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Fully resource the CDC Secure and Rapid Communications Networks
Develop standard medical response models for Federal, State, and local levels
Reestablish a pre-hospital Emergency Medical Service Program Office
Revise current EMT and PNST raining and refresher curricula

Increase Federal resources for exercises for State and local health and medical entities Establish a government-owned, contractor-operated national vaccine and therapeutics facility

Immigration and Border Controi

Create an intergovernmental border advisory group

Fully integrate all affected entities into local or regional port security committees" Ensure that all border agencies are carners in intelligence collection, analysis, and dissemination

Review and recommend changes to plans for vaccine stockpiles and critical supplies Develop a comprehensive plan for research on terrorism-related health and medical


Review MMRS and NDMS authorities, structures, and capabilities

Develop an education plan on the legal and procedural issues for health and medical response to terrorism

Develop on-going public education programs on terrorism causes and effects

Create, provide resources for, and mandate participation in a "Border Security
Awareness" database system

Require shippers to submit cargo manifest information simultaneously with
shipments transiting US borders

Cyber Security

Include private and State and local representatives on the interagency critical infrastructure advisory panel

Create a commission to assess and make recommendations on programs for cyber security

Establish a government funded, act-for-profit entity for cyber detection, alert, and warning functions

Convene a "summit" to address Federal statutory changes that would enhance cyber

Establish Trusted Shipper programs

Expand Coast Guard search authority to include US owned-act just flagged"—


Expand and consolidate research, development, and integration of sensor, detection,

and warning systems

Increase rescurces for the US. Coast Guard for homeland security missions Negotiate more comprehensive treaties and agreements for combating terronsm with Canada and Mexico


Create a special "Cyber Court" patterned after the court established in FISA Develop and implement a comprehensive plan for cyber security research, development, test, and evaluation

Use of the Military

Establish a homeland security under secretary position in the Department of Defense Establish a single unified command and control structure to execute all military support to civil authorities

Develop detailed plans for the use of the military domestically across the spectrum of potential activities

Expand training and exercises in relevant military units and with Federal, State, and local responders

Direct new mission areas for the National Guard to provide support to civil


Publish a compendium of statutory authorities for using the military domestically to combat terrorism

Improve the military full-time liaison elements in the ten Federal Emergency
Management Agency region

Status of Our Recommendations

Mr. Chairman and Members, I can tell you that, according to our most recent count, of the 79 major policy recommendations mad by the Advisory Panel to date, 64 have now been adopted in whole or in major part. Having said that, there are others that continue to need to be addressed, and some that could still use additional resources or policy direction.

Our Current Deliberations

Mr. Chairman, as we sit here today, the Congress has once again taken up consideration of the creation of a Department of Homeland Security. At the same time, the intelligence committees of each House are putting together a report, flowing from the recent Joint Inquiry of those committees, which will, perhaps, contain major recommendations with respect to the structure, laws, and procedures of the Intelligence Community for combating Terrorism. In addition, the Congress is attempting to complete action on appropriations bills for the current fiscal year, which if enacted will contain significant additional funding to address some of these issues, especially for supporting the efforts of State and local responders.

It the midst of all that the Advisory Panel is crafting and putting the finssting

touches on significar policy recommendations in several key areas.

Strategy and Structure

Use of the Military

Health and Medical

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• Agroterrorism

In addition, that report will contain an update of the comprehensive threat assessment contained in the Panel's First Annual Report, as well as a set of recommendations on the nature and sources of the resources necessary to fund the

national efforts to combat terrorism.

Recommendations for the Fourth Annual Report

Strategy and Structure

Mr. Chairman and Members, I have a bit of an announcement to make in this forum. Because the Congress in considering the new Department of Homeland Security, the Advisory Panel decided at its meeting last week to release its principal recommendations in this area in advance of the publication of its full report in December. We have done so in the hope that those recommendations may help to inform the current debate. Briefly, the "Strategy and Structure" Chapter recommends:

• That the President create an entity that will become the all-source fusion and analysis center for potential terrorists attacks inside the United States from foreign terrorists and their supporters. That center would also house, in a separate component, the intelligence collection against such terrorists currently in the FBI.

• That more comprehensive assessments of threats to the homeland be developed

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That the President direct a restructuring of the Federal interagency mechanisms to ensure better coordination within the federal government, and with states, localities, and the private sector, to avoid confusion and to reduce unnecessary expenditure of limited resources at all levels

And to repeat an earlier recommendation of the panel:

That each House of the Congress establish a separate authorizing committee and related appropriation subcommittee with jurisdiction over Federal programs and authority for Combating Terrorism/Homeland Security.

Copies of that advance document have been made available to Members; and I would ask respectfully that the Chair entertain a request to include that document in the official record along with my testimony. I will be happy to address any questions that Members may have concerning those recommendations.

Use of the Military

The panel continues to address issues involving the use of the military inside the United States for various responses to terrorism. In its next report, the panel will make recommendations dealing with:

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That the new DHS have the necessary capability and authority to perform the critical infrastructure vulnerability and warning functions envisioned in its enabling legislation

· Command and control issues involving the new U.S. Northern Command (NORTHCOM)

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That the President clearly define the responsibilities of DHS and other federal entities before, during, and after an attack has occurred, especially any authority for directing the activities of other federal agencies

Developing a more comprehensive, coordinated process to identify the potential needs of States and localities, as well as other Federal agencies, for military support against terrorist attacks

Additional authority for use of the National Guard in a Title 32 status

New roles and missions for certain National Guard units

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Better training and exercise programs for military units for performing homeland missions

• Better structure and policies for DoD civilian oversight of the military

• Clarification, consolidation, and explanations of laws for use of the military domestically

Health and Medical

The panel continues its efforts to address the important issues in health and medical

planning, preparedness, and response to terrorism and will make recommendations on the

following subjects:

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Sustaining and prioritizing resources to improve the public health and medical infrastructure

Exercising and training health and medical response entities in the larger emergency management context of terrorism response including exercising the use of the National Pharmaceutical Stockpile

Centralizing, coordinating, and simplifying Federal information on resources, best practices, and research for state and local access

Implementing the full range of research to improve health and medical detection of and response to terrorist attacks

Developing and operationalizing the laws and regulations for health and medical response to a terrorist attack including the clarification of the Health Insurance Portability and Accountability Act (HIPAA) guidelines and the rules for quarantine

· Defining who is in charge in response to a bioterrorist attack

Developing a strategic information plan for educating and communicating with the public and the media before, during and after an attack

• Improving intelligence collection related to health and medical issues

• Establishing a national vaccine strategy

· Responding to the threat of a smallpox attack

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