133 STAT. 945  PUBLIC LAW 116–22—JUNE 24, 2019  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.’’;  (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;  (C) by amending subparagraph (E) to read as follows:  ‘‘(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  (F) by adding at the end the following:  Consultation. 