of this provision is to continue the important role that HHS plays in assisting
state and local governments and the hospital and public health community in
preparing for and responding to large-scale public health emergencies. As with
the research program, the Secretary of Homeland Security, in consultation with
the Secretary of Health and Human Services, will establish the Nation's
anti-terrorism preparedness and response program and priorities, but the
implementation of the public health components of that program will be carried
out largely through HHS.
CONCLUSION
Mr. Chairman and members of the Committee, our
Nation needs a Department of Homeland Security. The Department of Health and
Human Services strongly supports the President's proposal and we look forward
to doing whatever is necessary to effect a smooth and swift transition of
responsibilities and operations. We believe that the President's proposal
strikes the right balance: it plays to the strengths of HHS and recognizes this
agency's core mission - the protection of our Nation's public health - while
capitalizing on the strategic and logistical strengths of the new Department of
Homeland Security. We will ensure that HHS fulfills its obligations to the new
Department and provides it with whatever public health, medical, and scientific
expertise it may require.
At this time, I would be happy to answer your
questions.
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