(4) in paragraph (3), as so redesignated— 

(A) in subparagraph (A), by inserting ‘‘and the Public Health Emergency Medical Countermeasures Enterprise established under section 2811–1’’ before the semicolon; 

(B) in subparagraph (C), by inserting ‘‘, and the avail- ability, deployment, dispensing, and administration of countermeasures’’ before the semicolon; 

‘‘(E) devise plans for effective and timely supply-chain management of the stockpile, in consultation with the Director of the Centers for Disease Control and Prevention, the Assistant Secretary for Preparedness and Response, the Secretary of Transportation, the Secretary of Homeland Security, the Secretary of Veterans Affairs, and the heads of other appropriate Federal agencies; State, local, Tribal, and territorial agencies; and the public and private health care infrastructure, as applicable, taking into account the manufacturing capacity and other available sources of prod- ucts and appropriate alternatives to supplies in the stock- pile;’’; 

(D) in subparagraph (G), by striking ‘‘; and’’ and inserting a semicolon; 

(E) in subparagraph (H), by striking the period and inserting a semicolon; and 

of emergency preparedness to address such threats; 

‘‘(VI) whether such countermeasure is replen- ishing an expiring or expired countermeasure, is a different countermeasure with the same indica- tion that is replacing an expiring or expired countermeasure, or is a new addition to the stock- pile; 

‘‘(VII) a description of how such additions or modifications align with projected investments under previous countermeasures budget plans under section 2811(b)(7), including expected life- cycle costs, expenditures related to countermeasure procurement to address the threat or threats described in subclause (IV), replenishment dates (including the ability to extend the maximum shelf life of a countermeasure), and the manufacturing capacity required to replenish such counter- measure; and 

‘‘(VIII) appropriate protocols and processes for the deployment, distribution, or dispensing of the countermeasure at the State and local level, including plans for relevant capabilities of State and local entities to dispense, distribute, and administer the countermeasure; and 

‘‘(ii) an assurance, which need not be provided in advance of procurement, that for each counter- measure procured or replenished under this subsection, the Secretary completed a review addressing each item listed under this subsection in advance of such procure- ment or replenishment.’’; 

(C) by amending subparagraph (E) to read as follows: 

(F) by adding at the end the following: 

Consultation. 

